Resumo

BULLON FERNANDEZ, P.. Diagnostic by laboratory in the periodontal and periimplantar disease: Diagnostic of the periodontitis. Avances en Periodoncia [online]. 2004, vol.16, n.1, pp.35-45. ISSN 2340-3209.

The periodontal disease is very important in the general health status of our patients. We need an adequate diagnosis of the process to treat and prevent successfully. The diagnosis depends on the concept about the illness is generally accepted nowadays. We revise all the diagnostic procedures we can use in the clinic. We conclude that the clinic diagnostic method with the periodontal probe is the best way to know the destructive bone process and treat it. The others methods that study the bacteria, inflammatory mediators, parameters of bone and collagen resorption, genetic tests cannot identify the high-risk patients and the period of activity. The reason could be the lack of a completely knowledge of the pathogenic process involved in the periodontal disease. We have to work in this field in the future to improve the treatment and prevention of the periodontitis.

Palavras-chave : Pathogenia, microbiology; inflammatory mediators; genetic test; periodontal destruction parameters; high risk patient; periodontal activity.

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