DIAGNOSIS: PERIODONTAL DIAGNOSIS: The process (or opinion derived from the process) of identifying the nature and cause of a disease of the periodontium; relevant information used in this process typically includes medical and dental histories, clinical and radiographic examination of the patient, and laboratory findings. Contemporary periodontal treatment is designed based on the ‘Trimeric Model’, and is performed in 4 phases. Course Author(s): ... A simple 4-step process has been suggested by Kornman and Papapanou 17 to assist clinicians in developing a diagnosis for each individual case using the new classification. Prognosis diegakkan setelah dianosis dibuat dan sebelum rencana perawatan ditegakkan. ��%�>���ł��xʹҸ�x�]/�$K���E�����f�"�T��#�> ��'q%���K��ӎV|ZԮ�TY4�g�����)���&�������6S���4w��Ua.�֊ In 1977, however, the term juvenile periodontitis, which had largely replaced the term periodontosis, was accepted by the AAP. Overall Prognosis. of periodontal disease have been those of the American Academy of Periodontology (AAP). Periodontal classification 2017. 0000020266 00000 n 0000020014 00000 n 0000053801 00000 n Methods . 0000019927 00000 n ���w ����\*@��������8,"��'�T0��-�V����oXD�p�O�k�d��������|��a2K�����|�d>�ۘ��tx�ta΂�>�������=�|��ņ��c�����"l Grade I: The enamel projection extends from the cementoenamel junction of the tooth toward the furcation entrance. 8.52% of adults age 20 to 64 have periodontal disease. h�b```b`��g`g`�c`@ 6�(G�wĄ5�������)s� The 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions was co-presented by the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP). Severe periodontal disease is defined as having at least two teeth with interproximal attachment loss of 6 millimeters or more AND at least one tooth with 5 millimeters or more of pocket depth at interproximal sites. 0000040910 00000 n ~Risk indicators are probable or putative risk factors that have been identified in cross sectional studies but not confirmed by longitudinal studies, ~Risk factors are environmental or biologic factors that increase the chance that an individual will get the disease. Endo-periodontal lesions are bacterial infectious diseases involving both the periodontal and pulp tissues with poor outcomes. rom 1977 to 1989, the American Academy of Periodontology (AAP) went from 2 main periodontal disease categories to 5 (Table 1).1The 1989 periodon- tal disease classification was a significant improvement over previous classifications. 0000057381 00000 n Oh no! It’s caused by bacteria that have been allowed to accumulate on your teeth and gums. =x(�Pࡣ�:2;0;2;0;Y�{h2;0;2;0;2;0;r:p:r:pz���g-�Z��. ~Risk Determinants/Background Characteristics are risk factors that are not typically modifiable (yet). 0000000016 00000 n The periodontal prognosis of treated non-vital teeth does not differ from that of vital teeth. %PDF-1.4 %���� A system of classification for periodontal and peri-implant diseases allows clinicians to properly diagnose and treat individuals with periodontal and peri-implant conditions. An accurate diagnosis can only be made by a thorough evaluation of data that have been systematically collected by recording a detailed case history which includes: 1) patient interview, 2) medical consultation, as indicated, 3) clinical periodontal examination, 4) radiographic examination, and … 0000052576 00000 n Periodontal Prognosis ~"Clinical forecasting" ~Prediction as to the progress, course and outcome of a disease (AAP) ~Prediction of the duration, course and termination of the disease (Carranza) Risk Assessment ~Risk is the probability that an individual will get a specific disease in a given period of time. 0000024552 00000 n moitruongdothihanoi info ebook and manual reference. In its early stage, called gingivitis, the gums become swollen, red, and may bleed. ogy (AAP) went from 2 main periodontal disease categories to 5 (Table 1).1 The 1989 periodontal disease classification was a significant improvement over previous classifications. Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. 0000049940 00000 n It is hard for clinicians to predict their prognosis. According to The Merriam-Webster Dictionary, “Prognosis” is defined as “the prospect of recovery as anticipated from the usual course of disease or peculiarities of the case.” In medicine, however, the term is commonly defined by the mortality rate. 0000045983 00000 n It also encourages patients to make lifestyle changes to improve their overall health including smoking cessation, blood sugar control, and compliance to their recommended preventative periodontal maintenance frequency. In 2017, a new classification system for Periodontal diseases was released. ... Once a correct diagnosis has been made and the prognosis is established, treatment planning is done. 0000041061 00000 n H�\�ݎ�0��y 0000004349 00000 n Periodontal disease stability and periodontal disease remission/control are differentiated based on the ability to control modifying factors and therapeutic response. 0000024412 00000 n 0000056461 00000 n No post-treatment tooth loss is expected, indicating the The American Academy of Periodontology offers the following Guidelines for Periodontal Therapy. Prevalence of Periodontal Disease . To determine whether you have periodontitis and how severe it is, your dentist may: 1. Review your medical history to identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications that cause dry mouth. 0000054855 00000 n 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. It has 3 main parts: Periodontal health, gingival diseases and conditions; Periodontitis; Other conditions affecting the periodontium. 0000017325 00000 n 0000001716 00000 n 0000025824 00000 n 0000010920 00000 n 0000057604 00000 n /[v������[FGG����^����U “The Academy is proud to recognize those who have made an indelible impact on the practice and study of periodontics,” said Dr. Joan Otomo-Corgel, the Academy’s immediate past president. 3. 