classification of periodontal diseases

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Last updated 2:26 PM on 9/4/26
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17 Terms

1
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2018 classification

  • periodontitis can be classified into periodontitis, gingivitis or periodontal heath

  • you can have periodontal health in an intact periodontium or in a reduced but healthy periodntium

  • someone with gingivitis can have simply gingivitis but it could also be gingival inflammation in a periodontitis patient

  • you can have necrotizing periodontal diseases, periodontitis as a manifestation of systemic diseases, or periodontitis


<ul><li><p>periodontitis can be classified into periodontitis, gingivitis or periodontal heath </p></li><li><p>you can have periodontal health in an intact periodontium or in a reduced but healthy periodntium </p></li><li><p>someone with gingivitis can have simply gingivitis but it could also be gingival inflammation in a periodontitis patient </p></li><li><p>you can have necrotizing periodontal diseases, periodontitis as a manifestation of systemic diseases, or periodontitis </p></li></ul><p></p>
2
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main differnce btw perio an gingivitis there needs to be attachment/bone loss in perio

3
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STAGING

‘How bad is it?’

• 1 Mild (GDP)

• 2 Moderate (GDP)

• 3 Severe (periodontist)

• 4 Very severe (multidisciplinary approach)

4
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GRADING

‘How fast is it likely to progress?’

A slow progression (not urgent)

B moderate progression (important but not urgent)

C rapid progression (urgent attention and strict SPT)

5
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<p>outdated - but keep in mind as it may be referred to in research papers </p>

outdated - but keep in mind as it may be referred to in research papers

difference between stage 3 and stage 4 is given by complexity factors - eg loss of at least 5 teeth due to perio , mascatory needs

<p>difference between stage 3 and stage 4 is given by complexity factors - eg loss of at least 5 teeth due to perio , mascatory needs </p>
6
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extent and distribution

  1. add to the stage as a descriptor

  2. localised - 30% of teeth involved

  3. generalized - more than 30%

  4. molar incisor pattern - very specific, younger


7
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<p>outdated </p>

outdated

can move b/w gardes based on risk factors - move up grades

8
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<p>new classification </p>

new classification

9
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<p>pockets greater than or equal to 4mm - perio </p>

pockets greater than or equal to 4mm - perio

note changes to stages and grading

risk factors do not modify grade

<p>note changes to stages and grading </p><p>risk factors do not modify grade</p>
10
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periodontitis stability

  1. currently stable -

  2. currently in remission

  3. currently unstable


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currently stable

bleeding on probing is less than 10 %

PPD less than or equal to 4mm with NO bleedung at 4mm sites

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currentlyy in remission

bleeding on probing greater than 10%

PPD less than or equal to 4mm

no BoP at the 4mm sites

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currently unstable

PPD greater than or equal to 5mm

or PPD greater than or equal to 4mm that bleed

14
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recipe for a periodontitis diagnosis

extent, stage, grade, stability, risk factors

<p>extent, stage, grade, stability, risk factors </p>
15
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sites = teeth

16
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UR6, UL5, LL7, LR7 worst teeth involved

17
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