Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions
Open accessAbstract
A new periodontitis classification scheme has been adopted, in which forms of the disease previously recognized as “chronic” or “aggressive” are now grouped under a single category (“periodontitis”) and are further characterized based on a multi‐dimensional staging and grading system. S taging is largely dependent upon the severity of disease at presentation as 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 periodontitis progression; assessment of the risk for further progression; analysis of possible poor outcomes of treatment; and assessment of the risk that the disease or its treatment may negatively affect the general health of the patient. Necrotizing periodontal diseases, whose characteristic clinical phenotype includes typical features (papilla necrosis, bleeding, and pain) and are associated with host immune response impairments, remain a distinct periodontitis category. Endodontic‐periodontal lesions, defined by a pathological communication between the pulpal and periodontal tissues at a given tooth, occur in either an acute or a chronic form, and are classified according to signs and symptoms that have direct impact on their prognosis and treatment. Periodontal abscesses are defined as acute lesions characterized by localized accumulation of pus within the gingival wall of the periodontal pocket/sulcus, rapid tissue destruction and are associated with risk for systemic dissemination.
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Since the 1999 workshop, substantial new information has emerged from population studies, basic science investigations, and evidence from prospective studies evaluating environmental and systemic risk factors.
“Since the 1999 workshop, substantial new information has emerged from population studies, basic science investigations, and the evidence from prospective studies evaluating environmental and systemic risk factors.”
From A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification (2018) · cites this paper as [14]
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Cites
Development of a Classification System for Periodontal Diseases and Conditions
Armitage, G. C. (1999) · Annals of Periodontology · doi:10.1902/annals.1999.4.1.1 · Cited by 5,110 · see citing works
Tonetti, M. S., Greenwell, H., & Kornman, K. S. (2018) · Journal of Periodontology · doi:10.1002/jper.18-0006 · Cited by 3,239 · see citing works
Self-citationPapapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., Flemmig, T. F., García, R. I., Giannobile, W. V., Graziani, F., et al. (2018) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.12946 · Cited by 1,278 · see citing works
Self-citationJepsen, S., Caton, J. G., Albandar, J. M., Bissada, N. F., Bouchard, P., Cortellini, P., Demirel, K., de Sanctis, M., Ercoli, C., Fan, J., et al. (2018) · Journal of Periodontology · doi:10.1002/jper.17-0733 · Cited by 602 · see citing works
Standards for reporting chronic periodontitis prevalence and severity in epidemiologic studies
Holtfreter, B., Albandar, J. M., Dietrich, T., Dye, B. A., Eaton, K. A., Eke, P. I., Papapanou, P. N., & Kocher, T. (2015) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.12392 · Cited by 306 · see citing works
Self-citationAlbandar, J. M., Susin, C., & Hughes, F. J. (2018) · Journal of Periodontology · doi:10.1002/jper.16-0480 · Cited by 253 · see citing works
Herrera, D., Retamal‐Valdes, B., Alonso, B., & Feres, M. (2018) · Journal of Periodontology · doi:10.1002/jper.16-0642 · Cited by 203 · see citing works
Self-citationBillings, M., Holtfreter, B., Papapanou, P. N., et al. (2018) · Journal of Periodontology · doi:10.1002/jper.17-0670 · Cited by 143 · see citing works
Self-citationClassification and diagnosis of aggressive periodontitis
Fine, D. H., Patil, A. G., & Loos, B. G. (2018) · Journal of Periodontology · doi:10.1002/jper.16-0712 · Cited by 117 · see citing works
Self-citationMean annual attachment, bone level, and tooth loss: A systematic review
Needleman, I. G., García, R. I., Gkranias, N., et al. (2018) · Journal of Periodontology · doi:10.1002/jper.17-0062 · Cited by 106 · see citing works
Self-citationFaddy, M. J., Cullinan, M. P., Palmer, J. E., Westerman, B., & Seymour, G. J. (2000) · Journal of Periodontology · doi:10.1902/jop.2000.71.3.454 · Cited by 70 · see citing works
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Research works printed but not linked: 2
- Tonetti, M.S., Greenwell, H., Kornman, K.S. (2018) Periodontitis case definition: Framework for staging and grading the individual periodontitis case. J Clin Periodontol 45, in press.
- Jepsen, S., Caton, L. Albandar, J.M., Bissada, N., Bouchard, P, Cortellini, P., Demirel, K., de Sanctis, M., Ercoli, C., Fan, J., Geurs, N., Hughes, F., Jin, L., Kantarci, A., Lalla, E., Madianos, P.N., Matthews, D., McGuire, M.K., Mills, M.P., Preshaw, P.M., Reynolds, M.A., Sculean, A., Susin, C., West, N.X., Yamazaki, K. (2018) Consensus Report: Periodontal manifestations of systemic diseases and developmental and acquired conditions. J Clin Periodontol 45, in press.