0000011032 00000 n The official proceedings from the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions, co-presented by the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP), are now available online as a supplement to the June 2018 issue of the Journal of Periodontology. of periodontal disease have been those of the American Academy of Periodontology (AAP). Scaling and root planing (SRP) is still considered the gold standard for non-surgical therapy to address periodontal disease. mining overall long-term prognosis. The aim of this study is to investigate the factors affecting the prognosis of endo-periodontal lesions. The four stages of periodontitis are based on the amount of damage that has already occurred. 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. 0000046010 00000 n Although many periodontal prognosis systems have been developed, most of the prognoses are based on tooth mortality (i.e., extractions).5–8 Assigning an accurate prognosis for each tooth … Accurate assessment of individual risk is considered one of the most important aspects of periodontal examination, diagnosis, prognosis and treatment planning. CHICAGO — Dentists treating patients with chronic periodontitis, a severe form of gum disease that can lead to tooth loss, are advised to use scaling and root planing (SRP), deep cleaning of the teeth, as initial treatment, according to new guidelines from the American Dental Association (ADA). 0000053298 00000 n On the other hand, prognosis can be based on stability of the periodontal supporting apparatus, which is influenced by more evidence‐based factors and may be more useful for patient management. Two major factors contributing to the patient’s periodontal status could be due to her poor oral hygiene and systemic medical condition besides The treatment of periodontal diseases is dependent on an accurate diagnosis, steps in making a diagnosis include initial emergency and patient comfort, resolution of inflammation, risk factor/s management and surgical periodontal therapy. It also encourages patients to make lifestyle changes to improve their overall health including smoking cessation, blood sugar control, and compliance to their recommended preventative periodontal maintenance frequency. 0000002275 00000 n Important concepts to consider when determining prognosis, ~Periodontal disease does NOT progress uniformly throughout the dentition, ~Multiple stratifications may be redundant. _�^�x�Y$)�6R.���} N��D؋�}}|Ц*�l�|:;����C?���tma6�~�p��Om0�p(M׷����ҌY7�9\���յ�����s���0����M~x�?��٬�zm�p���4���L����8��������}�LqA��څ�شaj�s��U|֦��g����o^+n;���͔��&.^��_�j�}z|� ަ�I�_�=������@�{�����!�Wj�)+j�(Y�L�?Q3w�f�8d�eN����.�K��R[h�hG��=5��R+49-8-9-8-����ҧ8d��A� d0B��A� d0B��A� d0$1�C��B Get this from a library! 0000005744 00000 n ~Current evidence does not provide a basis for assigning prognosis categories. Endo-periodontal lesions are bacterial infectious diseases involving both the periodontal and pulp tissues with poor outcomes. This paper sets forth the clinical objectives and scope of periodontal therapy. Acute periodontal conditions 13. Amodified version of the American Academy of Periodontology (AAP) proposed guidelines for a comprehen- sive periodontal examination is pre- sented in Table 1.17However, with respect to a functional PTPfor the gen- eral dental practice, only the following principal diagnostic criteria can be addressed: age, PD, CAL, BOP, tooth mobility, furcation involvement, and percentage of radiographic … 0000006515 00000 n It is determined on the basis of the specific risk factors that the individual patient presents. Periodontal abscesses may be acute or chronic. The benefits to the patient are that they better understand their long-term periodontal prognosis of 15 and 30 years. The most prevalent periodontal diseases are plaque-associated gingivitis and periodontitis. 0000045566 00000 n 2013 Joint AAO-AAP Conference - The Use of CBCT in Periodontal and Orthodontic Diagnosis / Imaging From a Periodontist's Perspective ... IDT team depends upon the periodontist to establish an accurate diagnosis and, especially, set short and long-term prognosis- a role that requires risk assessment exceeding conventional methods. 0000020440 00000 n 0000052879 00000 n 0000040791 00000 n The American Academy of Periodontology (AAP) announced new periodontal classifications for the AAP Guidelines. 0000017501 00000 n 0000018589 00000 n This view suggests that the most usual forms, gingivitis and adult periodontitis, normally occur in persons with essentially normal defense systems. A diagnostic flowchart was created for three of the most common periodontal conditions: health, gingivitis, and periodontitis. Stage II periodontitis (moderate disease) patients will have probing depths ≤5 mm, CAL ≤3-4 mm, horizontal bone loss, and will require non-surgical and surgical treatment. Periodontal Prognosis ~"Clinical forecasting" ~Prediction as to the progress, course and outcome of a disease (AAP) ~Prediction of the duration, course and termination of the disease (Carranza) Risk Assessment ~Risk is the probability that an individual will get a specific disease in a given period of time. Over much of the last century, the Academy has struggled to identify and classify the various forms of periodontal disease as research has expanded knowledge. Amodified version of the American Academy of Periodontology (AAP) proposed guidelines for a comprehen-sive periodontal examination is pre-sented in Table 1.17 However, with respect to a functional PTPfor the gen-eral dental practice, only the following principal diagnostic criteria can be This has led to frequent revisions and changes but has created some confusion. The ideal implant modality should have peri-implant indices comparable with the periodontal indices accepted by the profession. 0000010806 00000 n Progression Grade A: Grade B: Grade C: Slow rate Moderate rate Rapid rate General Factors that may affect prognosis, Individual Risk Factors of Perio Prognosis, ~Older individuals show > periodontal destruction than younger ones. 0000007053 00000 n 0000024822 00000 n 0000019643 00000 n Oral Physiotherapy 14. 0000040577 00000 n 0000022503 00000 n In particular, the effect of systemic disease on periodontal health was recognized and added as a 0000046550 00000 n ~Minimal correlation between BOP and subsequent attachment loss, ~Most studies fail to demonstrate an ↑ risk for progressive destruction, ~Bacteria required for periodontal diseases, ~Tooth or dentition with severe attachment loss less favorable, ~Initial presence = ↑ bone loss over time. 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