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Periodontal Disease Classifications - Coggle Diagram
Periodontal Disease Classifications
1999 Classification
Chronic Periodontitis
Characteristics
Subgingival calculus
frequently found,
Prevalent in adults
but can occur in children, possibly
associated with : systemic disease, Local factors predisposing to periodontitis, smoking & emotional stress
Classification
Localized
form: <30% of teeth involved
Generalized
form: >30% of teeth involved
Mild
:
1 to 2 mm
clinical attachment loss (
CAL
)
Moderate: 3 to 4 mm CAL
Severe: ≥5 mm CAL
Aggressive Periodontitis
Characteristics
Rapid attachment loss and bone destruction
, Otherwise
clinically healthy patient
,
Increased levels of
Actinobacillus actinomycetemcomitans
Classification
Localized
Circumpubertal onset of disease
Localized first molar or incisor disease with
proximal attachment loss on at least two permanent teeth, one of which is a first molar
Robust serum antibody response to infecting agents
Generlized
Usually affecting
persons under 30 years of age
(however, may be older)
Generalized proximal attachment loss
affecting at least three teeth other than first molars and incisors
Pronounced episodic nature of periodontal destruction
Poor serum antibody response to infecting agents
Necrotizing Periodontal Diseases
Necrotizing Ulcerative Gingivitis
clinical signs of necrosis
and sloughing
of the gingival tissues and may be accompanied by systemic symptoms
.
History
characterized by a
sudden onset of symptoms, sometimes occurring after an episode of debilitating disease or acute respiratory tract infection
Necrotizing Ulcerative Periodontitis
distinguished from NUG by a more severe condition with periodontal attachment and bone loss.
The compromised immune HIV and AIDS patients renders them vulnerable to opportunistic periodontal infections
smoking, viral infections, psychosocial stress, and malnutrition.
Together, there is
potential to adversely influence the host response or resistance to infection
2017 Classification
Periodontal Health, Gingival Diseases, and Conditions
Periodontal Health & Gingival Health
Gingivitis : Dental Biofilm-Induced
Gingival Diseases : Non-Dental Biofilm-Induced
Periodontitis
Necrotizing Periodontal Diseases
Periodontitis
STAGE I
• Probing depths ≤4 mm
• Interdental CAL ≤1–2 mm
• Horizontal bone loss (<15%)
• Will require nonsurgical treatment
• No posttreatment tooth loss expected
STAGE II
• Probing depths ≤5 mm
• Interdental CAL ≤3–4 mm
• Primarily horizontal bone loss (15%–33%)
• Will require nonsurgical and maybe surgical treatment
• No posttreatment tooth loss is expected
STAGE III
• Probing depths ≥6 mm
• Interdental CAL ≥5 mm
•
Bone loss extending to middle third of root
and beyond. may
have vertical bone loss and/or furcation involvement
• Loss of ≤ 4 teeth due to periodontitis
• Higher risk of tooth loss due to periodontitis
STAGE IV
Probing depths ≥6 mm
• Interdental CAL ≥5 mm
•
Bone loss extending to middle third of root
and beyond; may have vertical bone loss and/or furcation involvement
Loss of ≥ 5 teeth due to periodontitis; < than 20 teeth may be present
GRADE A
(SLOW RATE)
RBL/CAL :
No loss
over 5 years
Bone loss/age :
<0.25%
. Heavy biofilm with low
levels of destruction
Grade Modifiers :
Non-smoker and non-diabetic
GRADE B
(MODERATE RATE)
RBL/CAL :
<2 mm
over 5 years
Bone loss/age :
0.25 - 1% .
Destruction commensurate
with biofilm deposits
Grade Modifiers :
<10 cigarettes/day & Diabetic with HbA1c <7%
GRADE C
(RAPID RATE)
RBL/CAL :
≥2 m
m over 5 years
Bone loss/age :
>1%
. Destruction inconsistent with biofilm deposits; clinical patterns suggestive of periods of
rapid progression and/or early onset
≥10 cigarettes/day. Diabetic with HbA1c ≥7%
Periodontitis as manifestation of Systemic Disease (same as 1999 Classification)
Hematologic disorders
Acquired neutropenia, Leukimia
Genetic disorders
Familial and cyclic neutropenia, Down Syndrome, Hypophosphatasia, Leukocyte adhesion defficiency syndromes
Other Conditions affecting Periodontium
Systemic diseases or conditions affecting the periodontal supporting tissue
Periodontal abscesses and endodontic-periodontal lesions
Mucogingival deformities and conditions
Traumatic occlusal forces
Tooth- and prosthesis-related factors
Peri-Implant Disease
Peri-implant health
Peri-implant mucositis
BOP, erythema, swelling, and/or suppuration
but absence of bone loss beyond crestal bone level
Peri-implant soft and hard tissue defficiencies
Peri-implantitis
inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone