I. Gingival Disease
A. Dental plaque-induced gingival diseases
1. Gingivitis associated with dental plaque only
a. without other local contributingfactors
b. with local contributing factors (See VIII A)
2. Gingival diseasesmodified by systemicfactors
a. associated with the endocrine system
1) puberty-associated gingivitis
2) menstrual cycle-associated gingivitis
3) pregnancy-associated
a) gingivitis
b) pyogenic granuloma
4) diabetes mellitus. associated gingivitis
b. associated with blood dyscrasis
1) leukemia-associated gingivitis
2) other
3. Gingival diseases modified by medications
a. drug-influenced gingival diseases
1) drug-influenced gingival enlargements
2) drug-influenced gingivitis
a) oral contraceptive associated gingivitis
b) other
4. Gingival diseases modified by malnutrition
a. ascorbic acid-deficiency gingivitis
b. other
B. Non-Plaque-Induced Gingival Lesions
1. Gingival diseases ofspecific bacterial origin
a. Neisseria gonorrhea-associated lesions
b. Treponemapallidum-associated lesions
c. Streptococcal species-associated lesions
d. other
2. Gingival diseases of viral origin
a. herpesvirus infections
1) primary herpetic gingivostomatitis
2) recurrent oral herpes
3) varicella-zoster infections
b. other
3. Gingival diseases of fungal origin
a. Candida-species infection
1) generalized gingival candidosis
b. liniar gingival erythma
c. histoplasmosis
d. other
4. Gingival lesions of genetic origin
a. hereditary gingival fibromatosis
b. other
5. Gingival manifestations of systemic conditions
a. mucocutaneus disorders
1) lichen
2) pemphigoid
3) pemphigus vulgaris
4) erythema maltiforme
5) lupus erythematosus
6) drug-induced
7) other
b. allergic reactions
1) dental restorative materials
a) mercury
b) nickel
c) acrylic
d) other
2) reactions attributable to
a) toothpastes/dentifrices
b) mouthrinses/mouthwashes
c) chewing gum additives
d) foods and additives
3) other
6. Traumatic lesions (factitious, iatrogenic. accidental)
a. chemical injury
b. physical injury
c. thermal injury
7. Foreign body reactions
8. Not otherwise specified (NOS)
II. Chronic Periodontitis
A. Localized
B. Generalized
