hrvatski

Is the 2017 classification of periodontal diseases clinician-friendly? Review of the classification through case analysis

Periodontitis is a chronic inflammatory disease associated with bacterial dysbiosis and affecting the supporting structures of the tooth. The 1999 Classification of periodontitis differentiated aggressive and chronic periodontitis as two different forms of disease, yet due to considerable overlap between them, their diagnosis very often proved to be a challenge for clinicians. The new 2017 Classification groups these disease forms under a single category, periodontitis, with a further classification framework based on staging and grading. This case report presents a 29-year old male patient referred for periodontal treatment, with generalized pocketing of 4 and 5mm, FMPS 80% and FMBS 79%, horizontal bone loss in the coronal third, non-smoker, HbA1c 5, 1%. He was diagnosed with generalized mild chronic periodontitis (1999) / generalized periodontitis stage II, grade B (2017) Through the analysis of this clinical case we address the criticism and objections to the 1999 classification. Furthermore, we address the multidimensionality of the 2017. classification which does not only take into account the severity and the extent of the disease, but also complexity (of case management) and risk (more progressive disease and/or less predictable/poor answer to periodontal therapy). Irrespective of the new classification’s intricacy, with adequate guidance, such as the already available e- toolkits, the new classification is relatively easy to implement in daily practice.

periodontitis ; disease classification ; classification of periodontitis

nije evidentirano

engleski

Is the 2017 classification of periodontal diseases clinician-friendly? Review of the classification through case analysis

Periodontitis is a chronic inflammatory disease associated with bacterial dysbiosis and affecting the supporting structures of the tooth. The 1999 Classification of periodontitis differentiated aggressive and chronic periodontitis as two different forms of disease, yet due to considerable overlap between them, their diagnosis very often proved to be a challenge for clinicians. The new 2017 Classification groups these disease forms under a single category, periodontitis, with a further classification framework based on staging and grading. This case report presents a 29-year old male patient referred for periodontal treatment, with generalized pocketing of 4 and 5mm, FMPS 80% and FMBS 79%, horizontal bone loss in the coronal third, non-smoker, HbA1c 5, 1%. He was diagnosed with generalized mild chronic periodontitis (1999) / generalized periodontitis stage II, grade B (2017) Through the analysis of this clinical case we address the criticism and objections to the 1999 classification. Furthermore, we address the multidimensionality of the 2017. classification which does not only take into account the severity and the extent of the disease, but also complexity (of case management) and risk (more progressive disease and/or less predictable/poor answer to periodontal therapy). Irrespective of the new classification’s intricacy, with adequate guidance, such as the already available e- toolkits, the new classification is relatively easy to implement in daily practice.

periodontitis ; disease classification ; classification of periodontitis

nije evidentirano