Comparison of periodontitis patients’ classification in the 2018 versus 1999 classification
Objectives We aimed to assess how the 2018 and 1999 classifications of periodontal diseases reflect (a) patients’ characteristics, (b) disease severity/extent/progression and (c) tooth loss (TL) during observation period. Methods A total of 251 patients were followed over 21.8 ± 6.2 years. For the 1...
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| Veröffentlicht in: | Journal of clinical periodontology 2019-09, Vol.46 (9), p.908-917 |
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| container_title | Journal of clinical periodontology |
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| creator | Graetz, Christian Mann, Lucas Krois, Joachim Sälzer, Sonja Kahl, Maren Springer, Claudia Schwendicke, Falk |
| description | Objectives
We aimed to assess how the 2018 and 1999 classifications of periodontal diseases reflect (a) patients’ characteristics, (b) disease severity/extent/progression and (c) tooth loss (TL) during observation period.
Methods
A total of 251 patients were followed over 21.8 ± 6.2 years. For the 1999 classification, using clinical attachment level (CAL), patients were classified as localized/generalized, mild/moderate/severe and aggressive/chronic periodontitis. For the 2018 classification, patients were staged according to their CAL or bone loss (BL) and the number of lost teeth (stages I–IV). Further factors like probing pocket depths (PPD) or furcation involvement modified the stage. The extent was sub‐classified as generalized/localized. Patients were graded according to the BL/age index, smoking and/or diabetes.
Results
According to the 1999 classification, most patients suffered from generalized severe chronic periodontitis (203/251) or generalized aggressive periodontitis (45/251). Patients with aggressive periodontitis were younger and less often female or smokers. They showed similar TL (0.25 ± 0.22 teeth/patient*year) as generalized severe chronic periodontitis patients (0.23 ± 0.25 teeth/patient*year). According to the 2018 classification, most patients were classified as generalized III‐C (140/251), III‐B (31/251) or IV‐C (64/251). Patients’ age, smoking status, CAL, PPD and BL were well reflected. TL differed between IV‐C (0.36 ± 0.47), generalized III‐C (0.21 ± 0.24) and localized forms (0.10–0.15).
Conclusions
Patients’ characteristics, disease severity/extent/progression and TL were well reflected by the 2018 classification. |
| doi_str_mv | 10.1111/jcpe.13157 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2233848097</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2273071318</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4237-10630551b2424c965a0d398b99ba7c7145fca27053bc002d12fce105bb9a7ed43</originalsourceid><addsrcrecordid>eNp90MtKxDAYhuEgio6HjRcgBTciVP8_aSbNUgaPDOhCwY2UNE0xQ6epSau48za8Pa_E6IwuXJhNIDx8hJeQXYQjjOd4pjtzhAy5WCEjHAOkwPF-lYyAAUvHUsgNshnCDAAFY2ydbDBETiMckYeJm3fK2-DaxNVJZ7x1lWt729uQdKq3pu3Dx9t7ohsVgq2tjm_R2jbpH01CAfPk2fgwhASllH_YNlmrVRPMzvLeIndnp7eTi3R6fX45OZmmOqNMpAhjBpxjSTOaaTnmCiom81LKUgktMOO1VlQAZ6UGoBXSWhsEXpZSCVNlbIscLHY7754GE_piboM2TaNa44ZQUMpYnuUgRaT7f-jMDb6Nv4tKMBAxZB7V4UJp70Lwpi46b-fKvxYIxVf04it68R094r3l5FDOTfVLfypHgAvwYhvz-s9UcTW5OV2MfgI3YYud</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2273071318</pqid></control><display><type>article</type><title>Comparison of periodontitis patients’ classification in the 2018 versus 1999 classification</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Graetz, Christian ; Mann, Lucas ; Krois, Joachim ; Sälzer, Sonja ; Kahl, Maren ; Springer, Claudia ; Schwendicke, Falk</creator><creatorcontrib>Graetz, Christian ; Mann, Lucas ; Krois, Joachim ; Sälzer, Sonja ; Kahl, Maren ; Springer, Claudia ; Schwendicke, Falk</creatorcontrib><description>Objectives
We aimed to assess how the 2018 and 1999 classifications of periodontal diseases reflect (a) patients’ characteristics, (b) disease severity/extent/progression and (c) tooth loss (TL) during observation period.
Methods
A total of 251 patients were followed over 21.8 ± 6.2 years. For the 1999 classification, using clinical attachment level (CAL), patients were classified as localized/generalized, mild/moderate/severe and aggressive/chronic periodontitis. For the 2018 classification, patients were staged according to their CAL or bone loss (BL) and the number of lost teeth (stages I–IV). Further factors like probing pocket depths (PPD) or furcation involvement modified the stage. The extent was sub‐classified as generalized/localized. Patients were graded according to the BL/age index, smoking and/or diabetes.
