Development of a classification system for periodontal diseases and conditions.
Development of a classification system for periodontal diseases and conditions.
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DOI：
10.1902/annals.1999.4.1.1
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发表时间：
1999-12-01
期刊：
影响因子：
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通讯作者：
Armitage, G C
中科院分区：
文献类型：
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作者：
Armitage, G C
分类系统是必要的，以便提供一个框架，在其中有序地科学地研究疾病的病因、发病机制和治疗。此外，这样的系统为临床医生提供了一种组织患者健康护理需求的方法。牙周学及相关领域的科学家和临床医生上一次就牙周病的分类系统达成一致是在1989年的临床牙周学世界研讨会上。随后，在第一届欧洲牙周学研讨会上商定了一个更简单的分类。这些分类系统已被世界各地的临床医生和研究科学家广泛使用。遗憾的是，的分类有许多不足之处，包括：1)疾病类别有相当大的重叠，2)没有牙龈疾病成分，3)不适当地强调发病年龄和进展率，4)分类标准不充分或不清楚。1993年的欧洲分类缺乏充分描述临床实践中遇到的广泛牙周疾病所需的细节。1996年牙周学世界讲习班强调了修订牙周病分类系统的必要性。1997年，美国牙周病学学会对这一需要作出了回应，并成立了一个委员会，计划和组织一次国际讲习班，以修订牙周病分类系统。本卷中的论文集是这种重新分类努力的结果。这一进程涉及组织委员会制定一份大纲，对个人进行新的分类和识别，以便对大纲上的每个项目进行最新的科学审查。如果有数据支持任何修改，则鼓励审查员偏离初步大纲。1999年10月30日至11月2日，召开了牙周病和牙周病分类国际研讨会，并商定了一个新的分类(图1)。本文总结了本书中提出的新的牙周疾病和条件分类与临床牙周学世界研讨会制定的分类系统有何不同。此外，还对每一项修改和更改的理由进行了分析。
Classification systems are necessary in order to provide a framework in which to scientifically study the etiology, pathogenesis, and treatment of diseases in an orderly fashion. In addition, such systems give clinicians a way to organize the health care needs of their patients. The last time scientists and clinicians in the field of periodontology and related areas agreed upon a classification system for periodontal diseases was in 1989 at the World Workshop in Clinical Periodontics. Subsequently, a simpler classification was agreed upon at the 1st European Workshop in Periodontology. These classification systems have been widely used by clinicians and research scientists throughout the world. Unfortunately, the 1989 classification had many shortcomings including: 1) considerable overlap in disease categories, 2) absence of a gingival disease component, 3) inappropriate emphasis on age of onset of disease and rates of progression, and 4) inadequate or unclear classification criteria. The 1993 European classification lacked the detail necessary for adequate characterization of the broad spectrum of periodontal diseases encountered in clinical practice. The need for a revised classification system for periodontal diseases was emphasized during the 1996 World Workshop in Periodontics. In 1997 the American Academy of Periodontology responded to this need and formed a committee to plan and organize an international workshop to revise the classification system for periodontal diseases. The proceedings in this volume are the result of this reclassification effort. The process involved development by the Organizing Committee of an outline for a new classification and identification of individuals to write state-of-the-science reviews for each of the items on the outline. The reviewers were encouraged to depart from the preliminary outline if there were data to support any modifications. On October 30-November 2, 1999, the International Workshop for a Classification of Periodontal Diseases and Conditions was held and a new classification was agreed upon (Fig. 1). This paper summarizes how the new classification for periodontal diseases and conditions presented in this volume differs from the classification system developed at the 1989 World Workshop in Clinical Periodontics. In addition, an analysis of the rationale is provided for each of the modifications and changes.