![]() 8 The host response to the bacterial challenge leads to clinical signs such as deep pockets, bleeding on probing, gingival recession, and tooth mobility, which can ultimately cause tooth loss. Periodontitis is an inflammatory disease of bacterial etiology resulting in loss of periodontal tissue attachment and alveolar bone. 7 The prevalence of periodontitis increases with age it is significantly more common in males than in females, and in non-Hispanic Blacks and Hispanics than non-Hispanic whites. 6Īccording to analysis of data from the National Health and Nutrition Examination Survey (NHANES) collected from 2009 to 2014, roughly 42% of dentate adults 30 years of age or older in the United States have some form of periodontitis (mild, moderate or severe). Periodontal disease is a chronic infection that can result in the destruction of tooth-supporting structures (i.e., the gingiva, periodontal ligament, and/or alveolar bone) and eventual tooth loss. 5 This Oral Health Topic page will focus on classifications related to periodontitis. 1 In 2018, these panels published consensus reports that described periodontal diseases including: periodontal health, gingival diseases and conditions 2 periodontitis 3, 4 and other conditions affecting the periodontium 3, 4 as well as a system describing for peri-implant diseases (peri-implant health, peri-implant mucositis, and peri-implantitis). NOTE: In 2017, the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) convened panels of experts to develop a classification system for periodontal and peri-Implant diseases and conditions. ![]() This treatment of periodontal disease can be non-surgical or surgical with the optimal treatment being based on individual patient, site, and systemic factors. The goal of periodontal treatment is to eliminate dysbiotic plaque biofilm from the tooth surface and to establish an environment that allows the maintenance of health.In 2017 the World Workshop on the Classification for Periodontal and Peri-Implant Diseases and Conditions established a classification system for periodontitis that involves staging (i.e., the severity and extent of the disease) and grading (i.e., the potential for disease progression and treatment outcome). ![]() While associations between periodontitis and various systemic conditions and diseases have been suggested by research, evidence of causality is mixed and the strength of the evidence differs for various conditions.Attachment and bone loss associated with periodontal disease are results of the body’s immune response to plaque biofilm and its metabolic byproducts.adults 30 years of age or older have periodontitis Roughly 42 percent of all dentate U.S.
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