Principales Criterios de Diagnóstico de la Nueva Clasificación de Enfermedades y Condiciones Periodontales

Abstract

RESUMEN: Tener una clasificación de enfermedades periodontales es de gran utilidad para los clínicos al brindar una guía sistematizada de las distintas manifestaciones de los problemas periodontales. La nueva clasificación de enfermedades y condiciones periodontales de 2017 tiene como una de sus características principales la agrupación de la periodontitis con estadios y grados, como manifestación de enfermedades sistémicas y enfermedades periodontales necrosantes; así como la introducción de un apartado que habla de salud y enfermedad peri-implantaria. En el caso de la periodontitis, el estadio se refiere a la severidad de la enfermedad y la complejidad del tratamiento; mientras que el grado se refiere al ritmo del progreso y riesgo de recidiva de la enfermedad, en este trabajo se ofrece una ruta de diagnóstico didáctica y se desarrollan las principales diferencias entre las últimas dos clasificaciones, al tiempo que compartimos la experiencia al implementar esta nueva clasificación en nuestro instituto.

Relationship between type 2 diabetes and periodontitis

“…During the 2 decades that this classification was in use, physicians, researchers, epidemiologists, among other specialists in the area expressed the difficulty in differentiating between cases of chronic and aggressive periodontitis, but it was thanks to scientific advances and a more detailed understanding of periodontal disease that led to the proposal of a new classification at the 2017 World Workshop that encompasses health, gingivitis and periodontitis, was published in 2018. 8,16,17 The current classification is based on the use of stages and grades for diagnosis, the staging used in oncology, considers the observable clinical presentation communicating the current severity and extent of the disease and has been adapted to periodontitis, having as goals to classify by stages the severity and complexity and by grades the progress and severity of the disease and four stages and three grades have been determined where diabetes is considered as a risk factor in the progression of periodontitis (Tables 1 and 2). 8,17…”

“…8,16,17 The current classification is based on the use of stages and grades for diagnosis, the staging used in oncology, considers the observable clinical presentation communicating the current severity and extent of the disease and has been adapted to periodontitis, having as goals to classify by stages the severity and complexity and by grades the progress and severity of the disease and four stages and three grades have been determined where diabetes is considered as a risk factor in the progression of periodontitis (Tables 1 and 2). 8,17…”