Detection and diagnosis of periodontal conditions amenable to prevention.
Detection and diagnosis of periodontal conditions amenable to prevention.
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DOI：
10.1186/1472-6831-15-s1-s5
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发表时间：
2015
期刊：
影响因子：
2.9
通讯作者：
Preshaw PM
中科院分区：
文献类型：
--
作者：
Preshaw PM
牙龈炎和慢性牙周炎是高度流行的慢性炎症性疾病。牙龈炎影响大多数人，估计晚期牙周炎影响5-15%的成年人。这些常见疾病的检测和诊断是口腔保健的一个基本重要组成部分。所有患者都应接受牙周评估作为常规口腔检查的一部分。应使用基本牙周检查/社区牙周指数或牙周筛查记录等方法对所有新患者进行牙周筛查，并定期进行口腔保健。如果确定为牙周炎，则需要进行全面的牙周评估，包括记录完整的口腔探查和出血数据，以及评估其他相关参数，如牙菌斑水平、分叉受累、退缩和牙齿移动。牙槽骨水平的放射学评估是由临床情况驱动的，并且需要评估牙周炎患者的骨破坏。风险评估（如评估糖尿病状况和吸烟）和风险管理（如促进戒烟）应成为牙周治疗的核心组成部分。这篇文章提供了指导口腔保健团队的方法和频率适当的临床和放射学检查，以评估牙周状况，使适当的检测和诊断牙周状况。
Gingivitis and chronic periodontitis are highly prevalent chronic inflammatory diseases. Gingivitis affects the majority of people, and advanced periodontitis is estimated to affect 5-15% of adults. The detection and diagnosis of these common diseases is a fundamentally important component of oral health care. All patients should undergo periodontal assessment as part of routine oral examination. Periodontal screening using methods such as the Basic Periodontal Examination/Community Periodontal Index or Periodontal Screening Record should be performed for all new patients, and also on a regular basis as part of ongoing oral health care. If periodontitis is identified, full periodontal assessment is required, involving recording of full mouth probing and bleeding data, together with assessment of other relevant parameters such as plaque levels, furcation involvement, recession and tooth mobility. Radiographic assessment of alveolar bone levels is driven by the clinical situation, and is required to assess bone destruction in patients with periodontitis. Risk assessment (such as assessing diabetes status and smoking) and risk management (such as promoting smoking cessation) should form a central component of periodontal therapy. This article provides guidance to the oral health care team regarding methods and frequencies of appropriate clinical and radiographic examinations to assess periodontal status, to enable appropriate detection and diagnosis of periodontal conditions.