Manifestations of systemic diseases and conditions that affect the periodontal attachment apparatus: Case definitions and diagnostic considerations

Albandar, Jasim M.; Susin, Cristiano; Hughes, Francis J.

doi:10.1111/jcpe.12947

Cited by 120 publications

(94 citation statements)

References 96 publications

(135 reference statements)

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“…In the last 30 years, the classification of periodontitis has been repeatedly modified in an attempt to align it with emerging scientific evidence. The workshop agreed that, consistent with current knowledge on pathophysiology, three forms of periodontitis can be identified: necrotizing periodontitis , periodontitis as a manifestation of systemic disease , and the forms of the disease previously recognized as “chronic” or “aggressive”, now grouped under a single category, “periodontitis” . In revising the classification, the workshop agreed on a classification framework for periodontitis further characterized based on a multidimensional staging and grading system that could be adapted over time as new evidence emerges …”

Section: A New Classification Of Periodontitismentioning

confidence: 79%

“…The new classification of periodontal diseases and conditions also includes systemic diseases and conditions that affect the periodontal supporting tissues . It is recognized that there are rare systemic disorders, such as Papillon Lefèvre Syndrome, that generally result in the early presentation of severe periodontitis.…”

Section: Systemic Diseases Associated With Loss Of Periodontal Suppormentioning

confidence: 99%

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A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification

Caton

Armitage

Berglundh

et al. 2018

J Clinic Periodontology

868

664

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A classification scheme for periodontal and peri-implant diseases and conditions is necessary for clinicians to properly diagnose and treat patients as well as for scientists to investigate etiology, pathogenesis, natural history, and treatment of the diseases and conditions. This paper summarizes the proceedings of the World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions. The workshop was co-sponsored by the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) and included expert participants from all over the world. Planning for the conference, which was held in Chicago on November 9 to 11, 2017, began in early 2015. An organizing committee from the AAP and EFP commissioned 19 review papers and four consensus reports covering relevant areas in periodontology and implant dentistry. The authors were charged with updating the 1999 classification of periodontal diseases and conditions and developing a similar scheme for peri-implant diseases and conditions. Reviewers and workgroups were also asked to establish pertinent case definitions and to provide diagnostic criteria to aid clinicians in the use of the new classification. All findings and recommendations of the workshop were agreed to by consensus. This introductory paper presents an overview for the new classification of periodontal and peri-implant diseases and conditions, along with a condensed scheme for each of four workgroup sections, but readers are directed to the pertinent consensus reports and review papers for a thorough discussion of the rationale, criteria, and interpretation of the proposed classification. Changes to the 1999 classification are highlighted and discussed. Although the intent of the workshop was to base classification on the strongest available scientific evidence, lower level evidence and expert opinion were inevitably used whenever sufficient research data were unavailable. The scope of this workshop was to align and update the classification scheme to the current understanding of periodontal and peri-implant diseases and conditions. This introductory overview presents the schematic tables for the new classification of periodontal and peri-implant diseases and conditions and briefly highlights changes made to the 1999 classification. It cannot present the wealth of information included in the reviews, case definition papers, and consensus reports that has guided the development of the new classification, and reference to the consensus and case definition papers is necessary to provide a thorough understanding of its use for either case management or scientific investigation. Therefore, it is strongly recommended that the reader use this overview as an introduction to these subjects. Accessing this publication online will allow the reader to use the links in this overview and the tables to view the source papers (Table ).

