Abstract
References
- Eke PI, Wei L, Thornton‐Evans GO, Borrell LN, Borgnakke WS, Dye B, et al. Risk indicators for periodontitis in US adults: NHANES 2009 to 2012. J Periodontol 2016;87:1174-85.2. Suzuki J. Diagnosis and classification of the periodontal diseases. Dent Clin N Am 1988;32:195-216.3. Flemmig TF. Periodontitis. Ann Periodontol 1999; 4:32-7.4. G Caton J, Armitage G, Berglundh T, Chapple IL, Jepsen S, Kornman KS , et al. A new classification scheme for periodontal and peri‐implant diseases and conditions–Introduction and key changes from the 1999 classification. J Periodontol 2018;89:1-85. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Clin Periodontol 2018;45:149-61.6. Chapple IL, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. J Periodontol 2018;89:74-84.7. Lindhe J, Ranney R, Lamster I, Charles A, Chung CP, Flemming T, et al. Consensus report: chronic periodontitis. Ann Periodontol 1999;4:38.8. Lang N, Bartold PM, Cullinan M, Jeffcoat M, Mombelli A, Murakami S, et al. Consensus report: aggressive periodontitis. Ann Periodontol 1999;4:53.9. Dietrich T, Ower P, Tank M, West NX, Walter C, Needleman I, et al. Periodontal diagnosis in the context of the 2017 classification system of periodontal diseases and conditions–implementation in clinical practice. Br Dent J 2019;226:16-22.10. Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. J Periodontol 2018;89:173-82.11. Tonetti MS, Sanz M. Implementation of the new classification of periodontal diseases: Decision‐making algorithms for clinical practice and education. J Clin Periodontol 2019;46:398-405.12. Lang NP, Bartold PM. Periodontal health. J Clin Periodontol 2018;45:9-16.13. Caton JG, Armitage G, Berglundh T, Chapple IL, Jepsen S, Kornman KS, et al. A new classification scheme for periodontal and peri‐implant diseases and conditions–Introduction and key changes from the 1999 classification. J Periodontol 2018;89:1-8.14. Kumar A. Periodontal health: A welcome addition. J Indian Soc Periodontol2019;23:297-8.15. Walter C, Chapple IL, Ower P, Tank M, West NX, Needleman I, et al. Periodontal diagnosis in the context of the BSP implementation plan for the 2017 classification system of periodontal diseases and conditions: presentation of a patient with severe periodontitis following successful periodontal therapy and supportive periodontal treatment. Br Dent J 2019;226:411-13.16. Murakami S, Mealey BL, Mariotti A, Chapple IL. Dental plaque–induced gingival conditions. J Clin Periodontol 2018;45:17-27.17. Bhatia A, Bains SK and Mehta R. A New Classification Scheme for Periodontal diseases and Conditions: A Review. J Adv Med Dent Sci Res 2018; 6:95-98.18. Dorri M. Periodontal diseases: New classification for periodontal diseases. Br Dent J 2018;225:686.19. Delatola C, Loos B, Laine M. Classification of periodontal diseases: history, present and future. Analecta Periodontol 2017;26:13-29.20. Stabholz A, Soskolne WA, Shapira L. Genetic and environmental risk factors for chronic periodontitis and aggressive periodontitis. Periodontol 2000 2010;53:138-53.21. Fine DH, Patil AG, Loos BG. Classification and diagnosis of aggressive periodontitis. J Clin Periodontol 2018;45:95-111.22. Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol 2000 2013;62:59-94.23. Wiebe CB, Putnins EE. The periodontal disease classification system of the American Academy of Periodontology-an update. J Can Dent Assoc 2000;66:594-9.24. Bouchard P, Carra MC, Boillot A, Mora F, Rangé H. Risk factors in periodontology: a conceptual framework. J Clin Periodontol 2017;44:125-31.25. Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol 2000 2013;62:59-94.26. Oshman S, El Chaar E, Lee YN, Engebretson S. Effect of patient age awareness on diagnostic agreement of chronic or aggressive periodontitis between clinicians; a pilot study. BMC Oral Health. 2017;17: 27.
Comparison of Periodontitis Diagnoses According to 1999 and 2017 Classifications: An Original Article
Abstract
Objectives: Classification systems of periodontitis have changed several times over the past 30 years as new information gathered about the pathophysiology of the disease rendered previous systems inadequate for classifying the diagnoses of all patients. Although the 1999 classification system was widely used in clinical practice and scientific studies, it had significant limitations leading to the reclassification introduced in 2017. In this context, the aim of this study is to evaluate how individuals diagnosed with periodontitis under the 1999 system were reclassified according to the 2017 system.
Materials and Methods: Participants diagnosed with periodontitis according to 1999 classification and who had not received periodontal treatment in the last six months were included in the study. The patient assessment procedure consisted of a comprehensive periodontal diagnosis through periodontal charting and full-mouth radiography.
