牙周疾病的分类课件.ppt
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1、关于牙周疾病的分类第1页,此课件共30页哦牙周疾病的分类牙周疾病的分类 分类原则分类原则1.按病理学分类按病理学分类2.按临床表现分类按临床表现分类3.按病因分类按病因分类4.混合性分类(病因与临床表现,病因与病理)混合性分类(病因与临床表现,病因与病理)发展史发展史随着人类对疾病的病因、病理的进一步认识和深入研究,牙周病随着人类对疾病的病因、病理的进一步认识和深入研究,牙周病的分类不断演变和改进。的分类不断演变和改进。第2页,此课件共30页哦 Gottlieb分类分类 (1928)炎症性炎症性 不洁性脓漏不洁性脓漏(Schmutz pyorrhea)由口腔卫生不良所致由口腔卫生不良所致变性或
2、萎缩变性或萎缩 弥漫性牙槽萎缩(弥漫性牙槽萎缩(diffuse alveolar atrophy)diffuse alveolar atrophy)由全身或代谢性原因所致由全身或代谢性原因所致 (为青少年牙周炎最早的名称)(为青少年牙周炎最早的名称)牙周脓漏牙周脓漏(paradental pyorrhea)paradental pyorrhea)第3页,此课件共30页哦 Orban 分类(分类(1949)炎症状态炎症状态(inflammatory conditions)牙龈炎牙龈炎:急性或慢性;溃疡性或化脓性;局限性或全身性等。急性或慢性;溃疡性或化脓性;局限性或全身性等。牙周炎:牙周炎:单纯
3、性(由牙龈炎发展而来)单纯性(由牙龈炎发展而来)复杂性(由牙周变性而来复杂性(由牙周变性而来)变性状态变性状态(degenerative conditions)牙龈变性(牙龈变性(gingivosis):全身原因全身原因 牙周变性(牙周变性(periodontosis):主要为全身原因主要为全身原因 萎缩状态萎缩状态(atrophic conditions)牙周萎缩牙周萎缩 牙周创伤牙周创伤(periodontal traumatism)原发性原发性 继发性继发性 牙龈增生牙龈增生(gingival hyperplasia)感染感染 内分泌失调内分泌失调 药物性药物性 特发性特发性第4页,此课
4、件共30页哦 Page&Schroeder 分类分类(1982)I.青春前期牙周炎青春前期牙周炎(prepubertal periodontitis,PPP)弥漫型弥漫型局限型局限型 II.青少年牙周炎青少年牙周炎(juvenile periodontitis,JP)III.快速进展性牙周快速进展性牙周(rapidly progresive periodontitis,RPP)IV.成人牙周炎成人牙周炎(adult periodontitis,AP)第5页,此课件共30页哦 牙周疾病分类(牙周疾病分类(1989)世界临床牙周病学专题讨论会世界临床牙周病学专题讨论会 I.成人牙周炎(成人牙周炎(
5、adult periodontitis,AP)II.早早发发性牙周炎性牙周炎(early-onset periodontitis,EOP)青春前期青春前期(prepubertal periodontitis,PPP)局限型或广泛型局限型或广泛型 青少年青少年(juvenile periodontitis,JP)局限型或广泛型局限型或广泛型 快速进展性(快速进展性(rapidly progressive periodontitis,RPP)III.伴有全身疾病的牙周炎伴有全身疾病的牙周炎 (periodontitis associated with systemic diseases)IV.坏死
6、坏死溃疡溃疡性牙周炎(性牙周炎(necrotizing ulcerative periodontitis)V.顽顽固性牙周炎固性牙周炎(refractory periodontitis)第6页,此课件共30页哦(1989)分类)分类 的不足:的不足:在疾病范畴上存在着某些重复。在疾病范畴上存在着某些重复。缺乏牙龈病分类。缺乏牙龈病分类。过分强调了疾病的始发年龄及进展速度。过分强调了疾病的始发年龄及进展速度。缺乏分类标准,或分类标准不够明确。缺乏分类标准,或分类标准不够明确。第7页,此课件共30页哦 牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状
7、况的国际新分类(19991999)1999 international workshop for a classification of 1999 international workshop for a classification of periodontal diseases and conditions periodontal diseases and conditions .牙龈病牙龈病牙龈病牙龈病 (g(gingival diseasesingival diseases).慢性牙周炎慢性牙周炎慢性牙周炎慢性牙周炎 (chronic periodontitis)(chronic pe
8、riodontitis).侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎 (aggressive periodontitis)(aggressive periodontitis).反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎 (periodontitis as a(periodontitis as a manifestation of systemic diseases)manifestation of systemic diseases).坏死性牙周病坏死性牙周病坏死性牙周病坏死性牙周病 (necrotizing periodontal diseases
9、)(necrotizing periodontal diseases).牙周脓肿牙周脓肿牙周脓肿牙周脓肿 (abscesses of the periodontium)(abscesses of the periodontium)伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎 (periodontitis (periodontitis associated with endodontic lesions)associated with endodontic lesions).发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和状况 (d
10、evelopmental or(developmental or acquired deformities and conditions)acquired deformities and conditions)第8页,此课件共30页哦 牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(19991999)1999 international workshop for a classification of 1999 international workshop for a classification of periodontal d
11、iseases and conditions periodontal diseases and conditions .牙龈病牙龈病牙龈病牙龈病 (g(gingival diseasesingival diseases).慢性牙周炎慢性牙周炎慢性牙周炎慢性牙周炎 (c(chronic periodontitishronic periodontitis).侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎 (aggressive periodontitis)(aggressive periodontitis).反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎 (pe
12、riodontitis as a(periodontitis as a manifestation of systemic diseases)manifestation of systemic diseases).坏死性牙周病坏死性牙周病坏死性牙周病坏死性牙周病 (necrotizing periodontal diseases)(necrotizing periodontal diseases).牙周脓肿牙周脓肿牙周脓肿牙周脓肿 (abscesses of the periodontium)(abscesses of the periodontium)伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙
13、髓病变的牙周炎伴牙髓病变的牙周炎 (periodontitis (periodontitis associated with endodontic lesions)associated with endodontic lesions).发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和状况 (developmental or(developmental or acquired deformities and conditions)acquired deformities and conditions)第9页,此课件共30页哦.慢性牙周炎慢性牙周炎 Chroni
