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Lec 1 perio for dental students very good.pdf

midline of right ‫ﻟل‬ ‫ﺑﺗﻛﻣل‬ ‫وﺑﻌدھﺎ‬ , mesial angle of left latetal ‫ال‬ ‫ﻣن‬ ‫ﺑﺎﻟﻠون‬ ‫ﺗﻐﯾر‬
‫ﻓﻲ‬ ‫ﯾﻛون‬ ‫رط‬ ‫ﻣش‬ ‫اﻧﮫ‬ ‫ﺑﯾﻌﻧﻲ‬ ‫ھﺎد‬ right lateral ‫ال‬ ‫ﻋﻧد‬ ‫ﺑﺎﻟﻠون‬ ‫ﺗﻐﯾر‬ ‫اﺷوﯾﺔ‬ ‫ﻓﻲ‬ ‫و‬ central
gengivitis ‫ﻋﻧده‬ ‫ھﺎد‬ ‫ﺣﻛﺎﻟﻲ‬ ‫ﺣدا‬ ‫اذا‬ ‫اﻧﮫ‬ ‫ﺑرﺿﮫ‬ ‫ﻣﻌﻧﻰ‬ ‫ﻣش‬ ‫و‬ ‫اﻟﻔم‬ ‫ﻛل‬ ‫ﻓﻲ‬ gingivitis ‫ﻋﻧدي‬
severe ‫اﻧﮫ‬ ‫و‬ ‫ﻣﺻﺎﯾب‬ ‫ﻋﺑﺎﻟﻲ‬ ‫ﯾﺧطر‬ ‫ﯾﺻﯾر‬

‫ﺟﯾﻧﺎ‬ ‫ﻟو‬ .‫ﻷ‬ ‫ﻣﻧﺎطق‬ ‫و‬ inflammation ‫ﻓﯾﮭﺎ‬ ‫ﺑﺻﯾر‬ ‫ﻣﻧﺎطق‬ ‫ﻓﻲ‬ ‫ﻟﯾش‬ hint ‫ﺑﺗﻌطﯾﻧﺎ‬ ‫اﻟﺻورة‬ ‫ھﺎي‬
‫ﺑﻧﻼﺣظ‬ ‫ھﯾك‬ ‫ﻓﻣﺷﺎن‬ cervical caries ‫ﻋﻠﯾﮭم‬ ‫ﻓﻲ‬ ‫اﻧﮫ‬ ‫ﺑﻧﻼﻗﻲ‬ upper central ‫ﻋﻠﻰ‬ ‫طﻠﻌﻧﺎ‬ ‫و‬
. ‫ﻣﺛﻼ‬ lateral ‫ال‬ ‫ﻋﻠﻰ‬ inflammation ‫ﻓﻲ‬ ‫ﻣﺎ‬ ‫ﺑس‬ ‫اﻟﻣﻧطﻘﺔ‬ ‫ﺑﮭﺎي‬ inflammation ‫ﻓﻲ‬ ‫اﻧﮫ‬
periodental disease ‫ﺗﻌﻣﻠﻧﺎ‬ ‫ﻣﻣﻛن‬ ‫اﻟﻲ‬ risk factor ‫ال‬ ‫ﻋﻠﻰ‬ ‫ﻣﺛﺎل‬ ‫ﻓﮭﺎد‬

