Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jun 28;16(6):e63423.
doi: 10.7759/cureus.63423. eCollection 2024 Jun.

Clinical Incorporation of the 2017 Classification of Periodontal Diseased Conditions: Part I (Diagnosis of Periodontitis Involving Data From 4,993 Patients)

Priyanka T G  1 , Ashwini Athul  1 , Harini D  1 , Shiba Thasneem  1 , Nasser I  1 , Cyril Benedict  2 , Anitha Vijayarangan  1 , Ashwath Balachandran  1 , Shanmugam Muthukali  1
Affiliations

Clinical Incorporation of the 2017 Classification of Periodontal Diseased Conditions: Part I (Diagnosis of Periodontitis Involving Data From 4,993 Patients)

Priyanka T G et al. Cureus. .

Abstract

Background The new classification system for periodontal and peri-implant diseases mentioned a few key points, including (1) "clinical gingival health," which was defined for the first time, and (2) staging and grading system. Thus, the present study defines the practicability of using the current classification system in day-to-day practice. Aim The primary aim of this study is to determine the effectiveness of the new classification system for periodontal and peri-implant diseases and its application in routine dental practices. Materials and methods This is a cross-sectional retrospective, non-interventional study consisting of 4,993 patients who were under active periodontal therapy as well as supportive periodontal therapy. Results Among patients diagnosed with dental biofilm-induced gingivitis with no underlying risk factors, 1105 (73.3%) exhibited bleeding on probing and 897 (45%) showed supragingival or subgingival calculus. Among the stage II grade B periodontitis group, 488 (28.9%) showed beginning destructive periodontal disease and 197 (50.4%) showed established destructive periodontal disease. Conclusion The implementation of the new classification system in routine dental practice has been readily accepted by clinicians. Staging and grading system of classification helps in assessing the severity, extent, and progression of disease.

Keywords: chronic gingivitis; classification; dental diagnosis; peri-implantitis; periodontitis.

PubMed Disclaimer

Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Institutional Human Ethical Committee (IHEC), Chettinad Academy of Research and Education, Kelambakkam issued approval IHEC – II/0305/23. The Institutional Human Ethical Committee (IHEC), Chettinad Academy of Research and Education, Kelambakkam has reviewed the proposal titled "Clinical incorporation of the 2017 classification of periodontal diseased conditions – a retrospective cross sectional study Part I: Diagnosis of periodontitis involving data from 4993 patients" and approved on 6th February, 2023. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Study design
Figure 2
Figure 2. The percentage distribution of probing pocket depth (deep pockets > 7 mm) among different periodontal diagnostic groups
Figure 3
Figure 3. The percentage distribution of bleeding on probing among the different periodontal diagnostic groups
See this image and copyright information in PMC

References

    1. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Chapple IL, Mealey BL, Van Dyke TE, et al. J Periodontol. 2018;89 Suppl 1:0–84. - PubMed
    1. BSP implementation of the 2017 classification of periodontal diseases: a practice retrospective [Online ahead of print] Claydon N, Thomas DW, Adams RJ, West N, Hodge S. Br Dent J. 2022 - PubMed
    1. Periodontal diagnosis in the context of the 2017 classification system of periodontal diseases and conditions - implementation in clinical practice. Dietrich T, Ower P, Tank M, et al. Br Dent J. 2019;226:16–22. - PubMed
    1. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. Caton JG, Armitage G, Berglundh T, et al. J Clin Periodontol. 2018;45 Suppl 20:0–8. - PubMed
    1. Periodontitis: consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Papapanou PN, Sanz M, Buduneli N, et al. J Clin Periodontol. 2018;45 Suppl 20:0–70. - PubMed

LinkOut - more resources