Gingivitis: a prelude to periodontitis? 1995

P J Robinson
Department of Periodontics, Northwestern University Dental School, Chicago, Illinois, USA.

Products have been recently developed which have been shown to be effective in the reduction of gingivitis; specifically a stabilized stannous fluoride dentifrice. However, there has been doubt raised as to the role of gingivitis in the progression of periodontitis. Gingivitis in children provides an appropriate model illustrating how the condition creates an environment in the gingival sulcus which in the long run potentiates the development of periodontitis; e.g., by favoring the establishment of a more pathogenic flora, such as spirochetes. In addition, from epidemiological evidence there appears to be a strong link between gingivitis progression to periodontitis in older adults. Other epidemiological evidence supports the observation that intermittent episodes of gingivitis account for net destructive disease progression over time, and the absence of gingival bleeding is consistent with a continuation of periodontal health. Therefore, efforts to develop effective products which have the potential to control gingivitis should be supported as an important goal and periodontal oral health benefit.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010518 Periodontitis Inflammation and loss of connective tissues supporting or surrounding the teeth. This may involve any part of the PERIODONTIUM. Periodontitis is currently classified by disease progression (CHRONIC PERIODONTITIS; AGGRESSIVE PERIODONTITIS) instead of age of onset. (From 1999 International Workshop for a Classification of Periodontal Diseases and Conditions, American Academy of Periodontology) Pericementitis,Pericementitides,Periodontitides
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003773 Dental Plaque A film that attaches to teeth, often causing DENTAL CARIES and GINGIVITIS. It is composed of MUCINS, secreted from salivary glands, and microorganisms. Plaque, Dental
D003802 Dentifrices Any preparations used for cleansing teeth; they usually contain an abrasive, detergent, binder and flavoring agent and may exist in the form of liquid, paste or powder; may also contain medicaments and caries preventives. Polishes, Dental,Dental Polishes,Dentifrice
D005884 Gingival Hemorrhage The flowing of blood from the marginal gingival area, particularly the sulcus, seen in such conditions as GINGIVITIS, marginal PERIODONTITIS, injury, and ASCORBIC ACID DEFICIENCY. Hemorrhage, Gingival,Gingival Hemorrhages
D005891 Gingivitis Inflammation of gum tissue (GINGIVA) without loss of connective tissue. Gingivitides
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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