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Periodontal disease is a general term encompassing several
non-tumoral diseases of the periodontium. Some periodontopathies
are considered the periodontal manifestation of systemic diseases,
e.g. so-called desquamative gingivitis, primary herpetic
gingivostomatitis, hormonally mediated changes like "pregnancy
gingivitis," and some others related to metabolic disturbances,
e.g. diabetes mellitus. Drug-associated gingival inflammation, e.g.
hydantoin-induced hyperplasia, and rapid onset infections possibly
associated to psychosomatic distress like acute necrotizing
ulcerative gingivitis (ANUG), are also included. However, the most
common periodontal diseases are infectious in origine, initiated by
proinflammatory substances derived from the microbial dental plaque
accumulating at or near the neck portion of the teeth or crevicular
sulcus of the gingiva. There are several classifications of
periodontal disease which consider clinical, bacterial, host, and
environmental factors. The classification used in this work 'is
generally in accordance to that elaborated by Page and Schroeder
(42) and the committee of Deutsche Gesellschaft fiir Parodontologie
(13). Periodontal disorders induced by bacteria and named
gingivitis and periodontitis, have been considered a group of local
infections (39). More than 300 species of bacteria are currently
recognized in the oral cavity which may vary interindividually or
from site to site on different teeth of the same person. However,
only a few species are proven to participate predominantly in the
infectious process and have been constantly found in association to
certain forms of periodontal disease (30, 39).
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