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 eriodontal Medicine

A. Prof. Sok Chea D.D.S, F.A.D.I, F.I.C.C.D.E, F.C.S.P

Post Graduate Diploma in Periodontology

Periodontal Specialist

Cert. Periodontic !apan"Cert. Intensi#e $ral Implantology %.&, '.S.A"

Senior (ecturer and Clinical Demonstrator

%ealth Science 'ni#ersity, Faculty of $dontostomatology

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cxø nn g sem

aleXIjxuskMuedjed

alkMuefáaleTasGñk manKuN

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  revalence rate change of dental

caries and periodontal disease

（ Data of 12 years olds ）

85.06

86.01

84.77

85.64

18.17

44.7

64.2

68.07

1!.1

12.51

14.55

14.8

0

20

40

60

80

100

175 181 187 1!

0

5

10

15

20

25

Dental caries "ingival condition #verage of n$%&er of dental caries' o

（ #ct$al condition s$rvey &y (inistry )ealt

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) I D *  

)ational Institute of Dental *esearch"

) I D C *  )ational Institute of Dental + Craniofacial *esearch"

Philosophy Changes of dental science in 'S

he science of -aillo facial, oral and tooth for the systemic heal

Preser#ed the tooth

The aim of dental science is to contributed for systemic health

Science of dental disease

http*''+++.nidcr.nih.gov'inde,.

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minEdlx!

 eXIjkUnxitxMRbwg

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Chronic infection by anaerobic bacte

bacillaemia

Dental focal infection

Destruction of

periodontal tissue

tooth

enamel

Gingi#a

root

Bad influence to

other organ

periodontitis

Periodontal pocket is a good place

for inha/it of anaero/ic /acteria

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Destructive

 periodontitis (the

advanced lesion)Destructive periodontitis occurs a resu

of progression from the reversible

damage seen in chromic marginal

gingivitis to the irreversible destructio

of periodontal support, with associatealveolar bone resorption persist, and i

a number of respects the inflammator

infiltrate is similar, although significa

additional changes occur.

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Scanning electron

micrograph

showing early

 plaque, consistingof single and small

colonies of coccal

 bacteria attached to

the tooth surface b

extracellular matrix

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Scanning

electron

micrograph

showing thesurface of ma

supragingival

 plaque. There

filamentous

 bacteria at rigangle to the

surface and

many cocci

adhering to th

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 If 28 teeth, diameter

10 mm of root with 5 

6 mm

 periodontal pocket, become

to be 72 ㎝2

 suare with periodontal bacteria that

is same si!e as hand of adult 。

 

Periodontal pocket is the place of infection

/y anaero/ic /acteria

Periodontal pocket occurs

chronic /acillaemia

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"#nce$t% Periodontal disease is a highPeriodontal disease is a highrisk factors of systemic diseaserisk factors of systemic disease"ardio#ascular and heart disease

 $espiratory disease

 %iabetes

&at  'ow wei(ht birth

Con0ecture organs related periodontitis

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)ormal coronary

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Coronary atherosclerosis

y

P i d t l th i i / i f t d / t i l d diti

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Periodontal pathogenic micro/e infected /acterial endocarditis

Dental pla1ue

2as detected at

surroundings of

mitral #al#e

and surface of

endocardium.

Dental

pla1ue

T&e features #f res$irat#r' diseases

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$ral /acteria esta/lished pneumonia3

T&e features #f res$irat#r' diseases1: Aspiration (misswallowing)pneum2: Fever 

3: ot of cases in old people !: ot of cases in "edridden old peop

Dental pla1ue

mo#es through

upper air2ay and

lo2er air2ay to

lung.

In the lung, dental

pla1ue adheres

first, then makes

colonies.

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 t/mU0xa!eNaHxusxa!e

NH

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First #isit 4 month later

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attambang !ro"ect

 #ame of health center $ocation #umber of patients

%eferral &ospital !rovincial Town '

$u Char %ealth Center !rovincial Town

$mal %ealth Center *mal +ommune -!hnom Sampov &ealth+enter 

!hnom Sampov

+ommune

Chamkar Somroung %ealth

Center

 Somrong 5 /

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0nvestigation result

(

-

%atio of male and female

1ale2 33

4emale2 5/

Total2 3

6verage of age2 -.

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+onclusion7 !eriodontal infection is very strongly involved with all age group at the targeted

area

7 *ral health service has not been provided in the targeted area where most of the

 people are living in that area.

7 6ll most 38 per9cent of the people do not have any :nowledge of appropriate

 plaque control procedure.

7 !eople have very low :nowledge about oral health education at targeted area7 1ost of the people living at targeted have deep poc:et condition

7 ;ust only eleven per9cent of the people have good oral hygiene

7 Twenty five per9cent of the people living at targeted area are related to systemic

diseases, such as Diabetes, &eart disease, &ypertension and Tropical infection

 

" l i

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  "#nclusi#n

# Periodontal disease "ad

in$uence to systemic "ody 

% Periodontal treatment is "oundwith systemic health

& 'ral conditions may "ecome to

"e ecellent marker of systemic

conditions

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Than:s