Implementation of the new classification of periodontal diseases: Decision-making algorithms for clinical practice and education
Background
Implementation of the new classification of periodontal diseases requires careful navigation of the new case definitions and organization of the diagnostic process along rationale and easily applicable algorithms. The aim of this report was to describe the rationale for one such approach designed for clinical practice and education.
Methods
The authors developed empiric decision-making algorithms based on the new classification to effectively discriminate between the key periodontal diagnoses of periodontal health, gingivitis and periodontitis.
Results
A stepwise approach is proposed that includes (a) a sensitive screening step able to discriminate periodontal health, gingivitis and suspect periodontitis; (b) a specific confirmation step to provide differential diagnosis between periodontitis and the other conditions characterized by attachment loss; (c) a step to assess the severity and complexity of management of the periodontitis case (staging); and (d) a step to assess the risk profile of the case (grading). Specific decision-making algorithms are described for all steps of the diagnostic process.
Conclusions
The proposed process allows discrimination between the different case definitions of periodontal health and disease. The diagnostic accuracy and cost-effectiveness of the process need to be validated in prospective trials generalizable to operators with different level of expertise, different populations and clinical settings.
Authors: Maurizio S. Tonetti, Mariano Sanz
Source: https://onlinelibrary.wiley.com/
Tag
Related articles
Despite increasing evidence, dentists have not widely adopted repairs. The authors aimed to develop and test potential interventions targeting dentists’ behavior.
Oral Hygiene & Prevention 16 March 2023
Standardized practice-based oral health data collection: A global pilot study
Researchers conducted a feasibility project involving 12 countries that tested the implementation of the methodology and data collection tools and assessed data quality from six countries.
Oral Hygiene & Prevention 23 November 2023
Periodontal infection is a common disease that unfortunately also affects young people and is characterized by rapid destruction of periodontal tissue and can lead to early tooth loss
Market 17 August 2023
The global market stood at $17 billion in 2022 and is expected to grow at a CAGR of 7.54% during the forecast period. The increase is due to increasing awareness about dental hygiene and a rise in...
It is difficult to maintain satisfactory plaque control by patients without ongoing supervision by a professional hygienist or dentist. Artificial intelligence can be used to provide a visual check...
Read more
Implantology 16 April 2025
Patient-centred outcome measures in oral surgery: validity and sensitivity
The performances of patient-centred outcome measures after oral surgery were evaluated in a prospective cohort study of 100 patients who had third molar extractions.
Editorials 16 April 2025
Dr. Roseann Mulligan Special Patients Clinic awarded grant to upgrade facilities
The Specialty Dental Clinic Grant aims to improve access to oral healthcare for special-needs patients across California.
News 16 April 2025
Riverwood Dental, a trusted provider of exceptional dental care in Atlanta, is excited to announce the introduction of complimentary comprehensive 3D intraoral scans for all new patients.
News 16 April 2025
Dream Smiles Pediatric Dentistry of Gaithersburg is proud to announce the addition of exceptional pediatric dentists, Dr. Jennifer Rottenberg and Dr. Francis Morgan, to its growing practice.
Products 16 April 2025
During April’s Oral Cancer Awareness Month, Benevis joins its dental industry peers in efforts to highlight the importance of good oral hygiene and proactive risk assessments for the disease.
Copyright © 2025 - All Rights Reserved
ISSN 2767-1178