Contents
Introduction
Definition
Terminology
Classification
Introduction
Determination of prognosis is a
dynamic process.
Terminology
Pro-"before
Gnosis-knowledge
Definition
Classification
Favourable Prognosis
Questionable Prognosis-
Becker et al 1984
Good Prognosis
Questionable Prognosis
Hopeless Prognosis
Questionable Prognosis
Hopeless Prognosis
Good prognosis
Fair prognosis
Poor prognosis
Questionable prognosis
Hopeless prognosis
Good prognosis:
Fair prognosis:
Poor prognosis:
Questionable
prognosis:
Hopeless prognosis:
Favourable prognosis
Questionable prognosis
Unfavourable prognosis
Hopeless prognosis
Favorable prognosis:
Questionable prognosis:
Unfavorable prognosis:
Hopeless prognosis:
Factors in Determination of
Prognosis
Patient Age.
Disease Severity
It is determined based on
depth
Level of attachment
Degree of bone loss
Type of bony defect
The center of rotation of the tooth will be nearer the crown. This
results in a more favorable distribution of forces to the
periodontium and less tooth mobility.(Sorrison S, Burman L R : A
Study of case not amenable to periodontal therapy, J Am Dent
Assoc 1944, 44:312)
Plaque control
periodontal
disease
is
critically
Systemic Factors
Smoking
hinters
proper
healing
after
perio
therapy.
There is emerging evidence to support the existence of a twoway relationship between diabetes and periodontitis, with
diabetes increasing the risk for periodontitis, and periodontal
inflammation negatively affecting glycaemic control.
GENETIC FACTORS
IgG2
Stress
Local Factors
SUBGINGIVAL RESTORATIONS
ANATOMIC FACTORS
Anatomic
factors
that
may
predispose
the
Cervical enamel
projections
contours
of
the
cementoenamel
Root
concavities
exposed
through
loss
of
Prosthetic and
Restorative Factors
PROGNOSIS FOR
PATIENTS WITH GINGIVAL
DISEASE
DENTAL PLAQUE INDUCED GINGIVAL DISORDER
NON-PLAQUEINDUCED GINGIVAL
LESIONS
PROGNOSIS FOR
PATIENTS WITH
PERIODONTITIS
CHRONIC PERIODONTITIS
(slight-to-moderate
periodontitis),
the
prognosis is generally good provided the
inflammation can be controlled.
Furcation involvement.
AGGRESSIVE PERIODONTITIS
Elevated
levels
actinomycetemcomitans
gingivalis.
of
or
Actinobacillus
Porphyromonas
Aggressive
prognosis.
periodontitis
would
have
poor
PERIODONTITIS AS A MANIFESTATION OF
SYSTEMIC DISEASES.
those
associated
with
hematologic
disorders such as leukemia and acquired
neutropenias.
these patients
prognosis.
present
with
in
fair-to-poor
Necrotizing Periodontal
Diseases.
ulcerative
reference