CLASSIFICATIONofperiodontaldiseases.pptx

2017 classification in periodontics is described here

1. Classification of periodontal diseases

2. J Can Dent Assoc 2000; 66:594-7

3. Classification of periodontal diseases and conditions American academy of periodontics 1999

4. CLASSIFICATION OF PERIODONTAL DISEASES AND CONDITIONS, AAP (1999) I. GINGIVAL DISEASES Dental plaque induced gingival diseases 1. Gingivitis associated with dental plaque only a. without local contributing factors b. with local contributing factors 2. Gingival diseases modified by systemic factors a. associated with the endocrine system 1) Puberty associated gingivitis 2) Menstrual cycle induced gingivitis 3) pregnancy induced i ) gingivitis ii) pyogenic granuloma 4) Diabetes mellitus- associated gingivitis b. associated with blood dyscrasias 1) leukeamia associated gingivitis 2) other 3. Gingival disease modified by medications a. drug-induced gingival diseases 1) drug-influenced gingival enlargements 2) drug-influenced gingivitis i . oral contraceptive associated gingivitis ii. other 4. Gingival diseases modified by malnutrition a. ascorbic acid- deficiency gingivitis b. other

5. B. Non plaque induced gingival lesions Gingival diseases of specific bacterial origin a. Neisseria gonorrhea- associated lesions b. Treponema palladium-associated lesions c. Streptococcal species associated lesions d. other Gingival diseases of viral origin a. herpesvirus infections i ) primary herpetic gingivostomatitis ii) recurrent oral herpes iii) varicella zoster infections b. other Gingival diseases of fungal origin a. Candida species infections i ) generalized gingival candidosis b. linear gingival erythema c. histoplasmosis d. other Gingival lesions of genetic origin a. hereditary gingival fibromatosis b. other Gingival manifestation of systemic conditions a. mucocutaneous disorders 1) lichen planus 2) pemphigoid 3) pemphigus vulgaris 4) eryhthema multiforme 5) lupus erythematosus 6) drug induced 7) other b. allergic reactions 1) dental restorative materials i . mercury ii. nickel iii. acrylic iv. Other 2) reactions attributable to i . toothpaste or dentrifices ii. Mothwashes or mouthrinses iii. Foods and additives iv. Chewing gum additives 6 . Traumatic lesions (factitious, iatrogenic, accidental) a. chemical injury b. physical injury c. thermal injury 7. Foreign recations 8. Not otherwise specified

6. II. CHRONIC PERIODONTITIS Localized B. Generalized III. AGGRESIVE PERIODONTITIS Localized B. Generalized IV. PERIODONTITIS AS A MANIFESTATION OF SYSTEMIC DISEASES Associated with hematological disorder 1.associated neutropenia 2. leukemias 3. other Associated with genetic disorders 1. Familial cyclin neutropenia 7. Glycogen storage disease 2. down syndrome 8. Infantile genetic agranulocytosis 3. Leukocyte adhesion deficiency syndromes 9. Cohen syndrome 4. Papillon-Lefevre syndrome 10. Ehlers- Danlos syndrome (type IV and VIII) 5. Chediak -Higashi syndrome 11. Hypophosphatasia 6. Histiocytosis syndromes 12. Other C. Not otherwise specified

7. V. NECROTIZING PERIODONTAL DISEASES A. Necrotizing ulcerative gingivitis B. Necrotizing ulcerative periodontitis VI. ABSCESSES OF THE PERIODONTIUM A. Gingival abscess B. Periodontal abscess C. Pericoronal abscess VII. PERIODONTITIS ASSOCIATED WITH ENDODONTIC LESIONS A. Combined periodontic -endodontic lesions

8. VIII. DEVELOPMENT OR ACQUIRED DEFORMITIES AND CONDITIONS Localized tooth related factors that modify or predispose to plaque-induced gingival diseases/periodontitis 1. Tooth anatomic factors 2. Dental restorations/appliances 3. Root fractures 4. Cervical root resorption and cemental tears B. Mucogingival deformities and conditions around teeth 1. gingival/soft tissue recession a. facial or lingual surfaces b. interproximal 2. lack of keratinized gingiva 3. decreased vestibular depth 4. abberant frenum /muscle position 5. gingival excess a. pseudopocket b. inconsistent gingival margin c. excessive gingival display d. gingival enlargement 6. abnormal colour C. Mucogingival deformities and conditions on edentulous ridges Carranza 10 th ediiton

9. Classification of gingival health and gingival diseases/conditions according to world workshop 2017 classification for periodontal and peri -implant diseases and conditions

10. Periodontal health, Gingival diseases/conditions Periodontal health and gingival health Gingivitis- dental biofilm induced Gingival diseases- non dental biofilm induced 1.Clinical gingival health on intact periodontium, 2. Clinical gingival health on a reduced periodontium i ) stable periodontitis patient ii) non-periodontitis patient Associated with dental biofilm alone Mediated by systemic or local factors Drug-influenced gingival enlargement genetic/developmental disorders. Specific infections Inflammatory or immune conditions Reactive processes Neoplasms Endocrine, nutritional & metabolic diseases Traumatic lesions Gingival pigmentation Carranza 14 th edition

11. Carranza 14 th ediition

12. ( Papapanou PN, Sanz et al J Periodontol 2018;89)

13. ( Papapanou PN, Sanz et al J Periodontol 2018;89)

14. ( Papapanou PN, Sanz et al J Periodontol 2018;89)