‫ال‬ ‫اﻧﮫ‬ ‫ﺑﻌﻧﻲ‬ ‫ﻓﮭﺎد‬ vestibule ‫ال‬ ‫واﺻل‬ ‫ﺑﻧﺷوﻓوا‬ stippling ‫ال‬ ‫ﻋﻠﻰ‬ ‫طﻠﻌﻧﺎ‬ ‫ﺟﯾﻧﺎ‬ ‫ﻟو‬ ‫ھون‬
‫ﻋﻧدي‬ ‫اﻧﺎ‬ ‫اﻧﮫ‬ ‫ﻣﻌﻧﻰ‬ ‫ھﺎد‬ wide and thick gingiva ’’‫اذا‬ ‫ﻋرﯾﺿﺔ‬ keratinised gingiva
‫ﻻﻧﮫ‬ flat ‫ﺟﺎي‬ root ‫ال‬ ‫ﻓوق‬ gingiva ‫ال‬ ‫ﻣﺳﺗوى‬ ‫اﻧﮫ‬ ‫ﺛﺎﻧﯾﺔ‬ ‫ﺷﻐﻠﺔ‬ ‫و‬ recession ‫ال‬ ‫ﺿد‬ ‫ﺳﻼح‬
thick ‫ﯾﻛون‬ ‫رح‬ ‫ﺑرﺿﮫ‬ ‫ﺗﺣﺗﮭﺎ‬ ‫اﻟﻲ‬ ‫ﻓﺎﻟﻌظم‬ thick gingiva ‫ﻋﻧدي‬

‫ﻣن‬ ‫ﻣﺎﺷﯾﺔ‬ keratinise gingiva ‫ال‬ ‫و‬ ‫ف‬َ‫اﻟر‬ ‫ﻣﺛل‬ ‫ﻋﺎﻣﻠﺔ‬ ‫ﻟدرﺟﺔ‬ ‫ﺳﻣﯾﻛﺔ‬ ‫ﻛﺛﯾر‬ gingiva ‫ال‬
‫ﻣﺑﯾﻧﯾن‬ ‫ﻣش‬ root ‫ال‬ ‫و‬ vestibule ‫ال‬ ‫ﻟﺣد‬ marginal gingiva ‫ال‬ ‫ﻋﻧد‬
thick and wide gingiva ‫ﻣﻊ‬ ‫ﺑﺗﯾﺟﻲ‬ ‫ﺑﺎﻟﻌﺎدة‬ square teeth ‫ال‬ ‫اﻧﮫ‬ ‫ﻣﻼﺣظﺔ‬
immediate implant ‫اﻋﻣﻠﮭﺎ‬ ‫ﺑﻘدر‬ ‫اﻟﺣﺎﻟﺔ‬ ‫ھﺎي‬

‫ﺗﻘرﯾﺑﺎ‬ ‫ﺑدري‬ ‫ﺧﻠص‬ keratinise gingiva ‫ال‬ ‫ﻻﻧﮫ‬ narrow ‫ﻟﯾش‬ thin and narrow gingiva ‫ﻋن‬ ‫ﺑﺗﻌﺑر‬ ‫ھﺎي‬
‫ﻣﺷت‬
‫ﻋﻠﯾﮫ‬ lower central incisor ‫ﻓﺎل‬ ‫اﻋﻠﻰ‬ recession ‫ال‬ ‫ﺧطر‬ ‫ﻋﻧﺎ‬ ‫ﺑﻛون‬ ‫اﻟﺣﺎﻟﺔ‬ ‫ھﺎي‬ ‫ﻓﻲ‬ ‫ف‬ 2-2.5mm
recession ‫ﻋﻧده‬ ‫ﻓﺻﺎر‬ thin and narrow gingiva ‫ﻋﻧده‬ ‫ھﯾك‬ ‫ﻓوق‬ ‫و‬ occlusal trauma
‫اﻧﮫ‬ ‫ﻧﺷوف‬ ‫ﻣﺎ‬ ‫ﻟﺣد‬ margin ‫ال‬ ‫ﻋﻧد‬ ‫ﻣن‬ ‫ﻣﺎﺷﯾﯾن‬ ‫ﺑﻧﺿل‬ ‫؟‬ ‫ﺧﻠﺻت‬ keratinise gingiva ‫ال‬ ‫اﻧﮫ‬ ‫ﺑﻧﻌرف‬ ‫ﻛﯾف‬ ‫ﻣﻼﺣظﺔ‬
blood vesseles ‫ال‬ ‫ﻧﺷوف‬ ‫ﺑدﯾﻧﺎ‬
immediate implant ‫اﻋﻣﻠﮭﺎ‬ ‫ﻣﺎ‬ ‫ﻗﺑل‬ ‫ﻣرة‬ ‫ﻣﻠﯾون‬ ‫اﻓﻛر‬ ‫ﺑدي‬ ‫اﻟﻣرﯾﺿﺔ‬ ‫ھﺎي‬

