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RESUMEN
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los determinantes más importantes del diagnóstico periodontal utilizados en la práctica clínica diaria.
Rev. Clin. Periodoncia Implantol. Rehabil. Oral Vol. 3(2); 94-99, 2010.
Palabras clave: Profundidad al sondaje, nivel de inserción clínica, pérdida ósea, sangrado al sondaje, periodontitis crónica, periodontitis
agresiva.
ABSTRACT
7KHFRUUHFWGLDJQRVLVRISHULRGRQWDOGLVHDVHLVDSUHUHTXLVLWHIRUDQDSSURSULDWHSHULRGRQWDOWUHDWPHQW3HULRGRQWDOGLVHDVHLVDQLQIHFWLRXVLQÀDPPD-
tory process that affects different clinical variables that must be analyzed before reaching the diagnosis. The diagnosis should be a carefully performed
analysis of the clinical expression of the disease, from gingivitis to periodontitis. This article reviews the most important determinants of periodontal
diagnosis.
Rev. Clin. Periodoncia Implantol. Rehabil. Oral Vol. 3(2); 94-99, 2010.
Key words: Probing depth, clinical attachment level, bone loss, bleeding on probing, chronic periodontitis, aggressive periodontitis.
94
Determinantes del Díagnóstico Periodontal
Figura 1. (VTXHPDUHSUHVHQWDWLYRGHODSRVLFLyQGHOPDUJHQJLQJLYDOHQUHODFLyQDOD
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95
Rev. Clin. Periodoncia Implantol. Rehabil. Oral Vol. 3(2); 94-99, 2010. %RWHUR-(\%HGR\D(
(VQHFHVDULRGLIHUHQFLDUHQWUH(4\(,/D(4HVODGLVWDQFLD
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TXH KD\ HQWUH HO IRQGR GHO VXUFR KDVWD OD /0* /D SULPHUD SXHGH VHU
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esta medida varía de acuerdo al tipo y posición del diente, es importante
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se observa una PS mínima y no ha ocurrido recesión de tejido marginal,
por lo tanto la encía insertada será igual a la medida de LMG menos la
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GH WHMLGR PDUJLQDO \ \D VH KD UHGXFLGR VLJQL¿FDWLYDPHQWH WDQWR OD (4
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severa. Por lo tanto en este último caso la encía insertada se ha perdido
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OD(4SHUPDQHFHLQDOWHUDGD
Figura . (VTuema repreVentativo de la relaciyn entre el nivel de inVerciyn cltnica 1,&
\ el Voporte periodontal.
96
Determinantes del Díagnóstico Periodontal
97
Rev. Clin. Periodoncia Implantol. Rehabil. Oral Vol. 3(2); 94-99, 2010. %RWHUR-(\%HGR\D(
1.$SDUWHGHODGHVWUXFFLyQSHULRGRQWDOORVSDFLHQWHVVRQVLVWpPLFDPHQWH
sanos.
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3. Agregación familiar.
Periodontitis Agresiva
La periodontitis agresiva se presenta generalmente en sujetos
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FXDOTXLHUHGDG/DYHORFLGDGGHGHVWUXFFLyQSHULRGRQWDOHVUiSLGD\GDGR
TXHFRPLHQ]DWHPSUDQRHQODYLGDODGHVWUXFFLyQVHREVHUYDHQVXMHWRV
jóvenes. Pero el análisis no debe basarse solamente en la edad sino en
KDOOD]JRVFOtQLFRVUDGLRJUi¿FRVKLVWRULDIDPLOLDU\SHUVRQDOD\XGDVGH
laboratorio.
Las siguientes características primarias están presentes:
98
Determinantes del Díagnóstico Periodontal
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