Classification of Periodontal Diseases Flashcards

Study Notes

Classification Importance

Enhances communication among dental care providers regarding clinical findings.
Assists in formulating accurate diagnoses and individualized treatment plans.
Helps in predicting treatment outcomes and prognosis effectively.
Facilitates submission of information to dental insurance providers.

Key Organizations

AAP: American Academy of Periodontology.
EFP: European Federation of Periodontology.

Main Divisions (2017 Classification)

Periodontal health, gingival diseases, and conditions.
Periodontitis.
Other conditions affecting the periodontium.
Peri-implant diseases and conditions.

Subdivisions of Periodontal Health, Gingival Diseases, and Conditions

Periodontal and Gingival Health: Clinical gingival health on intact or reduced periodontium.
Gingivitis: Induced by dental biofilm, with subcategories for contributing risk factors and drug influences, no attachment loss.
Nondental Biofilm Induced Gingival Diseases: Include genetic, infectious, inflammatory, reactive, neoplastic, endocrine, traumatic, and pigmentation issues.

Subcategories of Periodontitis

Necrotizing Periodontal Diseases: Includes necrotizing gingivitis, periodontitis, and stomatitis.
Periodontitis Classification: Based on severity, complexity, grades of progression, extent, and distribution (localized vs. generalized).
Systemic Disease Manifestations: Classified using ICD codes.

Definitions of Localized vs. Generalized

Localized: Afflicts less than 30% of teeth.
Generalized: Affects 30% or more of teeth.

Stages of Periodontitis

Stage I: Initial periodontitis.
Stage II: Moderate periodontitis.
Stage III: Severe periodontitis with risk of tooth loss.
Stage IV: Severe periodontitis with dentition loss potential.

Grades of Periodontitis

Grade A: Slow progression rate.
Grade B: Moderate progression rate.
Grade C: Rapid progression rate.

Other Conditions Affecting the Periodontium

Systemic diseases impacting periodontal supporting tissues.
Periodontal abscesses and endodontic-periodontal lesions.
Mucogingival deformities and conditions.
Traumatic occlusal forces (primary, secondary, orthodontic).
Tooth and prosthesis-related factors.

Peri-implant Diseases and Conditions

Peri-implant Health: Healthy status of peri-implant tissues.
Peri-implant Mucositis: Inflammation of peri-implant mucosa without bone loss.
Peri-implantitis: Inflammatory condition with loss of supporting bone.
Soft and Hard Tissue Deficiencies: Deficiencies around implants.

Historical Context

Much of the periodontal literature is based on the 1999 classification, which distinguished chronic and aggressive periodontitis.
The 1999 classification did not include peri-implantitis.

Fundamental Classification Basis

Classifications are grounded in etiology, clinical manifestations, and development processes.
Main diagnostic categories define conditions as either gingivitis or periodontitis.

Description

This quiz focuses on the classification of periodontal and peri-implant diseases and conditions. It includes essential information needed for accurate communication among dental health providers and for effective treatment planning. Perfect for dental students and professionals looking to enhance their knowledge in periodontal classifications.