Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the classification of eriodontal and peri-implant diseases and conditions

P.N. Papapanou, M. Sanz, N. Buduneli, T. Dietrich, M. Feres, D.H. Fine, T.F. Flemmig, R. Garcia, W.V. Giannobile, F. Graziani, H. Greenwell, D. Herrera, R.T. Kao, M. Kebschull, D.F. Kinane, K.L. Kirkwood, T. Kocher, K.S. Kornman, P.S. Kumar, B.G. LoosE. Machtei, H. Meng, A. Mombelli, I. Needleman, S. Offenbacher, G.J. Seymour, R. Teles, M.S. Tonetti

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

A new periodontitis classification scheme has been adopted, in which forms of the disease previously recognized as “chronic” or “aggressive” are now grouped under a single category (“periodontitis”) and are further characterized based on a multi‐dimensional staging and grading system. Staging is largely dependent upon the severity of disease at presentation as well as on the complexity of disease management, while grading provides supplemental information about biological features of the disease including a history‐based analysis of the rate of periodontitis progression; assessment of the risk for further progression; analysis of possible poor outcomes of treatment; and assessment of the risk that the disease or its treatment may negatively affect the general health of the patient.

Necrotizing periodontal diseases, whose characteristic clinical phenotype includes typical features (papilla necrosis, bleeding, and pain) and are associated with host immune response impairments, remain a distinct periodontitis category.

Endodontic‐periodontal lesions, defined by a pathological communication between the pulpal and periodontal tissues at a given tooth, occur in either an acute or a chronic form, and are classified according to signs and symptoms that have direct impact on their prognosis and treatment.

Periodontal abscesses are defined as acute lesions characterized by localized accumulation of pus within the gingival wall of the periodontal pocket/sulcus, rapid tissue destruction and are associated with risk for systemic dissemination.

Original languageEnglish
Pages (from-to)S173-S182
Number of pages10
JournalJournal of Periodontology
Volume89
Issue numberS1
DOIs
Publication statusPublished - Jun 2018
EventWorkshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions -
Duration: 20 Jun 2018 → …

Bibliographical note

In special issue: Proceedings of the World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. The proceedings of the workshop were jointly and simultaneously published in the Journal of Periodontology and Journal of Clinical Periodontology.

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