Podcast
Questions and Answers
Which factor is considered when staging periodontal disease?
Which factor is considered when staging periodontal disease?
What characteristic distinguishes localized periodontal disease?
What characteristic distinguishes localized periodontal disease?
What is a limitation of the EFP/BSP classification system?
What is a limitation of the EFP/BSP classification system?
What is the primary indicator of periodontitis?
What is the primary indicator of periodontitis?
Signup and view all the answers
Which of the following correctly identifies the risk factor associated with periodontal disease?
Which of the following correctly identifies the risk factor associated with periodontal disease?
Signup and view all the answers
What type of disease is characterized by host-mediated inflammation leading to the loss of periodontal attachment?
What type of disease is characterized by host-mediated inflammation leading to the loss of periodontal attachment?
Signup and view all the answers
Which of the following best describes plaque-induced gingivitis?
Which of the following best describes plaque-induced gingivitis?
Signup and view all the answers
What is the primary focus of periodontal disease classification from 1970 to the present?
What is the primary focus of periodontal disease classification from 1970 to the present?
Signup and view all the answers
Which classification period emphasized the observation of bacterial influences on periodontal disease?
Which classification period emphasized the observation of bacterial influences on periodontal disease?
Signup and view all the answers
What distinguishes non biofilm-induced gingival diseases from biofilm-induced diseases?
What distinguishes non biofilm-induced gingival diseases from biofilm-induced diseases?
Signup and view all the answers
Which statement about periodontitis is correct?
Which statement about periodontitis is correct?
Signup and view all the answers
Which of the following is NOT one of the intended learning outcomes related to periodontal classification?
Which of the following is NOT one of the intended learning outcomes related to periodontal classification?
Signup and view all the answers
The rationale for classification systems in periodontal disease is primarily to:
The rationale for classification systems in periodontal disease is primarily to:
Signup and view all the answers
Which of these conditions is recognized as a necrotising disease?
Which of these conditions is recognized as a necrotising disease?
Signup and view all the answers
What development marked the transition in understanding periodontal disease classification in 2017?
What development marked the transition in understanding periodontal disease classification in 2017?
Signup and view all the answers
What staging classification is assigned to a patient who has lost a tooth due to advanced periodontal bone loss?
What staging classification is assigned to a patient who has lost a tooth due to advanced periodontal bone loss?
Signup and view all the answers
What does grading primarily assess in periodontal disease?
What does grading primarily assess in periodontal disease?
Signup and view all the answers
According to the guidelines for grading, what is the criterion for Grade A?
According to the guidelines for grading, what is the criterion for Grade A?
Signup and view all the answers
Why is the current disease status important in periodontal assessment?
Why is the current disease status important in periodontal assessment?
Signup and view all the answers
What does the statement 'Once a perio patient, always a perio patient' imply?
What does the statement 'Once a perio patient, always a perio patient' imply?
Signup and view all the answers
What does the process of classification in periodontal diagnosis incorporate?
What does the process of classification in periodontal diagnosis incorporate?
Signup and view all the answers
What is one of the elements factored into grading a periodontal patient?
What is one of the elements factored into grading a periodontal patient?
Signup and view all the answers
How does a patient's age impact grading in periodontal evaluation?
How does a patient's age impact grading in periodontal evaluation?
Signup and view all the answers
What classification was established by the American Academy of Periodontology in 1999?
What classification was established by the American Academy of Periodontology in 1999?
Signup and view all the answers
Which classification system was introduced first according to the chronology?
Which classification system was introduced first according to the chronology?
Signup and view all the answers
Which of the following is NOT included in the classifications by the American Academy of Periodontology 1999?
Which of the following is NOT included in the classifications by the American Academy of Periodontology 1999?
Signup and view all the answers
Which term was removed as a separate category in the 1999 classification?
Which term was removed as a separate category in the 1999 classification?
Signup and view all the answers
What was the focus of the World Workshop in Clinical Periodontics held in 1993?
What was the focus of the World Workshop in Clinical Periodontics held in 1993?
Signup and view all the answers
How does 'Early-onset Periodontitis' differ from 'Adult Periodontitis' based on previous classifications?
