CLASSIFICATION OF PERIODONTAL DISEASES

Dr. Feryal Khlayfat Periodontist

Current Classification
Latest classification was developed by the American Academy of Periodontology (AAP) in 1999.

 In order to understand the new classification, we must review some older classifications. Knowledge of the clinical features of periodontal diseases

Famous Classifications
Carranza
1. Periodontitis
A. Slowly progressive periodontitis B. Rapidly progressive periodontitis 1) Adult onset periodontitis 2) Early onset periodontitis
a. Prepubertal periodontitis b. Juvenile periodontitis

C. Necrotising ulcerative periodontitis D. Refractory periodontitis 2. Trauma from occlusion 3. Periodontal atrophy 4. Periodontal manifestations of systemic diseases

New Classification
Gingival Diseases

Periodontal Diseases

Notes
Gingivitis on a periodontium with attachment loss that is stable & not progressing Periodontitis is further classified on the basis of extent & severity

Chronic Periodontitis
Localised
< 30% of sites involved

Slight
1-2 mm CAL (average)

Generalised
> 30% of sites involved

Moderate
3-4 mm CAL

Severe
> 5 mm CAL

Aggressive Periodontitis
Localised
1st molar OR incisor disease i.e: localised proximal attachment loss on at least 2 permanent teeth, one of which is a 1st molar

Generalised
Proximal attachment loss affecting at least 3 teeth other than 1st molars and incisors

Gingivitis Associated With Dental Plaque

Marginal gingivits

Papillary Gingivits

Diffuse Gingivitis

Gingivitis Associated With Local Factors: Calculus

Smoking

Pregnancy

Phenytoin Enlargement

Cyclosporine Enlargement

Vitamin C Deficiency

Gingival Recession

Primary Herpetic Gingivostomatitis

Herpes Zoster

Candidosis

Hereditary Gingival Fibromatosis

Desquamative Gingivits

Allergic Gingivitis

Chemical Injury

Physical Injury

Chronic Periodontitis

Mild

Moderate

Severe

Aggressive Periodontitis

Localised Aggressive Periodontitis

Generalised Aggressive Periodontitis

Periodontal Abscess