Cited by 358Oral microbiology and periodontitis researchOral and gingival health researchOral Health Pathology and Treatment

Dental plaque-induced gingival conditions

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Murakami, Shinya, Mealey, Brian L., Mariotti, Angelo, Chapple, Iain L.C.·2018·Journal of Clinical Periodontology

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.

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Research works printed but not linked: 3

  1. Page RC, Schroeder HE. Pathogenesis of inflammatory periodontal disease. Lab Invest. 1976;33:235-249.
  2. Hefti A, Engelberger T, Buttner M. Gingivitis in Basel school chil- dren. Helv Odontol Acta. 1981;25:25-42.
  3. Bondon-Guitton E, Bagheri H. Montastruc J-L. Drug-induced gin- gival overgrowth: A study in the French network of regional phar- macovigilance database. J Clin Periodontol. 2012;39:513-518.

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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
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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