Dental plaque–induced gingival conditions

Shinya Murakami, Brian L. Mealey, Angelo Mariotti, Iain L.C. Chapple

Research output: Contribution to journalArticlepeer-review

47 Scopus citations

Abstract

Objective: This review proposes revisions to the current classification system for gingival diseases and provides a rationale for how it differs from the 1999 classification system. Importance: Gingival inflammation in response to bacterial plaque accumulation (microbial biofilms) is considered the key risk factor for the onset of periodontitis. Thus, control of gingival inflammation is essential for the primary prevention of periodontitis. Findings: The clinical characteristics common to dental plaque–induced inflammatory gingival conditions include: a) clinical signs and symptoms of inflammation that are confined to the gingiva: b) reversibility of the inflammation by removing or disrupting the biofilm; c) the presence of a high bacterial plaque burden to initiate the inflammation; d) systemic modifying factors (e.g., hormones, systemic disorders, drugs) which can alter the severity of the plaque-induced inflammation and; e) stable (i.e., non-changing) attachment levels on a periodontium which may or may not have experienced a loss of attachment or alveolar bone. The simplified taxonomy of gingival conditions includes: 1) introduction of the term “incipient gingivitis;” 2) a description of the extent and severity of gingival inflammation; 3) a description of the extent and severity of gingival enlargement and; 4) a reduction of categories in the dental plaque–induced gingival disease taxonomy. Conclusions: Dental plaque–induced gingival inflammation is modified by various systemic and oral factors. The appropriate intervention is crucial for the prevention of periodontitis.

Original languageEnglish (US)
Pages (from-to)S17-S27
JournalJournal of Clinical Periodontology
Volume45
DOIs
StatePublished - Jun 2018

Keywords

  • diagnosis
  • evidence-based dentistry
  • gingivitis

ASJC Scopus subject areas

  • Periodontics

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