Section of Periodontology, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Department of Periodontics, Texas A&M University College of Dentistry, Dallas, TX, USA.
J Periodontol. 2018 Jun;89 Suppl 1:S28-S45. doi: 10.1002/JPER.17-0163.
While plaque-induced gingivitis is one of the most common human inflammatory diseases, several non-plaque-induced gingival diseases are less common but often of major significance for patients. The non-plaque-induced gingival lesions are often manifestations of systemic conditions, but they may also represent pathologic changes limited to gingival tissues. A classification is proposed, based on the etiology of the lesions and includes: Genetic/Developmental disorders; Specific infections; Inflammatory and immune conditions and lesions; Reactive processes; Neoplasms; Endocrine, Nutritional and metabolic diseases; Traumatic lesions; and Gingival pigmentation.
虽然菌斑引起的牙龈炎是最常见的人类炎症性疾病之一,但几种非菌斑引起的牙龈疾病则较为少见,但对患者来说通常具有重要意义。非菌斑引起的牙龈病变通常是全身状况的表现,但它们也可能代表仅限于牙龈组织的病理性变化。根据病变的病因提出了一种分类,包括:遗传性/发育性疾病;特定感染;炎症和免疫状况及病变;反应性过程;肿瘤;内分泌、营养和代谢疾病;创伤性病变;和牙龈色素沉着。