‫ﻋﺎﻟﻲ‬ margin ‫ال‬ ‫ﺗﺎع‬ contour ‫ال‬ ‫و‬ ‫طوﯾﻠﺔ‬ ‫اﻻﺳﻧﺎن‬ ‫ﻟﻛن‬ recession ‫ﻋﻧده‬ ‫ﻣﺎ‬ ‫اﻟﻣرﯾض‬
‫ال‬ ‫ع‬ ‫طﻠﻌﻧﺎ‬ ‫و‬ ‫ﺟﯾﻧﺎ‬ ‫ﻟو‬ , ‫ﻛﺑﯾﯾرة‬ interdental papilla ‫ال‬ ‫و‬margin ‫ال‬ ‫ﺑﯾن‬ ‫اﻟﻲ‬ ‫ﻓﺎﻟﻣﺳﺎﻓﺔ‬
‫ﻻﻧﮫ‬ thin gingiva ‫ﻋﻧﺎ‬ ‫اﻧﮫ‬ ‫ﻋﻠﻰ‬ ‫ﺑدل‬ ‫ھﺎد‬ ‫ﻣﺑﯾن‬ ‫و‬ ‫واﺿﺢ‬ root ‫ال‬ ‫اﻧﮫ‬ ‫ﺑﻧﻼﻗﻲ‬ buccal surface
bone and root‫ال‬ ‫ﻧﺷوف‬ ‫ﻧﻘدر‬ ‫رح‬ ‫ﻣﺎ‬ thick ‫ﻛﺎﻧت‬ ‫ﻟو‬
‫وﺳط‬ ‫ﺟﺎي‬ wide ‫وﻻ‬ narrow ‫ﻣش‬ ‫ﺑس‬ thin ‫ﺟﺎي‬ ‫ھون‬ gingiva ‫ال‬

2 ‫ﯾﺎ‬ 1 ‫ﯾﺎ‬probing depth ‫ال‬ ‫ﻗراءة‬ ‫ﺗﻛون‬ ‫رح‬ ‫اﻻﻏﻠب‬ ‫ﻋﻠﻰ‬ probe‫ال‬ ‫ﺣطﯾﻧﺎ‬ ‫ﻟو‬ , recession ‫ﻋﻧده‬
‫طﺑﻌﺎ‬ ‫ﻻ‬ attachment loss ‫ﻋﻧده‬ ‫ﻣﺎ‬ ‫اﻟﻣرﯾض‬ ‫اﻧﮫ‬ ‫ﯾﻌﻧﻲ‬ ‫ھذا‬ ‫ھل‬
probing depth ‫ال‬ ‫زاﺋد‬ recession ‫ال‬ ‫ﻛﻣﯾﺔ‬ ‫ﺗﺳﺎوي‬ clinical attachment loss ‫ال‬

‫رح‬ sulcus ‫ال‬ ‫ﻣﻧطﻘﺔ‬ ‫ﻓﻲ‬
‫ﻧﻔﺳﮭﺎ‬ ‫ھﻲ‬ ‫و‬ probe ‫ال‬ ‫ﯾدﺧل‬
‫اذا‬ ‫و‬ ulcer ‫ال‬ ‫ﻓﯾﮭﺎ‬ ‫ﺑﺗﺗﺟﻣﻊ‬ ‫اﻟﻲ‬
bleeding ‫ﺑﺗﻌﻣل‬ ‫ﻓﯾﮭﺎ‬ ‫ﺿرﺑﻧﺎ‬
‫ال‬ gingivitis ‫ال‬ ‫ﺣﺎﻟﺔ‬ ‫ﻓﻲ‬
‫ال‬ ‫ﻟﻌﻧد‬ ‫ﯾدﺧل‬ ‫رح‬ probe
‫و‬ junctional epithelium
‫ال‬ periodontitis ‫ﻓﻲ‬ ‫ﻛﺎن‬ ‫اذا‬
‫ﻣﻧطﻘﺔ‬ ‫ﻓﻲ‬ ‫ﯾدﺧل‬ ‫رح‬ probe
junctional ‫ال‬ ‫ﻣن‬ ‫اﺑﻌد‬
‫اﻟﻲ‬ PDL ‫ﻻﻧﮫ‬ epithelium
‫ﺗﺗﻣزع‬ ‫رح‬ ‫اﻟﻣﻧطﻘﺔ‬ ‫ﻓﻲ‬

