치주질환 및 임플란트 주위 질환의 새 분류

A new classification of periodontal and peri-implant disease

  • 신현승 (단국대학교 치과대학 치주과학교실)
  • Shin, Hyun-Seung (Department of Periodontology, College of Dentistry, Dankook University)
  • 발행 : 2019.11.30

초록

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.

키워드

참고문헌

  1. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann periodontol 1999;4(1):1-6. https://doi.org/10.1902/annals.1999.4.1.1
  2. American academy of periodontology task force report on the update to the 1999 classification of periodontal diseases and conditions. J Periodontol 2015;86(7):835-838. https://doi.org/10.1902/jop.2015.157001
  3. Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol 2018;45 Suppl 20:S1-S8. https://doi.org/10.1111/jcpe.12935
  4. Lang NP, Bartold PM. Periodontal health. J Clin Periodontol 2018; 45 Suppl 20:S9-S16. https://doi.org/10.1111/jcpe.12936
  5. Trombelli L, Farina R, Silva CO, et al. Plaque-induced gingivitis: Case definition and diagnostic considerations. J Clin Periodontol 2018;45 Suppl 20:S44-S67. https://doi.org/10.1111/jcpe.12939
  6. Wikner S, Soder PO, Frithiof L, et al. The approximal bone height and intrabony defects in young adults, related to the salivary buffering capacity and counts of Streptococcus mutans and lactobacilli. Arch Oral Biol 1990;35 Suppl:S213-S215. https://doi.org/10.1016/0003-9969(90)90161-3
  7. Chapple ILC, Mealey BL, Van Dyke TE, et al. 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. J Clin Periodontol 2018;45 Suppl 20:S68-S77. https://doi.org/10.1111/jcpe.12940
  8. Papapanou PN, Sanz M, Buduneli N, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol 2018;45:Suppl 20:S162-S170. https://doi.org/10.1111/jcpe.12946
  9. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Clin Periodontol 2018;45:Suppl 20:S149-S161. https://doi.org/10.1111/jcpe.12945
  10. Albandar JM, Susin C, Hughes FJ. Manifestations of systemic diseases and conditions that affect the periodontal attachment apparatus: Case definitions and diagnostic considerations. J Clin Periodontol 2018;45:Suppl 20:S171-S189. https://doi.org/10.1111/jcpe.12947
  11. Jepsen S, Caton JG, Albandar JM, et al. 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. In: J Clin Periodontol 2018;45:Suppl 20:S219-S229. https://doi.org/10.1111/jcpe.12951
  12. Tomasi C, Tessarolo F, Caola I, et al. Morphogenesis of peri-implant mucosa revisited: An experimental study in humans. Clin Oral Implants Res 2014;25(9):997-1003. https://doi.org/10.1111/clr.12223
  13. Etter TH, Hakanson I, Lang NP, et al. Healing after standardized clinical probing of the perlimplant soft tissue seal: A histomorphometric study in dogs. Clin Oral Implants Res 2002;13(6):571-580. https://doi.org/10.1034/j.1600-0501.2002.130601.x
  14. Salvi GE, Aglietta M, Eick S, et al. Reversibility of experimental peri-implant mucositis compared with experimental gingivitis in humans. Clin Oral Implants Res 2012;23(2):182-190. https://doi.org/10.1111/j.1600-0501.2011.02220.x
  15. Renvert S, Persson GR, Pirih FQ, et al. Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations. J Clin Periodontol 2018;45:Suppl 20:S278-S285. https://doi.org/10.1111/jcpe.12956