Periodontiamedica.com

Classifaction System for Periodontal Diseases and Conditions

CARLOS MARCELO DA SILVA FIGUEREDO

Professor Adjunto de Periodontia: UERJ – UNIGRANRIO – PUC-RJ

email: cmfigueredo@hotmail.com
Classifaction system for periodontal diseases and conditions

I.                   Gingival diseases
A.  Dental plaque-induced gingival diseases

1.       Gingivitis associated with plaque only

a.       without other local contributing factors

b.       with local contributing factors

2.       Gingival diseases modified by systemic factors

a.       associated with the endocrine system

1)      puberty-associated gingivitis

2)      menstrual cycle-associated gingivitis

3)      pregnancy-associated

a.       gingivitis

b.       pyogenic granuloma

4)      diabetes mellitus associated-gingivitis

b.   associated with blood dyscrasias

1)      leukemia

2)      other

3.       Gingival diseases modified by medications

a.           drug-influenced gingival diseases

1)       drug-influenced gingival enlargment

2)       drug-influenced gingivitis

a)       oral contraceptive-associated gingivitis

b)       other

4.       Gingival diseases modified by malnutrion

a.            ascorbic acid-deficiency gingivitis

b.            other

B.           Non-plaque-induced gingival lesions

1.        Gingival diseases of specific bacterial origin

a.            Neisseria gonorrhea-associated lesions

b.            Treponema pallidum-associated lesions

c.            Streptococcal species-associated lesions

d.           Other

2.        Gingival diseases of viral origin

a.              herpesvirus infections

1)         primary herpetic gingivostomatitis

2)         recurrent oral herpes

3)         varicella-zoster infections

b.       other

3.        Gingival diseases of fungal origin

a.              Candida-species infections

1)           generalized gingival candidosis

b.              linear gingival erythema

c.              histoplasmosis

d.             other

4.        Gingival lesions of generic origin

a.                hereditary gingival fibromatosis

b.               other

5.        Gingival manifestations of systemic conditions

a.            mucocutaneous disorders

1)         lichen planus

2)         pemphigoid

3)         pemphigus vulgaris

4)         erythema multiforme

5)         lupus eythematosus

6)         drug-induced

7)         other

b.        allergic reactions

1)              dental restorative materials

a)       mercury

b)       nickel

c)       acrylic

d)       other

2)              reaction attributable to

a)        toothpastes/dentifrices

b)        mouthrinses/mouthwashes

c)        chewing gum additives

d)        foods and additives

3)              other

6.        Traumatic lesions (factitious, iatrogenic, accidental)

a.          chemical injury

b.         physical injury

c.          thermal injury

7.        Foreign body reactions

8.        Not otherwise specified (NOS)

II        Chronic Periodontitis

A.             Localized

B.              Generalized

III       Aggressive Periodontitis

A.                Localized

B.               Generalized

IV       Periodontitis as a manifestation of systemic diseases

A.             Associated with hematological disorders

1.          Acquired neutropenia

2.          Leukemias

3.          Other

B.              Associated with genetic disorders

1.          Familial and cyclic neutropenia

2.          Downs syndrome

3.          Leukocyte adhesion deficiency syndromes

4.          Papillon-Lefèvre syndrome

5.          Chediak-Higasi syndrome

6.          Histiocytosis syndromes

7.          Glycogen storage disease

8.          Infantile genetic agranulocytosis

9.          Cohen syndrome

10.      Ehlers-Danlos syndrome (Types IV and VII)

11.      Hypophosphatasia

12.      Other

C.              Not otherwise specified (NOS)
V          Necrotizing periodontal disease

A.            Necrotizing ulcerative gingivitis (NUG)

B.             Necrotizing ulcerative periodontitis (NUP)
VI         Abscesses of the Periodontium
A.              Gingival abscess
B.               Periodontal abscess

C.              Pericoronal abscess
VII       Periodontitis Associated with Endodontic Lesions

A.               Combined periodontic-endodontic lesions

VIII       Developmental or Acquired Deformities and Conditions

A.              Localized tooth-related factors that modify or predipose to

plaque-induced gingival diseases/periodontitis

1.            Tooth anatomic factors

2.            Dental restorations/appliances

3.            Root fractures

4.            Cervical root resorption and cemental tears

B.        Mucogingival deformities and conditions around teeth

1.              Gingival/soft tissue recession

a.        facial or lingual surfaces

b.         interproximal (papillary)

2.              Lack of keratinized gingiva

3.              Decreased vestibular depth

4.              Aberrant frenum/muscle position

5.              Gingival excess

a.          pseudopocket

b.         inconsistent gingival margin

c.          excessive gingival display

d.         gingival enlargement

6.              Abnormal color

C.         Mucogingival deformities and conditions on edentulous ridges

1.             Vertical and/or horizontal ridge deficiency

2.             Lack of gingival/keratinized tissue

3.             Gingival/soft tissue enlargement

4.             Aberrant frenum/muscle position

5.             Decreased vestibular depth

6.             Abnormal color
D.                Occlusal trauma

1.             Primary occlusal trauma
2.             Secondary occlusal trauma