14、c Periodontitis成人牙周炎成人牙周炎adult periodontitis取消取消“成人牙周炎成人牙周炎adult periodontitis”的名称,因为这种的名称,因为这种牙周炎发生的年龄范围广,可见于乳牙和恒牙牙列。虽然牙周炎发生的年龄范围广,可见于乳牙和恒牙牙列。虽然该病最常见于成人,但也可见于儿童和青少年。该病最常见于成人,但也可见于儿童和青少年。“慢性牙慢性牙周炎周炎chronic periodontitis”这一名称较成人牙周炎受年龄的限这一名称较成人牙周炎受年龄的限制少些。制少些。第10页,此课件共30页哦 牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(
15、牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(19991999)1999 international workshop for a classification of 1999 international workshop for a classification of periodontal diseases and conditions periodontal diseases and conditions .牙龈病牙龈病牙龈病牙龈病 (g(gingival diseasesingival diseases).慢性牙周炎慢性牙周炎慢性牙周炎慢性牙周炎 (chronic perio
16、dontitischronic periodontitis).侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎 (aggressive periodontitisaggressive periodontitis).反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎 (periodontitis as a(periodontitis as a manifestation of systemic diseases)manifestation of systemic diseases).坏死性牙周病坏死性牙周病坏死性牙周病坏死性牙周病 (necrotizing peri
17、odontal diseases)(necrotizing periodontal diseases).牙周脓肿牙周脓肿牙周脓肿牙周脓肿 (abscesses of the periodontium)(abscesses of the periodontium)伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎 (periodontitis (periodontitis associated with endodontic lesions)associated with endodontic lesions).发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和
18、状况发育或获得性异常和状况 (developmental or(developmental or acquired deformities and conditions)acquired deformities and conditions)第11页,此课件共30页哦.侵袭性牙周炎侵袭性牙周炎Aggressive Periodontitis取消取消“青少年牙周炎、快速进展型牙周炎青少年牙周炎、快速进展型牙周炎”的名称,的名称,“侵侵袭性牙周炎袭性牙周炎Aggressive Periodontitis”Aggressive Periodontitis”较少受年龄的限制。牙较少受年龄的限制。牙周炎
19、的分类系统不应基于患者的就诊年龄,而应根据临床、周炎的分类系统不应基于患者的就诊年龄,而应根据临床、X X线线表现、病史和实验室发现来制定。表现、病史和实验室发现来制定。第12页,此课件共30页哦“局限型青少年牙周炎局限型青少年牙周炎localized juvenile periodontitis”,“局限型侵袭性牙周炎局限型侵袭性牙周炎Localized Aggressive Periodontitis”“广泛型青少年牙周炎广泛型青少年牙周炎generalized juvenile periodontitis”。“广泛型侵袭性牙周炎广泛型侵袭性牙周炎 Generalized Aggressi
20、ve Periodontitis”第13页,此课件共30页哦 牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(19991999)1999 international workshop for a classification of 1999 international workshop for a classification of periodontal diseases and conditions periodontal diseases and conditions .牙龈病牙龈病牙龈病牙龈病 (g(gingival di
21、seasesingival diseases).慢性牙周炎慢性牙周炎慢性牙周炎慢性牙周炎 (c(chronic periodontitishronic periodontitis).侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎 (aggressive periodontitisaggressive periodontitis).反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎 (periodontitis as aperiodontitis as a manifestation of systemic diseases)manifestation of sy
22、stemic diseases).坏死性牙周病坏死性牙周病坏死性牙周病坏死性牙周病 (necrotizing periodontal diseasesnecrotizing periodontal diseases).牙周脓肿牙周脓肿牙周脓肿牙周脓肿 (abscesses of the periodontium)abscesses of the periodontium)伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎 (periodontitis periodontitis associated with endodontic lesions)associated w
23、ith endodontic lesions).发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和状况 (developmental or developmental or acquired deformities and conditions)acquired deformities and conditions)第14页,此课件共30页哦 IV.IV.反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎 Periodontitis as a Manifestation of Periodontitis as a Manifest
24、ation of Systemic Diseases Systemic Diseases A.A.血液病血液病血液病血液病 associated with hematological associated with hematological disorders disorders B.B.遗传病遗传病遗传病遗传病 associated with genetic disordersassociated with genetic disorders C.C.不明确不明确不明确不明确Not otherwise specified(NOS)Not otherwise specified(NOS)第1
25、5页,此课件共30页哦 IV.IV.反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎 A.A.血液病血液病血液病血液病 associated with hematological associated with hematological B.B.disorders disorders 1.1.获得性中性白细胞减少症获得性中性白细胞减少症获得性中性白细胞减少症获得性中性白细胞减少症 acquired neutropenia acquired neutropenia 2.2.白血病白血病白血病白血病 leukemia leukemia 3.3.其它其它其它其它 o
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