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Section: A New Classification Of Periodontitismentioning

confidence: 79%

Section: Systemic Diseases Associated With Loss Of Periodontal Suppormentioning

confidence: 99%

A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification

Caton

Armitage

Berglundh

et al. 2018

J Clinic Periodontology

868

664

View full text Add to dashboard Cite

show abstract

“…United States Centers for Disease Control and Prevention (CDC) published that over 50% of people aged over 30 years suffered from periodontitis . It is now recognized that chronic inflammatory conditions which characterize periodontal diseases share comparable etiological patterns and risk factors with others systemic diseases such as endocrine or metabolic disorders and inflammatory diseases . Periodontal diseases were also described to have potential repercussions on physiopathological conditions such as cardiovascular diseases and also adverse pregnancy outcomes .…”

Section: Introductionmentioning

confidence: 99%

Cationic antimicrobial peptides and periodontal physiopathology: A systematic review

Jourdain

Velard

Pierrard

et al. 2019

J of Periodontal Research

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The purpose of this systematic review was to establish if patients suffering from periodontal diseases present differences in the expression or production of cationic antimicrobial peptides in saliva, gingival fluid, and periodontal tissues. Periodontal diseases are among the most common chronic diseases worldwide and share similar etiological or risk factors (genetic and/or environmental) with other systemic disorders. Over the last decade, an increasing number of publications have suggested the implication of antimicrobial peptides (AMPs) in periodontal and oral tissues conditions. Literature searches were conducted through MEDLINE‐PubMed and EMBASE databases which identified 1267 publications. Only clinical studies that focused on assays of the expression and/or production of AMPs in human adult oral fluids (gingival crevicular fluid or saliva) or in oral tissues were retained and finally seventy‐four publications meeting inclusion criteria were included. Cathelicidin, α‐ and β‐defensins 1‐3 are the most documented AMPs regarding periodontal status. Significant correlations between clinical periodontal indexes (PD, CAL) and/or bacteriological index and LL37 level were retrieved. Data remain inconsistent between the studies for hBDs mainly due to heterogeneity of the results, periodontal disease diagnostic criteria and assaying technique employed. Given their role in innate immunity and their antimicrobial functions, LL‐37 and α‐defensins may be eligible as periodontal clinical biomarkers and could be an interesting way for therapeutic development.

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“…The gingival epithelial cells, on exposure to PMs related to PD, actively express defence mechanisms. Nearly twenty genetic disorders connected to PD have been identified so far and are associated with the expression of host defence mechanisms [5]. …”

Section: Introductionmentioning

confidence: 99%

“…It miraculously neutralises the activity of lipopolysaccharides, helping to protect the tissues from their harmful effects. They maintain a balance between pro- and anti-inflammatory mediators at the time of lipopolysaccharides attack [5]. …”

Section: Introductionmentioning

confidence: 99%

Silver-Based Chemical Device as an Adjunct of Domestic Oral Hygiene: A Study on Periodontal Patients

et al. 2018

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The use of chemical devices for periodontitis treatment has led to new strategies aiming primarily to control infections. Over the last few years, new chemical devices have been subjected to many scientific and medical studies. The purpose of the present study was to assess the effect of a new silver based chemical devices gel named “Hydrosilver Plus Gel”, abbreviated here as Hydrosilver, on the pathogenic microorganisms, using Polymerase Chain Reaction (PCR) for microbiological analysis. Materials and methods: Ten patients with a diagnosis of chronic periodontitis in the age group >25 years were selected. None of these patients had received any surgical or non-surgical periodontal therapy, and demonstrated radiographic evidence of moderate bone loss. After scaling and root planning, patients received Hydrosilver to be used at home. Four non-adjacent sites in separate quadrants were selected in each patient for monitoring, based on criteria that the sites localise chronic periodontitis. Microbial analysis was analysed at baseline and at Day 15. SPSS program was used for statistical purposes and a paired samples correlation was performed at the end of the observation period. Results: Mean amounts of bacterial loading before and after Hydrosilver treatment reduced statistically significantly (p = 0.002). Conclusions: The present study demonstrated that Hydrosilver has a good impact on oral biofilm. Additional studies are needed to detect the efficacy of this chemical device.

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Manifestations of systemic diseases and conditions that affect the periodontal attachment apparatus: Case definitions and diagnostic considerations

Cited by 120 publications

References 96 publications

A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification

A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification

Cationic antimicrobial peptides and periodontal physiopathology: A systematic review

Silver-Based Chemical Device as an Adjunct of Domestic Oral Hygiene: A Study on Periodontal Patients

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