Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions
Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions
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DOI：
10.1002/jper.17-0721
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发表时间：
2018-06-01
影响因子：
4.3
通讯作者：
Tonetti, Maurizio S.
中科院分区：
文献类型：
--
作者：
Papapanou, Panos N.;Sanz, Mariano;Tonetti, Maurizio S.
采用了新的牙周炎分类方案，其中以前被认为是“慢性”或“侵袭性”的疾病形式现在被归为一个类别（“牙周炎”），并根据多维分期和分级系统进一步表征。分期很大程度上取决于疾病的严重程度以及疾病管理的复杂性，而分级提供了有关疾病生物学特征的补充信息，包括基于病史的牙周炎进展率分析；评估进一步进展的风险；分析治疗可能出现的不良结果；坏死性牙周病，其典型的临床表型包括典型特征（乳头坏死、出血和疼痛），并与宿主免疫反应损伤相关，仍然是一个独特的牙周炎类别。牙髓-牙周病变，由给定牙齿的牙髓和牙周组织之间的病理学联系定义，以急性或慢性形式发生，并根据对其预后和治疗有直接影响的体征和症状。牙周脓肿被定义为急性病变，其特征是牙周袋/沟龈壁内局部脓液积聚、组织快速破坏，并与全身传播风险相关。
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.