Dental plaque-induced gingival conditions
Open accessAbstract
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.
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- Authors
- Murakami, S., Mealey, B. L., Mariotti, A., & Chapple, I. L. C.
- Affiliations
- The University of Osaka (JP)
- The University of Texas at San Antonio Health Science Center (US)
- The Ohio State University (US)
- University of Birmingham (GB)
- Corresponding author
- Murakami, Shinya
- Venue
- Journal of Clinical Periodontology
- Publisher
- Wiley
- Published
- 2018-06
- Volume
- 45
- Issue
- S20
- Pages
- S17-S27
- ISSN
- 0303-6979 (ISSN-L)
- 1600-051X
- OpenAlex
- W4211174507
- Cited by
- 358
- References
- 103
- Citations by year
- 2026: 28 · 2025: 50 · 2024: 35 · 2023: 69 · 2022: 52 · 2021: 50 · 2020: 38 · 2019: 29 · 2018: 7
- FWCI
- 4.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal Of Clinical Periodontology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Health Professions › Pharmacy › Oral and gingival health research
- Health Sciences › Dentistry › Periodontics › Oral Health Pathology and Treatment
- Keywords
- gingival disease, dental plaque, gingivitis, gingival hyperplasia, periodontitis prevention, bacterial biofilms, systemic risk factors, attachment level
- MeSH terms
- Dental Plaque, Gingiva, Gingivitis, Humans, Periodontitis, Periodontium
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