Mean annual attachment, bone level, and tooth loss: A systematic review

Needleman, Ian; García, Raúl I.; Gkranias, Nikolaos; Kirkwood, Keith L.; Kocher, Thomas; Iorio, Anna Di; Moreno, Federico; Petrie, Aviva

doi:10.1111/jcpe.12943

Cited by 55 publications

(40 citation statements)

References 67 publications

(375 reference statements)

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“…According to a systematic review and meta-analysis of prospective studies on periodontitis progression, the average mean CAL loss was 0.1 mm/year. 34 Therefore, the mean CAL difference of 0.3 mm reported in the previous systemic review 4 and in our study is clinically relevant.…”

Section: Discussionsupporting

confidence: 67%

Significant association between skeletal bone mineral density and moderate to severe periodontitis in fair oral hygiene individuals

Mongkornkarn

Suthasinekul

Sritara

et al. 2019

J of Invest & Clin Dent

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Aim This cross‐sectional study aimed to investigate the association between skeletal bone mineral density (BMD) and periodontitis in Thai adults and elders. Methods This study comprised 3282 participants aged 30‐82 years. BMD was assessed at 3 skeletal sites using dual‐energy X‐ray absorptiometry. Each participant's BMD status was classified as normal, osteopenia or osteoporosis. Periodontal assessments were the number of remaining teeth, plaque score, probing depth and clinical attachment level (CAL). The participants were classified into no/mild or moderate/severe periodontitis groups. The mean periodontal variables between BMD categories were compared. The association between the BMD status and moderate/severe periodontitis was analyzed using binary logistic regression. Results Among the BMD categories, the greatest mean CAL and the lowest mean number of remaining teeth were found in the osteoporosis group. The mean CAL difference between the osteoporosis and normal BMD groups was 0.3 mm. In 337 participants with a plaque score of less than 40%, there was a significant association between osteoporosis and moderate/severe periodontitis. Conclusion Skeletal BMD in the osteoporosis range was associated with moderate/severe periodontitis in individuals with fair oral hygiene, suggesting the benefit of special attention to the skeletal bone health of these individuals.

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Section: Discussionsupporting

confidence: 67%

Significant association between skeletal bone mineral density and moderate to severe periodontitis in fair oral hygiene individuals

Mongkornkarn

Suthasinekul

Sritara

et al. 2019

J of Invest & Clin Dent

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“…To update evidence that has accumulated since the latest classification workshop, the organizing committee commissioned a review on acute periodontal lesions including necrotizing periodontitis, 12 a review of manifestations of systemic diseases that affect the periodontal attachment apparatus, 13 and three position papers that are relevant to the discussion of aggressive and chronic periodontitis. [14][15][16] The position papers that addressed aggressive and chronic periodontitis reached the following overarching conclusions relative to periodontitis:…”

Section: Summary and Interpre Tati On Of E Viden Ce From Current Workmentioning

confidence: 99%

“…28 One major limitation in the implementation of this knowledge has been the assumption that such forms of periodontitis represent different entities and thus focus has been placed on identification of the form rather than the factors contributing to progression. The reviews commissioned for this workshop [13][14][15][16] have indicated that there is no evidence to suggest that such forms of periodontitis have a unique pathophysiology, rather the complex interplay of risk factors in a multifactorial disease model may explain the phenotypes of periodontitis in exposed patients. In this context, it seems useful to provide a framework for implementation of biological grade (risk or actual evidence of progression) of periodontitis.…”

Section: Grade Of Periodontitismentioning

confidence: 99%

Staging and grading of periodontitis: Framework and proposal of a new classification and case definition

Tonetti

Greenwell

Kornman

2018

J Clinic Periodontology

886

913

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The paper describes a simple matrix based on stage and grade to appropriately define periodontitis in an individual patient. The proposed case definition extends beyond description based on severity to include characterization of biological features of the disease and represents a first step towards adoption of precision medicine concepts to the management of periodontitis. It also provides the necessary framework for introduction of biomarkers in diagnosis and prognosis.

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“…necrotizing periodontitis, 15 periodontitis as a manifestation of systemic disease, 16 and the forms of the disease previously recognized as "chronic" or "aggressive", now grouped under a single category, "periodontitis". 14,[17][18][19][20] 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 (Table 3). For a complete description of the new classification scheme for periodontitis, the reader is directed to the consensus report on periodontitis 14 and the case definition paper on periodontitis.…”

Section: Ta B L Ementioning

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

1,032

772

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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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Mean annual attachment, bone level, and tooth loss: A systematic review

Cited by 55 publications

References 67 publications

Significant association between skeletal bone mineral density and moderate to severe periodontitis in fair oral hygiene individuals

Significant association between skeletal bone mineral density and moderate to severe periodontitis in fair oral hygiene individuals

Staging and grading of periodontitis: Framework and proposal of a new classification and case definition

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

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