Results
According to the 1999 classification, most patients suffered from generalized severe chronic periodontitis (203/251) or generalized aggressive periodontitis (45/251). Patients with aggressive periodontitis were younger and less often female or smokers. They showed similar TL (0.25 ± 0.22 teeth/patient*year) as generalized severe chronic periodontitis patients (0.23 ± 0.25 teeth/patient*year). According to the 2018 classification, most patients were classified as generalized III‐C (140/251), III‐B (31/251) or IV‐C (64/251). Patients’ age, smoking status, CAL, PPD and BL were well reflected. TL differed between IV‐C (0.36 ± 0.47), generalized III‐C (0.21 ± 0.24) and localized forms (0.10–0.15).
Conclusions
Patients’ characteristics, disease severity/extent/progression and TL were well reflected by the 2018 classification.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/jcpe.13157</identifier><identifier>PMID: 31152600</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Aggressive Periodontitis ; Bone loss ; Chronic Periodontitis ; Classification ; Dentistry ; Diabetes mellitus ; Disease Progression ; Female ; Gum disease ; Humans ; Patients ; Periodontal Attachment Loss ; periodontal diagnostic ; Periodontal diseases ; periodontal therapy ; Periodontitis ; Smoking ; Teeth ; Tooth Loss ; treatment planning</subject><ispartof>Journal of clinical periodontology, 2019-09, Vol.46 (9), p.908-917</ispartof><rights>2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4237-10630551b2424c965a0d398b99ba7c7145fca27053bc002d12fce105bb9a7ed43</citedby><cites>FETCH-LOGICAL-c4237-10630551b2424c965a0d398b99ba7c7145fca27053bc002d12fce105bb9a7ed43</cites><orcidid>0000-0003-1223-1669 ; 0000-0002-9099-7750 ; 0000-0002-8316-0565</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjcpe.13157$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjcpe.13157$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31152600$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Graetz, Christian</creatorcontrib><creatorcontrib>Mann, Lucas</creatorcontrib><creatorcontrib>Krois, Joachim</creatorcontrib><creatorcontrib>Sälzer, Sonja</creatorcontrib><creatorcontrib>Kahl, Maren</creatorcontrib><creatorcontrib>Springer, Claudia</creatorcontrib><creatorcontrib>Schwendicke, Falk</creatorcontrib><title>Comparison of periodontitis patients’ classification in the 2018 versus 1999 classification</title><title>Journal of clinical periodontology</title><addtitle>J Clin Periodontol</addtitle><description>Objectives
We aimed to assess how the 2018 and 1999 classifications of periodontal diseases reflect (a) patients’ characteristics, (b) disease severity/extent/progression and (c) tooth loss (TL) during observation period.
Methods
A total of 251 patients were followed over 21.8 ± 6.2 years. For the 1999 classification, using clinical attachment level (CAL), patients were classified as localized/generalized, mild/moderate/severe and aggressive/chronic periodontitis. For the 2018 classification, patients were staged according to their CAL or bone loss (BL) and the number of lost teeth (stages I–IV). Further factors like probing pocket depths (PPD) or furcation involvement modified the stage. The extent was sub‐classified as generalized/localized. Patients were graded according to the BL/age index, smoking and/or diabetes.
Results
According to the 1999 classification, most patients suffered from generalized severe chronic periodontitis (203/251) or generalized aggressive periodontitis (45/251). Patients with aggressive periodontitis were younger and less often female or smokers. They showed similar TL (0.25 ± 0.22 teeth/patient*year) as generalized severe chronic periodontitis patients (0.23 ± 0.25 teeth/patient*year). According to the 2018 classification, most patients were classified as generalized III‐C (140/251), III‐B (31/251) or IV‐C (64/251). Patients’ age, smoking status, CAL, PPD and BL were well reflected. TL differed between IV‐C (0.36 ± 0.47), generalized III‐C (0.21 ± 0.24) and localized forms (0.10–0.15).
