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Prognosis of periodontal
disease –أمراض اللثة –10سيمسيتر
16 /3 /2020
Determination of the prognosis
• Prognosis is determined after the diagnosis is
made and before treatment planning is
established.
Risk Vs. Prognosis
• Risk determines the susceptibility of the
individual to get the disease in a specified
period
• but prognosis determines the course and
outcome of the disease.
Types of prognosis:-based on tooth mortality
1. Good prognosis
2. Fair prognosis
3. Poor prognosis
4. Questionable prognosis
5. Hopeless prognosis
Types of prognosis:- according to Kwok and
Caton
1. Favorable prognosis
Types of prognosis:- according to Kwok and
Caton
2. Questionable prognosis
Types of prognosis:- according to Kwok and
Caton
3. Unfavorable prognosis
Types of prognosis:- according to Kwok and
Caton
4. Hopeless prognosis
Overall versus individual tooth
prognosis
Factors control the determination of the
prognosis:-
• I- Overall clinical factors:-
1- Patient age
I- Overall clinical factors:-
2. Disease severity
I- Overall clinical factors:-
3. Plaque Control
I- Overall clinical factors:-
4. Patient Compliance and Cooperation
II. Systemic and Environmental Factors
III. Local Factors
III. Local Factors
A. Plaque and calculus
III. Local Factors
B) Subgingival Restorations
III. Local Factors
C) Anatomic factors
III.Local Factors
D) Tooth mobility
IV. Prosthetic and Restorative Factors
IV.Prosthetic and Restorative Factors
A) Abutment selection
IV.Prosthetic and Restorative Factors
B) Caries, Nonvital teeth and root resorption
Prognosis for Patients with
Gingival Disease
Prognosis for Patients with Gingival Disease
1.Plaque induced gingivitis (associated with
plaque only)
Prognosis for Patients with Gingival Disease
II- Non – plaque induced gingivitis
Prognosis of patients with
periodontitis
Prognosis of patients with periodontitis:-
I- Chronic periodontitis
Prognosis of patients with periodontitis:-
II- Aggressive periodontitis
Prognosis of patients with periodontitis:-
III- Periodontitis as a manifestation of systemic
diseases
Prognosis of patients with periodontitis:-
IV- Necrotizing periodontal diseases:
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