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Meridian Endo & Perio - Brookfield
20350 Water Tower Blvd.
Suite 10
Brookfield, WI 53045
Phone:
(262) 327-6100
Fax:
(262) 717-9642

Meridian Endo & Perio - Shorewood
1720 Lake Bluff Blvd.
Shorewood, WI 53211
Phone:
(262) 327-6100
Fax:
(262) 717-9642

 
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A New Classification Scheme for Periodontal and Peri-Implant Diseases and Conditions
 

By Dr. Charles Stoianovici

 

I hope everyone is having a wonderful summer! The American Academy of Periodontology continues to modify a classification system which is used to diagnose periodontal health and disease. Once again, leading experts from around the world in the field of periodontology gathered together for the 2017 World Workshop to reassess periodontal health and disease. As you may have noticed the most recent correspondence letters from our office have begun to incorporate new terminology and classifications that you may not have seen before. This newsletter will briefly summarize some of the major changes to the classification system from Caton’s article, for further details we will attach the articles with a more extensive explanation behind the changes.

 

Periodontitis

  • There are currently three accepted forms of periodontal disease: (1) necrotizing periodontal diseases, (2) periodontal disease as a direct manifestation of systemic diseases, and (3) periodontitis

  • Forms of periodontal diseases previously classified as “chronic” and “aggressive” will no longer be individual categories, and now both diseases are classified as “periodontitis” as a single entity

  • Periodontitis will now be diagnosed based on a multidimensional staging and grading

    • Staging will be dependent on disease severity and complexity of disease management

      • Staging involves 4 categories (Stage 1-4) which is determined by several factors

        • Stage 1: Initial Periodontitis

        • Stage 2: Moderate Periodontitis

        • Stage 3: Severe Periodontitis with potential for tooth loss

        • Stage 4: Severe Periodontitis with potential for loss of dentition

    • Grading provides supplemental information about biological features of the disease by incorporating individual patient factors

      • Grading includes three levels

        • Grade A - low risk or slow rate of progression

        • Grade B - moderate risk or moderate rate of progression

        • Grade C - high risk or rapid rate of progression

Mucogingival conditions

  • The term periodontal biotype was replaced by periodontal phenotype

Occlusal Trauma

  • The term excessive occlusal force was replaced by traumatic occlusal force

Prosthesis and Tooth Related Factors

  • The term biologic width was replaced by supracrestal attached tissues

New Classification for Peri-Implant Health and Diseases

  • Peri-implant Health peri-implant health is characterized by an absence of visual signs of inflammation and bleeding on probing. Peri-implant health can exist around implants with normal or reduced bone support. It is not possible to define a range of probing depths associated with health.

  • Peri-Implant Mucositis is characterized by bleeding on probing and visual signs of inflammation. Peri%u2010implant mucositis can be reversed with measures aimed at eliminating the plaque.

  • Peri-Implantitis plaque-associated pathologic condition occurring in the tissue around dental implants, characterized by inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone

  • Peri-Implant Hard and Soft Tissue Deficiencies Normal healing following tooth loss leads to diminished dimensions of the alveolar process/ridge that result in both hard and soft tissue deficiencies

We look forward to delivering the highest care possible for your patients! Enjoy the rest of your summer!

 
Posted:  9/18/2018 1:42 PM
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Meridian Endo & Perio - Brookfield
20350 Water Tower Blvd.
Suite 10
Brookfield, WI 53045

Phone:
(262) 327-6100
Fax:
(262) 717-9642

Meridian Endo & Perio - Shorewood
1720 Lake Bluff Blvd.
Shorewood, WI 53211

Phone:
(262) 327-6100
Fax:
(262) 717-9642

Brookfield
20350 Water Tower Boulevard, Suite 10
Brookfield, WI 53045
Shorewood
1720 Lake Bluff Boulevard
Shorewood, WI 53211
Monday through Friday: 8:00AM - 6:00PM  |  Saturday: By Appointment
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