Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions

被引：1457

作者：

Papapanou, Panos N. ^{[1
]}

Sanz, Mariano ^{[2
]}

Buduneli, Nurcan ^{[3
]}

Dietrich, Thomas ^{[4
]}

Feres, Magda ^{[5
]}

Fine, Daniel H. ^{[6
]}

Flemmig, Thomas F. ^{[7
]}

Garcia, Raul ^{[8
]}

Giannobile, William V. ^{[9
]}

Graziani, Filippo ^{[10
]}

Greenwell, Henry ^{[11
]}

Herrera, David ^{[2
]}

Kao, Richard T.

Kebschull, Moritz ^{[1
,12
]}

Kinane, Denis F. ^{[13
]}

Kirkwood, Keith L. ^{[14
]}

Kocher, Thomas ^{[15
]}

Kornman, Kenneth S. ^{[9
]}

Kumar, Purnima S. ^{[16
]}

Loos, Bruno G. ^{[17
,18
]}

Machtei, Eli ^{[19
,20
]}

Meng, Huanxin ^{[21
]}

Mombelli, Andrea ^{[22
]}

Needleman, Ian ^{[23
]}

Offenbacher, Steven ^{[24
]}

Seymour, Gregory J. ^{[25
]}

Teles, Ricardo ^{[13
]}

Tonetti, Maurizio S. ^{[7
]}

机构：

[1] Columbia Univ, New York, NY USA

[2] Univ Complutense Madrid, Madrid, Spain

[3] Ege Univ, Izmir, Turkey

[4] Univ Birmingham, Birmingham, W Midlands, England

[5] Univ Guarulhos, Guarulhos, Brazil

[6] Rutgers State Univ, Newark, NJ USA

[7] Univ Hong Kong, Hong Kong, Hong Kong, Peoples R China

[8] Boston Univ, Boston, MA 02215 USA

[9] Univ Michigan, Ann Arbor, MI 48109 USA

[10] Univ Pisa, Pisa, Italy

[11] Univ Louisville, Louisville, KY 40292 USA

[12] Univ Bonn, Bonn, Germany

[13] Univ Penn, Philadelphia, PA 19104 USA

[14] SUNY Buffalo, Buffalo, NY USA

[15] Greifswald Univ, Greifswald, Germany

[16] Ohio State Univ, Columbus, OH 43210 USA

[17] Univ Amsterdam, Acad Ctr Dent ACTA, Amsterdam, Netherlands

[18] Vrije Univ Amsterdam, Amsterdam, Netherlands

[19] Rambam Hlth Care Campus, Haifa, Israel

[20] Israel Inst Technol, Haifa, Israel

[21] Peking Univ, Beijing, Peoples R China

[22] Univ Geneva, Geneva, Switzerland

[23] UCL, London, England

[24] Univ N Carolina, Chapel Hill, NC 27515 USA

[25] Univ Queensland, Brisbane, Qld, Australia

来源：

JOURNAL OF CLINICAL PERIODONTOLOGY | 2018年 / 45卷

关键词：

acute periodontal conditions; endo-periodontal lesion; necrotizing gingivitis; necrotizing periodontitis; periodontal abscess; periodontal disease; periodontitis;

D O I：

10.1111/jcpe.12946

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

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.

引用

页码：S162 / S170

页数：9

共 10 条

[1] Manifestations of systemic diseases and conditions that affect the periodontal attachment apparatus: Case definitions and diagnostic considerations [J].