Gingival diseases - Non dental biofilm induced
Genetic/developmental disorders
Specific infections
Inflammatory and immune conditions
Reactive processes
Neoplasms
Endocrine, nutritional and metabolic
Traumatic lesions
Gingival pigmentation.Periodontitis

Necrotizing periodontal diseases
Necrotizing Gingivitis
Necrotizing Periodontitis
Necrotizing Stomatitis
Periodontitis as a manifestation of systemic disease
PeriodontitisOther conditions affecting the periodontium
(Periodontal Manifestations of Systemic Diseases and Developmental and Acquired Conditions)

Systemic disease of conditions affecting the periodontal support tissues
Other Periodontal Conditions
Periodontal abscesses
Endodontic- periodontal lesions
Mucogingival deformities and conditions
Gingival Phenotype
Gingival/Soft Tissue Recession
Lack of Gingiva
Decreased Vestibular Depth
Aberrant Frenum/muscle position
Gingival Excess
Abnormal Color
Condition of the exposed root surface
Traumatic occlusal forces
Primary Occlusal Trauma
Secondary Occlusal Trauma
Tooth and prosthesis related factors
Localized tooth-related factors
Localized dental prostheses-related factorsPeri-implant diseases and conditions

Peri-implant health
Peri-implant mucositis
Peri-implantitis
Peri-implant soft and hard tissue deficiencies

Staging
The goals of staging periodontitis is to classify the severity of damage and assess specific factors that may affect management.According to the 2017 classification, periodontitis is divided into four stages; after considering a few factors such as:

Amount and percentage bone loss radiographically
Clinical attachment loss, probing depth
Presence of furcation
Vertical bony defects
History of tooth loss related to periodontitis
Tooth hypermobility due to secondary occlusal trauma

Grading
According to the 2017 classification, the grading system for periodontitis consists of three grades:
Grade A: Slow progression of disease; no evidence of bone loss over last five years
Grade B: Moderate progression; < 2mm of bone loss over last five years
Grade C: Rapid progression or future progression at high risk; ≥ 2mm bone loss over five yearsRisk factors affecting which grade a person is classified into include:
Smoking
Diabetes

Prevention
Daily oral hygiene measures to prevent periodontal disease include:

Brushing properly on a regular basis (at least twice daily), with the person attempting to direct the toothbrush bristles underneath the gumline, helps disrupt the bacterial-mycotic growth and formation of subgingival plaque.
For smaller spaces, products such as narrow picks with soft rubber bristles provide excellent manual cleaning. Persons with dexterity problems, such as with arthritis, may find oral hygiene to be difficult and may require more frequent professional care and/or the use of a powered toothbrush. Persons with periodontitis must realize it is a chronic inflammatory disease and a lifelong regimen of excellent hygiene and professional maintenance care with a dentist/hygienist or periodontist is required to maintain affected teeth. Initial therapy
Removal of microbial plaque and calculus is necessary to establish periodontal health. The first step in the treatment of periodontitis involves nonsurgical cleaning below the gum line with a procedure called "root surface instrumentation" or "RSI", this causes a mechanical disturbance to the bacterial biofilm below the gumline. This procedure involves the use of specialized curettes to mechanically remove plaque and calculus from below the gumline, and may require multiple visits and local anesthesia to adequately complete. In addition to initial RSI, it may also be necessary to adjust the occlusion (bite) to prevent excessive force on teeth that have reduced bone support. Also, it may be necessary to complete any other dental needs, such as replacement of rough, plaque-retentive restorations, closure of open contacts between teeth, and any other requirements diagnosed at the initial evaluation.