Results: A total of 315 subjects (133 males and 182 females) were included in the study. According to the new classifications, 42 patients (17.94%) previously diagnosed with generalized chronic periodontitis according to 1999 classifications, were now classified as healthy with reduced periodontium, and 11 (4.7%) patients were classified as gingival inflammation with reduced periodontium. 63 (26.92%) patients were classified as SIII-GC and 33 patients (14.14%) as SIV-GC.
Conclusions: The new classification system is based on not only disease severity but also the dimensions of an individual’s disease which include complexity and risk factors.
Keywords
References
- Eke PI, Wei L, Thornton‐Evans GO, Borrell LN, Borgnakke WS, Dye B, et al. Risk indicators for periodontitis in US adults: NHANES 2009 to 2012. J Periodontol 2016;87:1174-85.2. Suzuki J. Diagnosis and classification of the periodontal diseases. Dent Clin N Am 1988;32:195-216.3. Flemmig TF. Periodontitis. Ann Periodontol 1999; 4:32-7.4. G Caton J, Armitage G, Berglundh T, Chapple IL, Jepsen S, Kornman KS , et al. A new classification scheme for periodontal and peri‐implant diseases and conditions–Introduction and key changes from the 1999 classification. J Periodontol 2018;89:1-85. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Clin Periodontol 2018;45:149-61.6. Chapple IL, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. J Periodontol 2018;89:74-84.7. Lindhe J, Ranney R, Lamster I, Charles A, Chung CP, Flemming T, et al. Consensus report: chronic periodontitis. Ann Periodontol 1999;4:38.8. Lang N, Bartold PM, Cullinan M, Jeffcoat M, Mombelli A, Murakami S, et al. Consensus report: aggressive periodontitis. Ann Periodontol 1999;4:53.9. Dietrich T, Ower P, Tank M, West NX, Walter C, Needleman I, et al. Periodontal diagnosis in the context of the 2017 classification system of periodontal diseases and conditions–implementation in clinical practice. Br Dent J 2019;226:16-22.10. Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. J Periodontol 2018;89:173-82.11. Tonetti MS, Sanz M. Implementation of the new classification of periodontal diseases: Decision‐making algorithms for clinical practice and education. J Clin Periodontol 2019;46:398-405.12. Lang NP, Bartold PM. Periodontal health. J Clin Periodontol 2018;45:9-16.13. Caton JG, Armitage G, Berglundh T, Chapple IL, Jepsen S, Kornman KS, et al. A new classification scheme for periodontal and peri‐implant diseases and conditions–Introduction and key changes from the 1999 classification. J Periodontol 2018;89:1-8.14. Kumar A. Periodontal health: A welcome addition. J Indian Soc Periodontol2019;23:297-8.15. Walter C, Chapple IL, Ower P, Tank M, West NX, Needleman I, et al. Periodontal diagnosis in the context of the BSP implementation plan for the 2017 classification system of periodontal diseases and conditions: presentation of a patient with severe periodontitis following successful periodontal therapy and supportive periodontal treatment. Br Dent J 2019;226:411-13.16. Murakami S, Mealey BL, Mariotti A, Chapple IL. Dental plaque–induced gingival conditions. J Clin Periodontol 2018;45:17-27.17. Bhatia A, Bains SK and Mehta R. A New Classification Scheme for Periodontal diseases and Conditions: A Review. J Adv Med Dent Sci Res 2018; 6:95-98.18. Dorri M. Periodontal diseases: New classification for periodontal diseases. Br Dent J 2018;225:686.19. Delatola C, Loos B, Laine M. Classification of periodontal diseases: history, present and future. Analecta Periodontol 2017;26:13-29.20. Stabholz A, Soskolne WA, Shapira L. Genetic and environmental risk factors for chronic periodontitis and aggressive periodontitis. Periodontol 2000 2010;53:138-53.21. Fine DH, Patil AG, Loos BG. Classification and diagnosis of aggressive periodontitis. J Clin Periodontol 2018;45:95-111.22. Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol 2000 2013;62:59-94.23. Wiebe CB, Putnins EE. The periodontal disease classification system of the American Academy of Periodontology-an update. J Can Dent Assoc 2000;66:594-9.24. Bouchard P, Carra MC, Boillot A, Mora F, Rangé H. Risk factors in periodontology: a conceptual framework. J Clin Periodontol 2017;44:125-31.25. Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol 2000 2013;62:59-94.26. Oshman S, El Chaar E, Lee YN, Engebretson S. Effect of patient age awareness on diagnostic agreement of chronic or aggressive periodontitis between clinicians; a pilot study. BMC Oral Health. 2017;17: 27.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | December 29, 2019 |
| Submission Date | October 7, 2019 |
| Published in Issue | Year 2019Volume: 22 Issue: 4 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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