Conclusions
Patients’ characteristics, disease severity/extent/progression and TL were well reflected by the 2018 classification.</description><subject>Aggressive Periodontitis</subject><subject>Bone loss</subject><subject>Chronic Periodontitis</subject><subject>Classification</subject><subject>Dentistry</subject><subject>Diabetes mellitus</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Gum disease</subject><subject>Humans</subject><subject>Patients</subject><subject>Periodontal Attachment Loss</subject><subject>periodontal diagnostic</subject><subject>Periodontal diseases</subject><subject>periodontal therapy</subject><subject>Periodontitis</subject><subject>Smoking</subject><subject>Teeth</subject><subject>Tooth Loss</subject><subject>treatment planning</subject><issn>0303-6979</issn><issn>1600-051X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90MtKxDAYhuEgio6HjRcgBTciVP8_aSbNUgaPDOhCwY2UNE0xQ6epSau48za8Pa_E6IwuXJhNIDx8hJeQXYQjjOd4pjtzhAy5WCEjHAOkwPF-lYyAAUvHUsgNshnCDAAFY2ydbDBETiMckYeJm3fK2-DaxNVJZ7x1lWt729uQdKq3pu3Dx9t7ohsVgq2tjm_R2jbpH01CAfPk2fgwhASllH_YNlmrVRPMzvLeIndnp7eTi3R6fX45OZmmOqNMpAhjBpxjSTOaaTnmCiom81LKUgktMOO1VlQAZ6UGoBXSWhsEXpZSCVNlbIscLHY7754GE_piboM2TaNa44ZQUMpYnuUgRaT7f-jMDb6Nv4tKMBAxZB7V4UJp70Lwpi46b-fKvxYIxVf04it68R094r3l5FDOTfVLfypHgAvwYhvz-s9UcTW5OV2MfgI3YYud</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Graetz, Christian</creator><creator>Mann, Lucas</creator><creator>Krois, Joachim</creator><creator>Sälzer, Sonja</creator><creator>Kahl, Maren</creator><creator>Springer, Claudia</creator><creator>Schwendicke, Falk</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1223-1669</orcidid><orcidid>https://orcid.org/0000-0002-9099-7750</orcidid><orcidid>https://orcid.org/0000-0002-8316-0565</orcidid></search><sort><creationdate>201909</creationdate><title>Comparison of periodontitis patients’ classification in the 2018 versus 1999 classification</title><author>Graetz, Christian ; Mann, Lucas ; Krois, Joachim ; Sälzer, Sonja ; Kahl, Maren ; Springer, Claudia ; Schwendicke, Falk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4237-10630551b2424c965a0d398b99ba7c7145fca27053bc002d12fce105bb9a7ed43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aggressive Periodontitis</topic><topic>Bone loss</topic><topic>Chronic Periodontitis</topic><topic>Classification</topic><topic>Dentistry</topic><topic>Diabetes mellitus</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Gum disease</topic><topic>Humans</topic><topic>Patients</topic><topic>Periodontal Attachment Loss</topic><topic>periodontal diagnostic</topic><topic>Periodontal diseases</topic><topic>periodontal therapy</topic><topic>Periodontitis</topic><topic>Smoking</topic><topic>Teeth</topic><topic>Tooth Loss</topic><topic>treatment planning</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Graetz, Christian</creatorcontrib><creatorcontrib>Mann, Lucas</creatorcontrib><creatorcontrib>Krois, Joachim</creatorcontrib><creatorcontrib>Sälzer, Sonja</creatorcontrib><creatorcontrib>Kahl, Maren</creatorcontrib><creatorcontrib>Springer, Claudia</creatorcontrib><creatorcontrib>Schwendicke, Falk</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Graetz, Christian</au><au>Mann, Lucas</au><au>Krois, Joachim</au><au>Sälzer, Sonja</au><au>Kahl, Maren</au><au>Springer, Claudia</au><au>Schwendicke, Falk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of periodontitis patients’ classification in the 2018 versus 1999 classification</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2019-09</date><risdate>2019</risdate><volume>46</volume><issue>9</issue><spage>908</spage><epage>917</epage><pages>908-917</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Objectives
We aimed to assess how the 2018 and 1999 classifications of periodontal diseases reflect (a) patients’ characteristics, (b) disease severity/extent/progression and (c) tooth loss (TL) during observation period.
Methods
A total of 251 patients were followed over 21.8 ± 6.2 years. For the 1999 classification, using clinical attachment level (CAL), patients were classified as localized/generalized, mild/moderate/severe and aggressive/chronic periodontitis. For the 2018 classification, patients were staged according to their CAL or bone loss (BL) and the number of lost teeth (stages I–IV). Further factors like probing pocket depths (PPD) or furcation involvement modified the stage. The extent was sub‐classified as generalized/localized. Patients were graded according to the BL/age index, smoking and/or diabetes.
Results
According to the 1999 classification, most patients suffered from generalized severe chronic periodontitis (203/251) or generalized aggressive periodontitis (45/251). Patients with aggressive periodontitis were younger and less often female or smokers. They showed similar TL (0.25 ± 0.22 teeth/patient*year) as generalized severe chronic periodontitis patients (0.23 ± 0.25 teeth/patient*year). According to the 2018 classification, most patients were classified as generalized III‐C (140/251), III‐B (31/251) or IV‐C (64/251). Patients’ age, smoking status, CAL, PPD and BL were well reflected. TL differed between IV‐C (0.36 ± 0.47), generalized III‐C (0.21 ± 0.24) and localized forms (0.10–0.15).
Conclusions
Patients’ characteristics, disease severity/extent/progression and TL were well reflected by the 2018 classification.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>31152600</pmid><doi>10.1111/jcpe.13157</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1223-1669</orcidid><orcidid>https://orcid.org/0000-0002-9099-7750</orcidid><orcidid>https://orcid.org/0000-0002-8316-0565</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aggressive Periodontitis Bone loss Chronic Periodontitis Classification Dentistry Diabetes mellitus Disease Progression Female Gum disease Humans Patients Periodontal Attachment Loss periodontal diagnostic Periodontal diseases periodontal therapy Periodontitis Smoking Teeth Tooth Loss treatment planning |
| title | Comparison of periodontitis patients’ classification in the 2018 versus 1999 classification |
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