‫ﺗﻘرﯾﺑﺎ‬ A+B ‫اﻟﻧﻘطﺔ‬ ‫ﻋﻧد‬ ‫اﻟﻘراءة‬
5mm ‫اﻟﻘراءة‬ C ‫ﻋﻧد‬ ‫و‬ 2mm

‫ﻓﺎﺗﺢ‬ ‫ﻏﺎﻣق‬ 3mm ‫ﻛل‬ ‫ﻣﻘﺳم‬

. furcation arrow or arrow of hardekopf ‫ﺑﻧﺳﻣﻲ‬ ‫ﻣﺛﻠث‬ ‫ﺷﻛل‬ ‫ﻋﻠﻰ‬ radiographic shadow ‫ﻋﻧﺎ‬ ‫ﻓﻲ‬
‫اﻟﺻورة‬ ‫ھﺎي‬ ‫ﻓﻔﻲ‬ furcation ‫ﻋﻧﺎ‬ ‫ﻓﻲ‬ ‫ﺑﻛون‬ radiographic shadow ‫ﻧﺷوف‬ ‫ﻟﻣﺎ‬ ‫اﻧﮫ‬ ‫ﺣﻛﻰ‬ hardekopf ‫اﻟﻌﺎﻟم‬
furcation on distal of first molar ‫ﻋﻧﺎ‬ ‫ﻓﻲ‬
‫ﺑﯾن‬ ‫ﻣﺣﺷورة‬ ‫و‬ 6mm-5 ‫ب‬ margin‫ال‬ ‫ﻓوق‬ furcation entrance ‫ال‬ ‫ﺟﺎي‬ ‫ﻻﻧﮫ‬ ‫ﺻﻌب‬ distal ‫ﻟل‬ ‫اﻟدﺧول‬
2molar
buccal root ‫ال‬ ‫ﻋﻠﻰ‬ superimpose ‫ﻋﺎﻣل‬ palatal root ‫ال‬ ‫اﻧﮫ‬ ‫ﻧﺗﯾﺟﺔ‬ ‫ﺻﺎر‬ ‫ﺑﺎﻟﺻورة‬ ‫طﺎﻟﻊ‬ ‫اﻟﻲ‬shadow ‫ال‬
‫ھﺎد‬ shadow ‫ال‬ ‫ﻋﻧﺎ‬ ‫ﻓﺑطﻠﻊ‬ ‫اﻟﺳﻧﯾن‬ ‫ﺑﯾن‬ bone(furcation involvement) ‫ﻋﻧﺎ‬ ‫ﻓﻲ‬ ‫ﻣﺎ‬ ‫اﻧﮫ‬ ‫ﺑﻣﺎ‬ ‫ف‬ ,

‫ﺻﺎر‬ ‫اذا‬ ‫اﻻ‬ ‫ﺑﺗﺄﺛر‬ ‫ﻣﺎ‬ ‫ھﺎي‬ furcation ‫ال‬ ‫ﺑﻧص‬ ‫ﺟﺎي‬ cervical enamel pearl ‫ال‬
‫اﻟﻣرﯾض‬ ‫ﻣﻊ‬ periodontitis
quick ‫ﻋﻧﺎ‬ ‫ﺑﻧﺗﺞ‬ furcation ‫ال‬ ‫ﻣﻧطﻘﺔ‬ ‫و‬ pocket ‫ال‬ ‫ﺑﯾن‬ communication ‫ﻋﻧﺎ‬ ‫ﺻﺎر‬ ‫اذا‬
destruction

