CLASSIFICATION OF

PERIODONTAL DISEASES

DIAN SETIAWATI
 INTRODUCTION

PURPOSE
DIAGNOSIS, PROGNOSIS AND TREATMENT
PLANNING
UNDERSTAND THE ETIOLOGY AND PATHOLOGY
OF THE DISEASES
FUTURE REFERENCES
COMMUNICATE AMONG CLINICIANS,
RESEARCHERS, EDUCATORS, STUDENTS,
EPIDEMIOLOGIST AND PUBLIC HEALTH
WORKERS
AMERICAN ACADEMY OF PERIODONTOLOGY
(1989)

I. ADULT PERIODONTITIS
II. EARLY ONSET PERIODONTITIS
A. PREPUBERTAL PERIODONTITIS
1. GENERALIZED
2. LOCALIZED
B. JUVENILE PERIODONTITIS
1. GENERALIZED
2. LOCALIZED
C. RAPIDLY PROGRESSIVE PERIODONTITIS
III. PERIODONTITIS ASSOCIATED WITH SYSTEMIC DISEASE
IV. NECROTIZING ULCERATIVE PERIODONTITIS
V. REFRACTORY PERIODONTITIS
 AMERICAN ACADEMY OF PERIODONTOLOGY
(AAP) 1999
I. GINGIVAL DISEASES
A. PLAQUE INDUCED
B. NON PLAQUE-INDUCED
II. CHRONIC PERIODONTITIS
A. LOCALIZED’
B. GENERALIZED
III. AGGRESSIVE PERIODONTITIS
A. LOCALIZED
B. GENERALIZED
IV. PERIODONTITIS AS A MANFESTATION OF SYSTEMIC DISEASE
V. NECROTIZING PERIODONTAL DISEASES
VI. PERIODONTITIS ASSOCIATED WITH ENDODONTIC LESIONS
VII. PERIODONTITIS ASSOCIATED WITH ENDODONTIC LESION
VIII. DEVELOPMENTAL OR ACQUIRED DEFORMITIES AND
CONDITIONS
GINGIVAL DISEASES
DENTAL PLAQUE INDUCED GINGIVAL DISEASES
GINGIVAL DISEASES MODIFIED BY SYSTEMIC FACTOR
 PERIODONTITIS

INFLAMMATORY DISEASE OF THE SUPPORTING

TISSUES OF THE TEETH CAUSED BY SPECIFIC
MICROORGANISMS OR GROUPS OF SPECIFIC
MICROORGANISMS, RESULTING IN
PROGRESSIVE DESTRUCTION OF THE
PERIODONTAL LIGAMENT AND ALVEOLAR BONE
WITH INCREASED PROBING DEPTH FORMATION,
RECESSION, OR BOTH.
 CHRONIC PERIODONTITIS

 PREVALENT  IN  ADULTS  BUT  CAN  OCCUR  IN 

CHILDREN
AMOUNT  OF  DESTRUCTION  CONSISTENT  WITH 
PRESENCE OF LOCAL RISK  FACTORS
SUBGINGIVAL  CALCULUS  FREQUENTLY  FOUND
 SLOW  TO  MODERATE RATE OF PROGRESSION (BUT
CAN HAVE PERIODS OF RAPID ATTACHMENT LOSS)
MAY BE MODIFIED BY SYSTEMIC DISEASES
CAN BE MODIFIED BY FACTORS SUCH AS SMOKING
AND STRESS
 LOCALIZED  FORM:  <30%  OF  SITES 
INVOLVED  
 GENERALIZED  FORM:  >30%  OF  SITES 
INVOLVED  

SEVERITY OF THE DISEASE

 SLIGHT:  1  TO  2  MM  OF  CAL
MODERATE:  3  TO  4  MM  OF  CAL
SEVERE:  ≥5  MM  OF  CAL
GENERALIZED CHRONIC PERIODONTITIS
 AGGRESSIVE PERIODONTITIS

A. LOCALIZED :
 ONSET AROUND PUBERTY
 FIRST MOLAR AND INCISOR INVOLVEMENT
 RAISED SERUM ANTIBODY RESPONSE TO PATHOGENS

B . GENERALIZED ;
 USUALLY UNDER 30 YEARS, BUT DOES OCCUR IN OLDER
PATIENTS
 POOR ANTIBODY RESPONSE TO PATHOGENS
 PRONOUNCE EPISODIC NATURE OF LOSS OF ATTACHMENT AND
ALVEOLAR BONE
 GENERALIZED INTERPROXIMAL ATTACHMENT LOSS AFFECTING
AT LEAST THREE PERMANENT TEETH (OTHER THAN FIRST
MOLAR AND INCISORS)
GENERALIZED AGGRESSIVE PERIODONTITIS
LOCALIZED AGGRESSIVE PERIODONTITIS
PERIODONTITIS AS A MANIFESTATION OF SYSTEMIC DISEASES
NECROTIZING PERIODONTAL DISEASES

NECROTIZING ULCERATIVE NECROTIZING ULCERATIVE

GINGIVITIS PERIODONTITIS
Treatmen plain emergency phase dental or periapical abscess
periodontal abses
other,like splinting
extraction of hoppeless tooth

Phase I therapy removal of calcullus and root planing

Etrotopic phase correction of restorative and prosthetic factors
temporary and final restorasion
antimicrobial therapy,oclusal therapy,minor orthodontic
movement,provesional splinting and prosthesis

Phase II therapy endodontic therapy pockets gingival

Surgical phase periodontal therapy gingival recession periodontal
implan therapy furcation involvement
other

Phase III therapy final restoration

Restorative phase fixed and/or removeble prosthodontics

Phase IV therapy periodic rechecking for

Maintenance phase - plaque and calculus
- gingival condition(pocket, inflamation)
- occlusion,tooth mobility
- other pathologic changes
THANK YOU