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Sanz, M., Herrera, D., Kebschull, M., Chapple, I., Jepsen, S., Berglundh, T., Sculean, A., Tonetti, M. S., & Consultants, E. W. P. A. M. (2020) · Journal of Clinical Periodontology · doi:10.1111/jcpe.13290 · Cited by 1,934 · see citing works
Self-citationCaton, J. G., Armitage, G., Berglundh, T., Chapple, I. L. C., Jepsen, S., Kornman, K. S., Mealey, B. L., Papapanou, P. N., Sanz, M., & Tonetti, M. S. (2018) · Journal of Periodontology · doi:10.1002/jper.18-0157 · Cited by 1,845 · see citing works
Self-citationJepsen, S., Caton, J. G., Albandar, J. M., Bissada, N. F., Bouchard, P., Cortellini, P., Demirel, K., de Sanctis, M., Ercoli, C., Fan, J., et al. (2018) · Journal of Periodontology · doi:10.1002/jper.17-0733 · Cited by 602 · see citing works
Association between periodontitis and severity of COVID‐19 infection: A case–control study
Marouf, N., Cai, W., Said, K. N., Daas, H., Diab, H., Chinta, V. R., Hssain, A. A., Nicolau, B., Sanz, M., & Tamimi, F. (2021) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.13435 · Cited by 380 · see citing works
Subgingival instrumentation for treatment of periodontitis. A systematic review
Suvan, J., Leira, Y., Moreno Sancho, F. M., Graziani, F., Derks, J., & Tomasi, C. (2020) · Journal of Clinical Periodontology · doi:10.1111/jcpe.13245 · Cited by 351 · see citing works
Self-citationDi Stefano, M., Polizzi, A., Santonocito, S., Romano, A., Lombardi, T., & Isola, G. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23095142 · Cited by 292 · see citing works
A case‐control study on the association between periodontitis and coronavirus disease (COVID‐19)
Anand, P. S., Jadhav, P., Kamath, K. P., Kumar, S. R., Vijayalaxmi, S., & Anil, S. (2022) · Journal of Periodontology · doi:10.1002/jper.21-0272 · Cited by 126 · see citing works
Rosier, B. T., Johnston, W., Carda-Diéguez, M., Simpson, A., Cabello-Yeves, E., Piela, K., Reilly, R., Artacho, A., Easton, C., Burleigh, M., et al. (2024) · International Journal of Oral Science · doi:10.1038/s41368-023-00266-9 · Cited by 85 · see citing works
Association between diet and periodontitis: A cross-sectional study of 10,000 NHANES participants
Wright, D. M., McKenna, G., Nugent, A., Winning, L., Linden, G. J., & Woodside, J. V. (2020) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqaa266 · Cited by 83 · see citing works
Ishikawa, K. H., Bueno, M. R., Kawamoto, D., Simionato, M. R. L., & Mayer, M. P. A. (2021) · Molecular Oral Microbiology · doi:10.1111/omi.12330 · Cited by 64 · see citing works
Relevance of Biofilm Models in Periodontal Research: From Static to Dynamic Systems
Sánchez, M. C., Alonso-Español, A., Ribeiro-Vidal, H., Alonso, B., Herrera, D., & Sanz, M. (2021) · Microorganisms · doi:10.3390/microorganisms9020428 · Cited by 39 · see citing works
Self-citationA Roadmap towards Precision Periodontics
Rakic, M., Pejcic, N., Perunovic, N., & Vojvodic, D. (2021) · Medicina · doi:10.3390/medicina57030233 · Cited by 36 · see citing works
Risk-based, 6-monthly and 24-monthly dental check-ups for adults: the INTERVAL three-arm RCT
Clarkson, J. E., Pitts, N. B., Goulao, B., Boyers, D., Ramsay, C. R., Floate, R., Braid, H. J., Fee, P. A., Ord, F. S., Worthington, H. V., et al. (2020) · Health Technology Assessment · doi:10.3310/hta24600 · Cited by 35 · see citing works
Oral inflammatory load: Neutrophils as oral health biomarkers
Khoury, W., Glogauer, J., Tenenbaum, H. C., & Glogauer, M. (2020) · Journal of Periodontal Research · doi:10.1111/jre.12758 · Cited by 33 · see citing works