Periapical radiograph for healthy bone and teeth
‫ﻧﺳﺑﯾﺎ‬ parallel for CEJ ‫ﻣﺎﺷﯾن‬ bone ‫ال‬ ‫ﺧط‬

‫ﻛﯾف‬, bone loss ‫ﻋﻧﺎ‬ ‫ﺻﺎﯾر‬ ‫وﺣدة‬ ‫ﺟﮭﺔ‬ ‫ﻣن‬ ‫و‬ ‫واﺣد‬ ‫ﺳن‬ ‫ع‬ ‫ﺑس‬ ‫اﻧﮫ‬ ‫ﺑﺣﻛم‬ ‫ھﯾك‬ ‫ﺣﻛﯾﻧﺎ‬ Localize vertical bone loss
remaining bone level ‫ال‬ ‫ﻋﻧد‬ ‫ﺧط‬ ‫و‬ CEJ ‫ال‬ ‫ﻋﻧد‬ ‫ﺧط‬ ‫و‬ apex ‫ال‬ ‫ﻋن‬ ‫ﺧط‬ ‫رﺳﻣﻧﺎ‬ bone ‫ال‬ ‫ﻣن‬ ‫ﺿﺎﯾل‬ ‫ﻗدﯾش‬ ‫ﺑﺣدد‬
bone ‫ال‬ ‫ﺛﻠﺛﯾن‬ ‫ﺿﺎﯾل‬ ‫ﺗﻘرﯾﺑﺎ‬ ‫ف‬

Horizontal bone loss
‫ﺣوﻟﯾن‬ ‫اﻟﻲ‬ ‫اﻟﻌظم‬ ‫ﻣﺳﺗوى‬ ‫ﻛل‬ ‫ﻻﻧﮫ‬
‫اﻟﻣﺳﺗوى‬ ‫ﻧﻔس‬ ‫ﻋﻠﻰ‬ ‫اﻻﺳﻧﺎن‬
‫ﻣن‬ ‫اﻛﺛر‬ ‫ﺗﻘرﯾﺑﺎ‬ ‫اﻟﻣﻔﻘود‬ ‫اﻟﻌظم‬
‫اﻟﻧص‬

‫ﻓﻲ‬ 2molar and 1molar ‫ال‬ ‫ﺑﯾن‬ ‫و‬ vertical bone loss ‫ﻋﻧﺎ‬ ‫ﻓﻲ‬ third molar and 2 molar ‫ال‬ ‫ﺑﯾن‬
‫اﻟﻌﻣر‬ clinically ‫ﻧﻔﺣﺻﮫ‬ ‫ﻻزم‬ ‫اﻻﺷﻌﺔ‬ ‫ع‬ ‫واﺿﺢ‬ ‫ﻣش‬ furcation involvment ‫ال‬ horizontal bone loss
‫ﻋﺎﻣﻠﯾن‬ ‫ﻣش‬ root ‫وال‬ ‫اﻟﻌظم‬ ‫ﺛﻠﺛﯾن‬ ‫راﯾﺢ‬ ‫ﻻﻧﮫ‬ bridge ‫ﻋﻠﯾﮫ‬ ‫ﻧﻌﻣل‬ ‫اﻧﮫ‬ ‫ﯾﻔﺿل‬ ‫ﻻ‬ ‫ﺿﻌﯾف‬ ‫اﻟﺳن‬ ‫ﻟﮭﺎد‬ ‫اﻻﻓﺗراﺿﻲ‬
‫ﻣﻧﯾﺢ‬ ‫ﺑﺎﻟﻌظم‬ ‫ﻣﺎﺳﻛﯾن‬ ‫ﻓﻣش‬ diverision

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Lec 1 perio for dental students very good.pdf

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