Periodontitis Clinical Trial
Official title:
Prevalence Of Periodontitis Stage III &IV: A Hospital-Based Cross-Sectional Study On A Sample Of Adult Egyptian Dental Patients
The study is a cross-sectional survey investigating the prevalence of Periodontitis stage III & IV in Egyptian dental patients attending the oral diagnosis clinic at faculty of Dentistry, Cairo University
Since the 1999 workshop, substantial new information has emergedfrom population studies,
basic science investigations, and evidencefrom prospective studies evaluating environmental
and systemic riskfactors. The analysis of this evidence has prompted the 2017 workshopto
develop a new classification framework for periodontitis
In the last 30 years, the classification of periodontitis has been repeatedly upgraded in an
attempt to align it with emerging scientific evidence. The workshop agreed that, consistent
with current knowledge on pathophysiology, three forms of periodontitis can be identified:
necrotizing periodontitis, periodontitis as a manifestation of systemic disease and the forms
of the disease previously known as "chronic" or "aggressive", now grouped under a single
category, "periodontitis".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 adapted over time as new evidence emerges
Staging is largely dependent upon the severity of disease at presentationas well as on the
complexity of disease management.While,grading provides supplemental information about
biological features of the disease, including a history based analysis of the rate of disease
progression, assessment of the risk for further progression, anticipated poor outcomes of
treatment, and assessment of the risk that the disease or its treatment may negatively affect
the general health of the patient
Staging involves four categories (stages 1 through 4) and is determined after considering
several variables including clinical attachment loss, amount and percentage of bone loss,
probing depth, presence and extent of angular bony defects, furcation involvement,tooth
mobility and tooth loss due to periodontitis.
Stage III & IV are characterized by interdental clinical attatchment loss > 5mm and
radiographic bone loss extending to the middle or apical third of the root. In stage III,
four teeth or less are lost while in stage IV, five teeth or more are lost due to
periodontitis. In addition to stage II complexity, Stage III is characterized by probing
depth greater than or equal 6 mm, vertical bone loss greater than or equal 3mm, furcation
involvement class II or III and moderate ridge defect. In addition to stage III complexity,
stage IV is characterized by severe ridge defect , bite collapse, drifting and flaring.
The study aims at determining the prevalence of Periodontitis Stage III & IV in adult
Egyptian dental outpatients attending the diagnostic centre at faculty of Dentistry, Cairo
University
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