Periodontal Disease Staging and Grading System Issued

Periodontal Disease

Image by WATANYOU/ISTOCK/GETTY IMAGES PLUS

The American Academy of Periodontology has published proceedings from the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions, held in November in Chicago. A comprehensive update of previous classifications released in 1999, highlights include a recategorization of various forms of periodontitis, development of a novel staging and grading system, and the inaugural classifications for peri-implant disease.

Co-presented by the European Federation of Periodontology, staging levels for periodontitis indicate disease severity and complexity of management, while the grading structure considers a patient’s supplemental biologic characteristics in estimating the rate and likelihood of disease progression. This framework builds upon a notable change: Periodontal disease is now defined as one of three distinct forms, which include periodontitis (formerly aggressive and chronic), necrotizing periodontitis, and periodontitis as a manifestation of systemic conditions.

Staging categories range from the least severe (Stage I) to most severe (Stage IV). Levels of periodontitis grading — which consider a patient’s risk factors and overall health status — indicate low risk (Grade A), moderate risk (Grade B), and high risk of progression (Grade C).

Under the new classifications for peri-implant disease, peri-implant mucositis is characterized by bleeding on probing and visual signs of inflammation, while peri-implantitis is indicated by inflammation of mucosal tissue and progressive loss of supporting bone. Peri-implant health is identified by the absence of both visible inflammation and bleeding on probing.

“These classification systems provides a paradigm similar to what is used in some fields of medicine, and will allow clinicians to develop a well-rounded treatment strategy based on a patient’s specific needs,” notes Kenneth Kornman, DDS, PhD, editor-in-chief of the Journal of Periodontology and member of the workshop’s organizing committee.

 

From Decisions in Dentistry. July 2018;4(7):6.

Add a Comment

Your email address will not be published. Required fields are marked *

ADA Foundation Awards $120,000 in Funding to Eight Organizations 

 The ADA Foundation has awarded a total of $120,000 in funding...

A child smiling
CDC Cautions That Kids Are Using Too Much Toothpaste

Almost 40% or children between the ages of 3 and 6...

Jordan Baugh Joins American Dental Association

The American Dental Association (ADA) has named Jordan Baugh as its...

Study Examines Oral Health and Frailty

Researchers with the Department of Dentistry and Oral Surgery at Hyogo...

DentiMax
DentiMax Inc Complete Cloud Software Empowers Dentists

DentiMax Inc offers a complete, all-in-one, practice management and imaging cloud...

VIZ Intraoral Scanner
VIZ Intraoral Scanner from Adin Digital

The VIZ Intraoral Scanner from Adin Digital combines innovative imaging technologies,...

Sunset Dental Lab
Combination Partial from Sunset Dental Lab

Many patients who need a partial denture complain about the unsightly...

Etch e1
Etch e1 from eDentalProducts.com

The product, e1, manufactured by eDentalProducts.com is a 37% phosphoric acid etching...