Mittal Vishnu, Bhullar Raman Preet K, Bansal Rachita, Singh Karanprakash, Bhalodi Anand, Khinda Paramjit K
Departments of Periodontics, Genesis Institute of Dental Sciences and Research, Ferozepur, India.
Department of Oral and Maxillofacial Pathology, Genesis Institute of Dental Sciences and Research, Ferozepur, India.
Dent Res J (Isfahan). 2013 Nov;10(6):697-703.
The Diagnosis and classification of periodontal diseases has remained a dilemma since long. Two distinct concepts have been used to define diseases: Essentialism and Nominalism. Essentialistic concept implies the real existence of disease whereas; nominalistic concept states that the names of diseases are the convenient way of stating concisely the endpoint of a diagnostic process. It generally advances from assessment of symptoms and signs toward knowledge of causation and gives a feasible option to name the disease for which etiology is either unknown or it is too complex to access in routine clinical practice. Various classifications have been proposed by the American Academy of Periodontology (AAP) in 1986, 1989 and 1999. The AAP 1999 classification is among the most widely used classification. But this classification also has demerits which provide impediment for its use in day to day practice. Hence a classification and diagnostic system is required which can help the clinician to access the patient's need and provide a suitable treatment which is in harmony with the diagnosis for that particular case. Here is an attempt to propose a practicable classification and diagnostic system of periodontal diseases for better treatment outcome.
长期以来，牙周疾病的诊断和分类一直是个难题。有两种不同的概念用于定义疾病：本质主义和唯名论。本质主义概念意味着疾病的真实存在，而唯名论概念则指出疾病的名称是简洁表述诊断过程终点的便捷方式。它通常从症状和体征的评估推进到对病因的了解，并为病因不明或在常规临床实践中过于复杂难以探究的疾病命名提供了可行选择。美国牙周病学会（AAP）在1986年、1989年和1999年提出了各种分类方法。1999年AAP分类是使用最广泛的分类之一。但这种分类也有缺点，阻碍了其在日常实践中的应用。因此，需要一种分类和诊断系统，帮助临床医生了解患者的需求，并提供与该特定病例诊断相匹配的合适治疗方法。以下是尝试提出一种可行的牙周疾病分类和诊断系统，以获得更好的治疗效果。
