welcome everyone to the second video in the series of perodontal diagnosis for oral health therapist today's lesson will be based on the classification system that was developed in 1999 your article on my uni by Armitage is a really valuable resource to help you understand this material as well as your textbook The Wolf book which is the most awesome pero book it's your um color Outlet of dental hygiene in parodontology and you will find this resource really valuable not only for this year but for next year as well so I hope you enjoyed the session today if you remember from our last lesson in class we talked about how to write your periodontal diagnostic statement we said that there are three main things you need to consider the first one is it generalized or localized and how do we work that out well are there greater than 30% of the surfaces affected or are there less than 30% of the surfaces affected the next thing you must consider is the severity of the condition is it mild moderate or severe and sometimes severe is referred to as advanced and lastly what form is it is it an acute form or is it a chronic form a more long-standing condition so your statement then first of all starts off with one the locality whether it's generalized or localize then you will make reference to the severity whether it's mold moderate or severe and finally you will make reference to the mode is it an acute form or is it a chronic form okay so we're going to begin with the classification of gingerful diseases or gingervitis as it's known there are two forms there is the pla induced meaning it's induced by bacterial accumulation and the non pin Juiced now with the non-p and Juiced these conditions are usually a ramification of a systemic disorder it could be something like a lyan planus that's affecting the gingival tissues it could be an allergic reaction it could be a viral infection regardless of this you usually would refer these types of conditions to the dentist or you would refer them on to barod Donal specialist to get verification of the diagnosis for oral health therapists we are more involved with the diagnosis of PLA and Juice Ginger conditions now this is the one where we we'll concentrate on now and expand upon the different types of PL and Juice conditions but just before we look at the PLA and Juice Ginger conditions we need to have a clear indication or a clear clarification to what is the difference between diagnosing a gingivitis issue or a perodontal issue let's have a look they both have the presence of inflammation okay so we can see inflammation in the gingerwood tissues in both conditions so then you have to ask yourself well what is the main difference between the two how can you tell if it's a gingerful condition or a parodontal condition and the key factor here is that with ginger vus there is no loss of attachment with parodontal conditions you have loss of attachment you also have apal migration of the junctional epithelium helium and you also have loss of alveola bone now all of these if you remember from last time can only be verified by the presence of radioraps so you need to refer to your radio graphs to make sure that you can detect a clear loss of alveola bone and you can actually look at the alviola crest to see whether or not there's been any sort of apical migration of that Junction epithelium in relation to the pockets that you are okay so now that we can tell the difference between gingervitis and parodontitis we're going to have a closer look at the ply induced gingerwood disease and how that is actually classified so firstly we can refer to it as ply conduced gingerwood disease with no local contributing factors in other words this case is just due to plaque accumulation we also have PL and Juice gingival disease with local contributing factors and what we mean by this is that we might have have a rotated tooth where the um the cleaning is a little bit too difficult so you can get a little bit more progression of the gingervitis in that area than what you would in an area where there was no uh crowding but there is a list of other local contributing factors and that is going to be your homework task in a moment we also have what's referred to as necrotizing ulcerative gingervitis this is an acute form and it actually very painful and associated with fever but we will have more on the acute form of this ulcerative type in our later lessons we also have hormonal Associated Ginger virus now these are conditions that are actually that actually worse than the ginger Vitus that's there such as pregnancy puberty a stack of other sort of hormonal conditions that I'll also ask you to research we then have the diabetes Associated gingervitis and that's usually again in diabetics who can't really control their sugar levels very well we also have the drug influenced Ginger virus and what we mean by this is that there are some drugs like anti-epileptic drugs that cause an abnormal hyperplasia or an abnormal reaction to the plaque that's there and then we have our vitamin C deficiency Ginger virus so just to summarize we have our ply conduced Ginger disease that has no local contributing factors apart from the plaque that's building up we have the plaque induced gingival disease that is worsened in some areas by local contributing factors we have our necrotizing ulcerative gingervitus that is our acute form all these other forms that we're referring to here are our chronic forms then we get to our systemic conditioning factors as they're referred to like our hormones systemic conditions like diabetes drug influence gingervitus and our vitamin C deficiency gingervitus so that's our PL and Juice Ginger conditions in a nutshell and these are the ones that as an oral health therapist you will be diagnosing okay now for your homework exercise and in preparation for our class where we will be studying the um diagnosis of plaque induced gingival disease in more detail I'd like you to create your own mind map and elaborate on examples of local contributing factors examples of some of the hormonal conditions that actually affect the progress of PLA and juice gingival disease and elaborate of some of the drugs that influence the progression of gingervitis as well so to summarize you need your own mind map you need to elaborate on local contributing factors hormonal conditions and Drug influence gingervitis in other words what type of drugs influence the um appearance and progression of gingervitis thanks guys