The “Primary criteria are bone loss or CAL, age, case phenotype and biofilm deposits. The European Federation of Periodontology (EFP) is an umbrella organisation of 35 national scientific societies devoted to promoting research, education, and awareness of periodontal science and practice. Each one of the topics mentioned above deserves investigation to ensure that we are provided true best-practice, based on current knowledge. The New Classification is the product of the World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions, held in Chicago in November 2017. This is cause for celebration! Periodontal health and gingival diseases Periodontitis stages according to World Workshop 2017 classification for periodontal and peri-implant diseases and conditions. Privacy Policy | Cookie Policy. periodontal disease is multifactorial and its progression is highly dependent on host response. Infection Prevention and Control guidelines that must be implemented. I consent to the treatment of my data according to the, Winning case of the Perio Contest 2018 – Comprehensive management of severe periodontitis patient, Minimally Invasive Surgical Technique (MIST) In Regenerative Periodontal Therapy, Periodontal disease (parodontosis) as risk factor for cardiovascular diseases (heart attack, stroke). Step 3: “Establish Grade” – focus on client characteristics and risk factors, systemic influences and evaluation from previous treatment(s). Now, we have ‘Stages’ and ‘Gradings’ to further our commitment to better diagnosis and treatment of this disease. Most people are familiar with the concept that Stage IV cancer is more serious than Stage I. ). In addition to 31 European members, the EFP has recently welcomed four international associate members from Asia, the Middle East, and Latin America. Overlapping clinical situations and exceptions to the rule certainly exist and pose challenges to clinicians during diagnosis, prognosis, and treatment planning. If yes, we should assess whether there is detectable marginal bone in any area of the dentition. ADA Class: Description: Type I Gingivitis. Most often it occurs as a complication of pulpitis and caries. Fortunately, we have recently been presented with new classifications for periodontal disease which will clarify diagnosis and therefore, treatment protocols. Periodontitis is the process of inflammation that occurs in periodontal tissues. If this is the case, we have a periodontitis patient and we need to make a comprehensive periodontal diagnosis through periodontal charting and full-mouth radiographs. Most people are familiar with the concept that Stage IV cancer is more serious than Stage I. 3. 7, 8 Based on these variables the workshop categorized periodontitis as prepubertal, juvenile (localized and generalized), adult, and rapidly progressive. The World Workshop was organised jointly by the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) to create a consensus knowledge base for a new classification to be promoted globally. The impact on oral health that the legalization of cannabis will have. Jaw Joint and Muscle Strain/Sprain Treatment Technique, The American Academy of Periodontology. That is where the grading system offers such significant help. When seeing a patient for the first time, we should first ask if there is a full-mouth radiograph of adequate quality. Beth is an engaging, enthusiastic, dynamic professional educator who has fun when she interacts and takes joy in growing with her peers in their commitment to If CAL is greater than 5mm or if the BL affects the middle third of the root or beyond in more than two adjacent teeth, the diagnosis is either Stage III or IV. Regarding pocket depth, clinical judgement should be applied to use this criterion to upgrade from Stages I & II to Stage III. If this is present in more than 10% of the sites, the patient is diagnosed with gingivitis and if present in less than 10% of sites, the patient is diagnosed with periodontal health. If the periodontal charting does not show PPD of 4mm or more, we need to evaluate full-mouth BoP. I would encourage you to become familiar with the documents from the AAP and feel confident in your knowledge of the four stages of periodontal disease. It will also help clients to understand when we are communicating that diagnosis. Some periodontal patients do not exhibit high plaque indices, nor have calculus present. “This article contains some of the most informative content I’ve read in quite some time. There are no external sources of funds. In 2016, the Canadian Journal of Dental Hygiene published an article titled, “Current status of the classification periodontal diseases” .¹ In this paper, the authors point out that a World Workshop in Clinical Periodontics was planning to meet in November 2017. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions, S162-S170. Similarly, a diabetic patient with HbA1c below 7.0 will be upgraded to B and one with HbA1c of 7.0 or more upgraded to C. When the patient’s periodontal records are available, the rate of periodontitis progression over the previous five years should be calculated. You may want to print some of these documents out and have them laminated to use as chairside resource tools. The 1999 Periodontal Classifications, were structured as (broad categories only here): For some, the many sub-categories within each of these headings, seemed to complicate an already difficult disease and it was not always beneficial in helping to determine a diagnosis and an appropriate treatment plan. Periodontal disease associated with a myriad of other afflictions. Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe, Occupation Chicago: The American Academy of Periodontology; 1989:I/23- I/24. Suzuki classification (1988)
- Adult periodontitis
- Early onset periodontitis
- Juvenile periodontitis
- Post juvenile periodontitis
- Prepubertal periodontitis