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2017年牙周疾病状况分类的临床应用:第一部分(涉及4993例患者数据的牙周炎诊断)

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

作者信息

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

机构信息

Periodontics, Chettinad Dental College and Research Institute, Chennai, IND.

Public Health Dentistry, Chettinad Dental College and Research Institute, Chennai, IND.

出版信息

Cureus. 2024 Jun 28;16(6):e63423. doi: 10.7759/cureus.63423. eCollection 2024 Jun.

DOI:10.7759/cureus.63423
PMID:39077300
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11284269/
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.

摘要

背景

牙周和种植体周围疾病的新分类系统提到了几个关键点,包括(1)首次定义的“临床牙龈健康”,以及(2)分期和分级系统。因此,本研究确定了在日常实践中使用当前分类系统的实用性。

目的

本研究的主要目的是确定牙周和种植体周围疾病新分类系统的有效性及其在常规牙科实践中的应用。

材料和方法

这是一项横断面回顾性非干预性研究,由4993名正在接受积极牙周治疗以及支持性牙周治疗的患者组成。

结果

在诊断为无潜在危险因素的牙菌斑诱导型牙龈炎的患者中,1105例(73.3%)探诊出血,897例(45%)有龈上或龈下牙石。在II期B级牙周炎组中,488例(28.9%)出现早期破坏性牙周疾病,197例(50.4%)出现已确诊的破坏性牙周疾病。

结论

新分类系统在常规牙科实践中的实施已被临床医生欣然接受。分类的分期和分级系统有助于评估疾病的严重程度、范围和进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb0/11284269/89d0e92e9930/cureus-0016-00000063423-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb0/11284269/0d143fec624d/cureus-0016-00000063423-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb0/11284269/10d0b2c4c8f3/cureus-0016-00000063423-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb0/11284269/89d0e92e9930/cureus-0016-00000063423-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb0/11284269/0d143fec624d/cureus-0016-00000063423-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb0/11284269/10d0b2c4c8f3/cureus-0016-00000063423-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb0/11284269/89d0e92e9930/cureus-0016-00000063423-i03.jpg

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本文引用的文献

1
Ease and practicability of the 2017 classification of periodontal diseases and conditions: a study of dental electronic health records.牙周病和状况分类 2017 年版的简易性和实用性:一项牙科电子健康记录研究。
BMC Oral Health. 2024 May 28;24(1):621. doi: 10.1186/s12903-024-04385-5.
2
BSP implementation of the 2017 classification of periodontal diseases: a practice retrospective.2017年牙周疾病分类的BSP实施:一项实践回顾
Br Dent J. 2022 Nov 25. doi: 10.1038/s41415-022-5220-8.
3
Majors highlights of the new 2017 classification of periodontal and peri-implant diseases and conditions.
2017年牙周病和种植体周围疾病及状况新分类的主要亮点。
Saudi Dent J. 2019 Jul;31(3):303-305. doi: 10.1016/j.sdentj.2019.04.006. Epub 2019 Apr 23.
4
Comparison of periodontitis patients' classification in the 2018 versus 1999 classification.2018 年分类法与 1999 年分类法中牙周炎患者分类的比较。
J Clin Periodontol. 2019 Sep;46(9):908-917. doi: 10.1111/jcpe.13157. Epub 2019 Jun 28.
5
Periodontal diagnosis in the context of the 2017 classification system of periodontal diseases and conditions - implementation in clinical practice.牙周病分类系统(2017 版)下的牙周病诊断——临床实践中的应用。
Br Dent J. 2019 Jan 11;226(1):16-22. doi: 10.1038/sj.bdj.2019.3.
6
Staging and grading of periodontitis: Framework and proposal of a new classification and case definition.牙周炎的分期和分级:新分类和病例定义的框架和建议。
J Periodontol. 2018 Jun;89 Suppl 1:S159-S172. doi: 10.1002/JPER.18-0006.
7
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.牙周健康和牙龈疾病及状况在完整和减少的牙周组织中的表现:2017 年世界牙周病和种植体周围疾病分类研讨会第 1 工作组的共识报告。
J Periodontol. 2018 Jun;89 Suppl 1:S74-S84. doi: 10.1002/JPER.17-0719.
8
Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions.系统疾病及发育和获得性状况的牙周表现:2017 年牙周病和种植体周围病分类世界研讨会第 3 工作组的共识报告。
J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733.
9
Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions.种植体周围疾病和状况:2017 年牙周病和种植体周围病分类世界研讨会第 4 工作组的共识报告。
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Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions.牙周炎:2017 年牙周病和种植体周围疾病分类世界研讨会工作组 2 的共识报告。
J Clin Periodontol. 2018 Jun;45 Suppl 20:S162-S170. doi: 10.1111/jcpe.12946.