A new classification of periodontal and peri-implant disease

Shin,  Hyun-Seung

doi:2019.57.12.758

J Korean Dent Assoc > Volume 57(12); 2019 > Article

Journal of Korean Dental Association 2019;57(12):758-767.
DOI: https://doi.org/10.22974/jkda.2019.57.12.004 Published online December 31, 2019.

치주질환 및 임플란트 주위 질환의 새 분류

신현승

단국대학교 치과대학 치주과학교실

A new classification of periodontal and peri-implant disease

Hyun-Seung Shin

Department of Periodontology, College of Dentistry, Dankook University

Abstract

The classification of periodontal disease in 1999 has been widely used for determining a diagnosis, establishing a treatment plan, and evaluating the prognosis of the patient with periodontal disease. However, scientific evidence from many studies indicates the need for a new classification system for periodontal and peri-implant disease. Summary at 2017 world workshop as follows: 1) Periodontal health and peri-implant health was defined; 2) Chronic periodontitis and aggressive periodontitis were unified as periodontitis; 3) Periodontitis was further classified by staging and grading to reflect disease severity and management complexity, rate of disease progression, respectively; 4) Periodontal disease as manifestation of systemic disease is based on the International Statistical Classification of Diseases and Related Health Problems-10 (ICD-10) code; 5) Periodontal biotype and biologic width was replaced to periodontal phenotype and supracrestal tissue attachment, respectively; 6) The excessive occlusal force was replaced by a traumatic occlusal force; 7) ≥3 mm of radiographic bone loss, ≥6 mm of pocket probing depth and bleeding on probing indicates peri-implantitis in the absence of radiograph at final prosthesis delivery.

Key Words: classification;gingivitis;periodontitis;periodontal disease;peri-implant mucositis;peri-implantitis;periimplant disease;