Department of Periodontology, Faculty of Health Sciences, Aarhus University, Aarhus, Denmark.
Community Dent Oral Epidemiol. 2012 Oct;40(5):385-95. doi: 10.1111/j.1600-0528.2012.00677.x. Epub 2012 Feb 23.
This paper examines the common approach used to classify periodontal diseases and how this obstructs our understanding of the disease process. We address the implications of including etiological and pathogenesis-related considerations in the classifications of complex diseases like periodontitis and argue that the number of periodontal entities in a classification system ought to be determined by well-documented differences in the management of each entity. We finally discuss how an ecosocial theory of disease distribution can be helpful to understand the determinants of the distribution of disease in the population.
本文探讨了常用于牙周病分类的方法，以及这种方法如何阻碍我们对疾病过程的理解。我们讨论了在牙周炎等复杂疾病的分类中纳入病因和发病机制相关考虑因素的意义，并认为分类系统中牙周实体的数量应取决于每个实体在管理方面有充分记录的差异。最后，我们讨论了疾病分布的生态社会理论如何有助于理解人群中疾病分布的决定因素。
