Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI.
Clin Adv Periodontics. 2021 Jun;11(2):111-115. doi: 10.1002/cap.10153. Epub 2021 Mar 14.
How to best classify the Stage III and IV periodontitis cases that share common features of the most severe clinical attachment loss and the most severe radiographic bone loss?
Two patients presented features of generalized periodontitis, with severe probing depth and clinical attachment loss that would meet inclusion in both Stage III and IV. The cases retained all teeth but were further complicated by teeth drifting and secondary occlusal trauma. Appropriate disease classification required clinical judgement and led to the final classification of Stage III, Grade C for both cases.
Patient-based clinical judgement, aiming for long-term preservation of natural dentition, drives the final assignment of staging when the case falls in the "gray zone" that focuses on major differences in Stage III and IV periodontitis.
如何最好地对具有最严重临床附着丧失和最严重影像学骨丧失的共同特征的 III 期和 IV 期牙周炎病例进行分类？
两名患者均表现为广泛性牙周炎特征，探诊深度和临床附着丧失严重，符合 III 期和 IV 期的纳入标准。这些病例保留了所有牙齿，但由于牙齿漂移和继发性咬合创伤而变得更加复杂。适当的疾病分类需要临床判断，并最终将两个病例均归类为 III 期，C 级。
以长期保留天然牙为目标的基于患者的临床判断，在病例处于关注 III 期和 IV 期牙周炎主要差异的“灰色地带”时，决定最终分期的分配。