How does 'Early-onset Periodontitis' differ from 'Adult Periodontitis' based on previous classifications?
Signup and view all the answers
Who was responsible for a classification system introduced in 1956?
Who was responsible for a classification system introduced in 1956?
Signup and view all the answers
Which classification system was established last in the chronology provided?
Which classification system was established last in the chronology provided?
Signup and view all the answers
What replaced 'Necrotising Ulcerative Periodontitis' in the 1999 classification?
What replaced 'Necrotising Ulcerative Periodontitis' in the 1999 classification?
Signup and view all the answers
Study Notes
Periodontal Disease Classification
- Key GDC learning outcomes include assessing and managing periodontal and soft tissue health, considering risk and lifestyle factors. Monitoring and recording changes in periodontal health using appropriate indices is also crucial.
History of Periodontal Disease Classification
- Three paradigms exist in the history of periodontal disease classification:
- 1870-1920: Lack of information regarding pathogenesis, relying on clinical appearance and patient reports.
- 1920-1970: Inflammatory/non-inflammatory paradigm, with some acknowledgement of bacterial influence and observation of some cases being degenerative.
- 1970-present: Recognition of complex multifactorial factors, including subgingival microbiota, host inflammatory response, and environmental influences. No longer simply a bacterial infection.
Chronology of Classification Systems
- A timeline of key figures and classification systems, with dates. This section lists various names and dates for these classifications.
Previous Classifications (World Workshops)
- 1989 World Workshop: Covered early-onset periodontitis, prepubertal (localized/generalized), juvenile (localized/generalized), adult, necrotizing ulcerative, refractory, and periodontitis associated with systemic diseases.
- 1993 World Workshop: Emphasized adult periodontitis beginning in the fourth decade, slow progression and early-onset periodontitis starting before the fourth decade, faster progression. Also covered necrotizing periodontitis.
American Academy of Periodontology - 1999
- This classification aimed to address issues with the 1989 classification. Included gingival diseases (plaque and non-plaque induced) along with modifications related to systemic factors.
- Also included periodontitis as a manifestation of systemic diseases, periodontal abscesses, periodontic-endodontic lesions, and developmental/acquired deformities/conditions.
Why Classify Periodontal Diseases?
- A classification system is necessary for consistent, accurate diagnosis and treatment. It enables researchers to track disease progression, develop better treatment plans, and compare outcomes across different groups.
Periodontal Diagnosis in the Context of 2017 Classification
- The 2017 classification system provides a structured approach to periodontal diagnosis in clinical practice. It includes recommendations, diagnostic pathways, and guidelines for grading and staging of periodontitis.
Gingivitis Dental Biofilm Induced Disease
- Plaque-induced gingivitis is exacerbated by systemic conditions. Modifies factors include sex hormones, hormonal cycles (puberty, menstruation, pregnancy, oral contraceptives), hyperglycemia, leukemia, smoking, malnutrition, and others.
Gingival Diseases - Non Biofilm Induced
- These involve several potential causes: genetic/developmental disorders (hereditary gingival fibromatosis), specific infections (bacterial, viral, or fungal), inflammatory and immune conditions (contact allergies, plasma cell gingivitis, autoimmune diseases), and reactive processes (epulides).
Necrotizing Diseases
- These are characterized by microbially-associated host-mediated inflammation resulting in periodontal attachment loss.
Extent/Distribution
- Extent can be localized (up to 30% of teeth) or generalized (more than 30% of teeth) or molar/incisor pattern.
Staging
- Staging is based on the severity of bone loss, assessing the degree and location of bone loss in the teeth roots. (i.e., coronal, middle, or apical).
Current Disease Status
- A perio patient's status is influenced by stage and grading of disease as well as historic data, and determining if the current disease is active.
Risk Factor Assessment
- Risk factors include smoking (cigarettes per day), sub-optimally controlled diabetes, and other potentially modifiable and non-modifiable variables.
Diagnostic Statement
- The diagnostic statement for periodontitis is determined from its extent, stage, grade, current status, and relevant risk factors.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.