Periodontal disease has consistently ranked high among the global burden of diseases. Its diagnosis and management however remain significant challenges. Its classification has perplexed oral health practitioners. For nearly two decades however, the preceding classification of periodontal diseases remained without revision.
It was outdated and difficult to apply in daily dental practice. And so a new World Workshop was tasked in 2017 to address these issues. Published in 2018, the proceedings of this international collaboration among leaders in periodontology introduced radical new changes. This lecture gives a broad overview of these changes and how to apply them in daily practice. The lecture also provides an outline of evidence-based treatment for periodontally compromised patients. To conclude, the topic of periodontal maintenance is also addressed. Each of these are immense subtopics on their own. Hence a “crash course” is given with the intention of answering some of the bigger questions relating to periodontitis, demystifying this disease for the dental practitioner.
Learning objectives:
- Simpler diagnostics for periodontitis today exist to effectively, efficiently classify a patient in everyday practice
- Distribution of patients for management between general practitioners and specialists is somewhat clearer
- The complexity of a patient’s treatment is directly related to their classification
- Following treatment, personalized risk assessment determines the patient’s maintenance program
Tribune Group GmbH is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Tribune Group designates this activity for 1 continuing education credits.
This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between Tribune Group GmbH and Dental Tribune International GmbH.
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161 Comments
Thank you for the basic and easy to understand presentation. Cindy
Thankyou you so much for such informative and comprehesive presentation.
Thanks.
How long does it rest in the mouth a tooth whit a third apical damn, after your traitement?
Thank you from Toronto,Canada
What’s your opnion about the PerioChip
Thank you for your lecture
We use the same intraoral sensor so this is not an issue.
Hi, I’m a hygienist – We have 30 mins to do everything and zero nurse support. Our dentists often don’t do BPE correctly (if they even use a decent probe) Thoughts on how we can get our dentists to take perio seriously rather than a way to make money and how we can raise public awareness.
I regret that I am belaboring this point. The full mouth radiographic series contains periapical as well as bitewing radiography. Would you please speak on the accuracy of the images for the representative bone loss? In the posterior segments in particular?
what would be the antibiotic form of your choice for a periodontal case that would be in need of it?
does splinting teeth help in any way?
Amazing lecture, one the bsp website they used to say if there bpe scores of 3 an inital deep cleaning and the reasses in 12 weeks because it may be poor ohi and just false pocket . do you agree?
Una paciente con tratamiento con biofosfonatos y tiene gran pérdida ósea y movilidad, qué se debe hacer?
What do you think of the EMS/ GBT system?
If you have patients attending once a month? How do you justify that? For how long do they attend once a month?
What is an Dental or Oral hygienist role in this?
Great lecture, thank you!
Txs for this splendid presentation on updating perio-classification. Should we score OH & inflammation before surgical interventions? Which scores can be advised before extending treatment?
does bone grafting help with loss of bone ?At what sort of bone loss level is grafting best considered if at all?
Thank you Dr Du Toit informative and well presented
yes. I meant more when you carry out standard recall and within the recall, you assess for perio, then carrying out the BPE is swift, If within the sextant chart you probe a 3 or 4 then there is need to do a full perio chart. Well that is my understanding.
Thank you Dr. Jonathan for the excellent presentation
how can a clinician measure the bone loss of the a patient as per the new classification.
Do you value biological testing to determine bacterial type and load in the diagnostic phase of treatment and again after management?
in some Patients is posible to find localised deep Periodontal pockets with severe bone loss due non periodontal friendly restaurations, third molars or Endo-Perio lesions but on other sites is healty. should i still classify this Patient on Stage III or IV?
If the patient manages to maintain good oral hygiene following couple of RSD sessions, and the pocket depths are stabilised but still >6mm, what should be the recall period? 3/12 or 4/12??
How frequently should we do 6PPC in busy clinical practice where appt time is short?
Thank you!
Would You suggest a microbiological test/ investigation to help to choose the adaquate systemic antibiotic treatment
Stefan Büchel
Thank you Dr for the great Lecture ! -Dr Shivahami
What make/brand of pocket measuring probe would you recommend.
How frequently do you do probing on same patient?
Love the WHO probe! Introduced it to practice here in Switzerland when we work with ‘prophy’ assistants and dental hygienists!
The Michigan probe does come in dark callibrations, at least here in Australia…
Great lecture, thank you very much. When you see deep peridontal defects, especially around first lower molars, do you also recommend endodontic treatment before the surgical, or peridontal treatment? Thank you!
Do you also consider tooth mobility in the diagnosis?
Thank you from South Africa.
Very informative
Thank you for brilliant presentation
Dr. Danjjal Dzafic Kuwait
Thanks for this presentation
It seems you have answered a similar question. So further to the answer you gave, would recommend a routine periapical radiograph as well as the bite wings?
Hi,
Do you use CT/scanning, 3D reconstruction. Where do you practice. Do you accept referrals from abroad.
At what point would you extract teeth that are not 3rd molars?
Nice webinar, Thank you
Thank you for such informative webinar. Sir can you please provide the serial wise of article names for reading and understand the new classification.
Thank you
Dr richard schell
Thank you for the great lecture. It was very informative .
