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    New Classification Perio

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    khaled alahmad
    This document classifies periodontal diseases into 4 stages based on severity of clinical attachment loss (CAL), depth of probing, amount of bone loss, and tooth loss. It also classifies periodontitis into 3 grades (A, B, C) based on rate of disease progression as shown by direct evidence like longitudinal bone/CAL loss data or indirect evidence like percentage bone loss per age. Grade A represents slow progression, Grade B represents moderate progression, and Grade C represents rapid progression. Risk factors like smoking and diabetes can modify the grade. The stages and grades provide a standardized classification system for periodontal diseases.

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    New Classification Perio

    Uploaded by

    khaled alahmad
    123 views15 pages
    This document classifies periodontal diseases into 4 stages based on severity of clinical attachment loss (CAL), depth of probing, amount of bone loss, and tooth loss. It also classifies periodontitis into 3 grades (A, B, C) based on rate of disease progression as shown by direct evidence like longitudinal bone/CAL loss data or indirect evidence like percentage bone loss per age. Grade A represents slow progression, Grade B represents moderate progression, and Grade C represents rapid progression. Risk factors like smoking and diabetes can modify the grade. The stages and grades provide a standardized classification system for periodontal diseases.

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    NEW CLASSIFICATION PERIO (2)

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    This document classifies periodontal diseases into 4 stages based on severity of clinical attachment loss (CAL), depth of probing, amount of bone loss, and tooth loss. It also classifies periodontitis into 3 grades (A, B, C) based on rate of disease progression as shown by direct evidence like longitudinal bone/CAL loss data or indirect evidence like percentage bone loss per age. Grade A represents slow progression, Grade B represents moderate progression, and Grade C represents rapid progression. Risk factors like smoking and diabetes can modify the grade. The stages and grades provide a standardized classification system for periodontal diseases.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    123 views15 pages

    New Classification Perio

    Uploaded by

    khaled alahmad
    This document classifies periodontal diseases into 4 stages based on severity of clinical attachment loss (CAL), depth of probing, amount of bone loss, and tooth loss. It also classifies periodontitis into 3 grades (A, B, C) based on rate of disease progression as shown by direct evidence like longitudinal bone/CAL loss data or indirect evidence like percentage bone loss per age. Grade A represents slow progression, Grade B represents moderate progression, and Grade C represents rapid progression. Risk factors like smoking and diabetes can modify the grade. The stages and grades provide a standardized classification system for periodontal diseases.

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    The New Classification of

    Periodontal Diseases
    Classification of
    Periodontitis
    Stages Grades
    Stage I
    Interdental CAL at site of 1 to 2 mm
    Severity greatest loss
    Radiographic bone loss Coronal third (<15%)
    Tooth loss No tooth loss

    Complexity Local Maximum probing depth ≤4


    mm
    Mostly horizontal bone loss

    Extent and Add to stage as a descriptor For each stage, describe


    extent as localized (<30% of
    distribution teeth involved), generalized,
    or molar/incisor pattern
    Stage II
    Interdental CAL at site of 3 to 4 mm
    Severity greatest loss
    Radiographic bone loss Coronal third (15% to 33%)
    Tooth loss No tooth loss

    Complexity Local Maximum probing depth


    ≤5 mm
    Mostly horizontal bone loss

    Extent and Add to stage as a For each stage, describe


    descriptor extent as localized (<30%
    distribution of teeth involved),
    generalized, or
    molar/incisor pattern
    Stage III
    Interdental CAL at site of ≥5 mm
    Severity greatest loss
    Radiographic bone loss Extending to middle or
    apical third of the root
    Tooth loss Tooth loss of ≤4 teeth

    In addition to stage II complexity:


    Probing depth ≥6 mm
    Complexity Local
    Vertical bone loss ≥3 mm
    Furcation involvement Class II or III
    Moderate ridge defect

    Extent and Add to stage as a For each stage, describe


    descriptor extent as localized (<30%
    distribution of teeth involved),
    generalized, or
    molar/incisor pattern
    Stage IV
    Interdental CAL at site of ≥5 mm
    Severity greatest loss
    Radiographic bone loss Extending to middle or
    apical third of the root
    Tooth loss Tooth loss of ≥5 teeth

    In addition to stage III complexity:


    Need for complex rehabilitation due to:
    Complexity Local
    - Masticatory dysfunction
    - Secondary occlusal trauma (tooth mobility
    degree ≥2)
    Severe ridge defect
    Bite collapse, drifting and flaring
    Less than 20 remaining teeth (10 opposing pairs)

    Extent and Add to stage as a For each stage, describe


    descriptor extent as localized (<30% of
    distribution teeth involved),
    generalized, or
    molar/incisor pattern
    Grade A: Slow rate of progression
    Direct evidence of Longitudinal data Evidence of no loss over 5
    progression (radiographic bone loss years
    or CAL)
    Primary Criteria Indirect evidence of % bone loss/age <0.25
    progression
    Case phenotype Heavy biofilm deposits
    with low levels of
    destruction

    Smoking Non-smoker
    Grade Modifiers Risk Factors Normoglycemic / no
    Diabetes diagnosis of diabetes
    Grade B: Moderate rate of progression
    Direct evidence of Longitudinal data <2 mm over 5 years
    progression (radiographic bone loss
    or CAL)
    Primary Criteria Indirect evidence of % bone loss/age 0.25 to 1
    progression
    Case phenotype Destruction
    commensurate with
    biofilm deposits

    Smoking Smoker <10 cigarettes per


    day
    Grade Modifiers Risk Factors HbA1c <7% in patients
    Diabetes with diabetes
    Grade C: Rapid rate of progression
    Direct evidence of Longitudinal data ≥2 mm over 5 years
    progression (radiographic bone loss
    or CAL)
    Primary Criteria Indirect evidence of % bone loss/age >1
    progression
    Case phenotype Destruction exceeds
    expectation given biofilm
    deposits; specific clinical
    patterns suggestive of
    periods of rapid progression
    and/or early onset disease
    (e.g. molar/incisor pattern;
    lack of expected response to
    standard bacterial control
    therapies

    Smoking Smoker ≥10 cigarettes per


    day
    Grade Modifiers Risk Factors HbA1c ≥7% in patients
    Diabetes with diabetes
    Periodontal Health
    THANK YOU FOR YOUR
    ATTENTION

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