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Fast Facts - Other Conditions Affecting The Periodontium

Fast Facts

Fast Facts: Perio Edition Episode 28
[Andrew Johnston, RDH]
Welcome back,  everyone. You are listening to another episode of Fast Facts- Perio Edition brought to you by A Tale of Two Hygienists in partnership with DentistRX. And now, please welcome your host, Katrina Sanders.
[Katrina Sanders, RDH]
Hello and welcome to Fast Facts: Perio Edition. All right, all right, all right, you guys, we are back! Part three of introducing new concepts in periodontal diagnostics. We are looking at the differences between the 2017 AAP Staging and Grading  that we know today and what our previous classification system was in 1999. Last week, we looked at aggressive perio and this week we're going to look at the other major difference that we saw with regards to how 1999 and 2017 classified perio. The AAP in 2017 added a new category and I promise you in future fast facts for Perio Edition, we are absolutely going to be looking at major details with regards to all of these classifications, but I wanted to highlight this one because it's important.
The AAP classified a new classification component called other conditions affecting the periodontium, specifically systemic diseases or conditions affecting the periodontal supporting tissues.
Now, we're going to, of course, look at this from a granular component moving forward but one thing that I want you to know is that there are two major outliers or two major categories that talk about systemic disease. One is perio as a manifestation of systemic disease. And for the most part, we're going to look at this in a minute, but for the most part, these types of diseases are relatively obscure diseases. Ehlers-Danlos, Chediak-Higashi, Trisomy 21.
These types of diseases are neutropenias, some type of an immune component or some type of a functional component within the patient's connective tissue in which the patient who has this type of a condition will absolutely experience perio. On the other side of the coin, this category called other conditions affecting the periodontium and more specifically, classifying systemic diseases or conditions affecting the periodontal supporting tissues. Now, that's a bit different because this is now where we begin to talk about some of the common genetic and acquired deformities and conditions that have some type of a biological plausibility connecting perio to systemic disease.
These are going to be the various types of diseases, for example, like your heart disease, stroke, upper respiratory tract infections, certain types of cancers, pregnancy complications, rheumatoid arthritis, etc.. And so this is a massive category that, know, we are going to unpack in future episodes so stay tuned.
But it's important for us to acknowledge that patients can absolutely have systemic conditions where they will experience periodontal challenges. And in other cases, patients can present with systemic diseases or conditions that we know will have an impact on the periodontal supporting tissues. However, with optimal oral health status, optimum nutrition and controlling said chronic disease, the patient may actually be able to control their risk of perio. Stay tuned as we unpack that in further episodes of Fast Facts: Perio Edition with your girl Katrina Sanders. Have an awesome week, everybody.
This has been another episode of Fast Facts - Perio Edition with Katrina Sanders, RDH. Please feel free to reach me on Instagram @thedentalwinegenist or on my website Cheers.
[Andrew Johnston, RDH]
Thank you for listening to another episode of Fast Facts - Perio Edition, brought to you in part by DentistRX makers of the InteliSonic line of power brushes. Find out more by visiting their website at We'll see you next week for another Fast Fact!

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