Which plaque score do you recommend- full mouth disclosing or the modified plaque score from Healthy Gums Do Matter?
Do you use supplements to help support the patients’ systemic health?
I feel more ease to classify periodontal disease using 1999 AAP EFP classification. Can you please elaborate a little more why you prefer 2017 Classification system?
As a hygienist that doesn’t take radiographs am i still okay to diagnose?.
Excellent presentation and thank you for update information
What are the antibiotics you mostly prescribe to these patients (if needed) ?
Excellent Lecture -Thank You
Can you provide us with a list of references mentioned?
Thank you so much for this wonderful webinar 👍🏼
periimplantitis management
Great lecture!
Thank you from USA
Is %bone loss / age 0,25 to 1.0 or 0,5 to 1,0? Thank you. From Finland
Thank you Dr Du Toit! Excellent presentation!
¿Cuál es el sitio web para evaluar el riesgo periodontal?
Thank you, very nice and pleasant to hear lecture!
Could we get the copies of the articles you mentioned please
Nice webinar Jonathan, greetings from Ecuador
Thank you for the great lecture. Tanya South Africa
Thank you for your expertise.
Greetings from Chile and thank you for this amazing lecture. First time here, likely not the last 🙂
It was an informative session! Thank you!
Thank you for the wonderful webinar
Thank you, a very useful lecture!
Thank you from Toronto, Canada
greetings from Guatemala
Was that a CPITN probe ??
effect of bisphonate therapy and perio management
Thank you from Cleveland, Ohio!
Thank you
Thank you for an awesome lecture!
Thank you for the lecture! Please clarify, does the perio stage ever change to a lower number as a result of treatment or extracting the most involved teeth?
Thank You
Muchas Gracias. Enhorabuena, muy buena presentacion
great talk – do you evaluate the vitality of teeth with deep pockets prior to extraction ?:
Thank you.
Thank you for this webinar
thank u so much, very informative
Thank you for sharing this
Thanks a lot.
Congratualtions to your brilliant presntation
what is the alterantive for emdogain if to avoid animal source please?
Thank you!
what is the website to assess the periodontal risk?
Thank you
Gracias por el webinar
Excellent presentation
thank you
Thank you
Thank you! Great refreshing info.
Thank you. Lovely presentation
Good night
This was so far the best Webinar , thank you for the shared knowledge!
Thanks
Thank you very much -very well presented sminar.
thank you. good consise presentation of large subject
A brilliant short lecture thank you
Thank you
Great presentation!
Thank you very much indeed. Very interesting and helpful.
Thank you!
Thank You!
Thank you Dr
Thank you from Canada
Thank you
Thank you for the webinar.
Thank you !
Thank you so much💐
Thank you,
Excellent, excellent. Thank you!
Kudos to anyone who has committed their practice to periodontics! Wouldn’t it be nice to catch these patients way BEFORE any of the damage has occurred?
What’s the name of app for risk assessment?
is this web based app available for all ?
Thank you for the informative lecture.
Thank you for webinar
wich program do you use to do the notes of the patients?
is the young lady not suffering from what we used to call acute juvenile periodontits?
At which stage you will prescibed CBCT for Diagnosis of bone loss.
That’s where iTOP Training and coaching comes in, before you have to decide..
Good evening from Greece!!
Thank you for thiw webinar
For Grade A, if you use the indirect method to determine grade, is the ratio less than .25 or less than .50?
How do you incorporate the frenulum attachment level into contributing factors
On perio courses I have done I have been lead to under that general dental practitioners should not prescribe systemic adjunct antibiotics- should be referred to specialists. Your thoughts please.
If my patient is a heavy smoker, should I address this problem at the systemic phase as well?
is it possible to get a copy of the Albandar paper ?
is there any role of laser in regeneration of bone in treating the severe cases of periodontitis .
Hi from Washington DC
can making a diagnosis based on the worst site be fully accurate?.. suppose a patient having a single site of bone loss and an otherwise healthy mouth , then how do we go about it?
Thank you
Why aren’t bitewing radiographs used to assess bone loss?
yes there is a reason to do sextant charting. due to. the codes, as it is used as a guide to detect signs of perio
Hi Dr, Again – from Malaysia. Which is the next best probe able to provide detailed periodontal screening after the WHO 621 probe?
-Dr Shivahami
whats the name of this periodontal probe?
Good evening from Saudi Arabia
Good evening from Greece!
Most practices in the UK have WHO probe in the exam kit.
oh the CPITN probe, yes, we do use them a lote here in Chile
Hello from Switzerland
PD along with recession
Rate of progression is based on the changes at a specific area with respect to time or the amount of area affected in the oral cavity ?
Hi from Switzerland
Good evening from Joburg Looking forward to this webinar
greetings from the Netherlands
Good afternoon from Kentucky, USA from an RDH
Hi from Norway
Good evening from South Africa
good evening doctor for the seminar
Good evening from Latvia!
Hi Dr, greetings from Malaysia. Informative course with great insights . In which situation would you suggest a vertical bitewing to be useful vs a periapical radiograph for diagnosis purposes?
Good evening
Good Evening from Pakistan
Good morning from California
Welcome all
Saludos desde Peru
Good evening from India
Thank you
Buonasera da Roma!
Attendo con curiosità…
Thank you for webinar
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