Esparbès, P., Legrand, A., Bandiaky, O. N., Chéraud-Carpentier, M., Martin, H., Montassier, E., & Soueidan, A. (2021) · Microorganisms · doi:10.3390/microorganisms9112364 · Cited by 24 · see citing works
Meng, R., Xu, J., Fan, C., Liao, H., Wu, Z., & Zeng, Q. (2024) · BMC Oral Health · doi:10.1186/s12903-024-04433-0 · Cited by 26 · see citing works
A Pilot Study Examining Vitamin C Levels in Periodontal Patients
Munday, M.-R., Rodricks, R., Fitzpatrick, M., Flood, V. M., & Gunton, J. E. (2020) · Nutrients · doi:10.3390/nu12082255 · Cited by 24 · see citing works
Akkaya, H. Ü., Yılmaz, H. E., Narin, F., & Sağlam, M. (2022) · Journal of Periodontology · doi:10.1002/jper.21-0137 · Cited by 25 · see citing works
Orthodontic treatment of patients with severe (stage IV) periodontitis
Papageorgiou, S. N., Antonoglou, G. N., Eliades, T., Martin, C., & Sanz, M. (2024) · Seminars in Orthodontics · doi:10.1053/j.sodo.2024.01.004 · Cited by 23 · see citing works
Self-citationYilmaz, D., Gönüllü, E., Gürsoy, M., Könönen, E., & Gürsoy, U. K. (2021) · Journal of Periodontology · doi:10.1002/jper.20-0632 · Cited by 21 · see citing works
Gunpinar, S., & Meraci, B. (2022) · Journal of Periodontology · doi:10.1002/jper.21-0034 · Cited by 17 · see citing works
Kaur, M., Geurs, N. C., Cobb, C. M., Otomo‐Corgel, J., Takesh, T., Lee, J. H., Lam, T. M., Lin, K., Nguyen, A., Nguyen, B. L., et al. (2021) · Journal of Periodontology · doi:10.1002/jper.20-0721 · Cited by 11 · see citing works
Hu, Y., Yao, Y., Xie, Y., Liu, Q., He, H., Li, Z., Chen, M., & Zhu, L. (2024) · BMC Oral Health · doi:10.1186/s12903-024-05335-x · Cited by 5 · see citing works
- Authors
- Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., Flemmig, T. F., Garcia, R., Giannobile, W. V., Graziani, F., Greenwell, H., Herrera, D., Kao, R. T., Kebschull, M., Kinane, D. F., Kirkwood, K. L., Kocher, T., Kornman, K. S., Kumar, P. S., Loos, B. G., Machtei, E., Meng, H., Mombelli, A., Needleman, I., Offenbacher, S., Seymour, G. J., Teles, R., & Tonetti, M. S.
- Affiliations
- Columbia University (US)
- Universidad Complutense de Madrid (ES)
- Ege University (TR)
- University of Birmingham (GB)
- Guarulhos University (BR)
- Rutgers, The State University of New Jersey (US)
- University of Hong Kong (HK)
- Boston University Boston MA USA
- University of Michigan (US)
- University of Pisa (IT)
- University of Louisville (US)
- Private practice Cupertino CA USA
- University of Bonn (DE)
- University of Pennsylvania (US)
- University at Buffalo, State University of New York (US)
- Universität Greifswald (DE)
- The Ohio State University (US)
- Academic Center for Dentistry Amsterdam (NL)
- Technion – Israel Institute of Technology (IL)
- Peking University (CN)
- University of Geneva (CH)
- University College London (GB)
- University of North Carolina at Chapel Hill (US)
- The University of Queensland (AU)
- Corresponding author
- Papapanou, Panos N.
- ORCID
- Papapanou, Panos N.
- Sanz, Mariano
- Buduneli, Nurcan
- Dietrich, Thomas
- Feres, Magda
- Fine, Daniel H.
- Giannobile, William V.
- Graziani, Filippo
- Herrera, David
- Kao, Richard T.
- Kebschull, Moritz
- Kinane, Denis F.
- Kirkwood, Keith L.
- Kocher, Thomas
- Kornman, Kenneth S.
- Kumar, Purnima S.
- Loos, Bruno G.
- Machtei, Eli
- Meng, Huanxin
- Mombelli, Andrea
- Needleman, Ian
- Offenbacher, Steven
- Seymour, Gregory J.
- Teles, Ricardo
- Tonetti, Maurizio S.
- Venue
- Journal of Periodontology
- Publisher
- Wiley
- Published
- 2018-06
- Volume
- 89
- Issue
- S1
- Pages
- S173-S182
- ISSN
- 0022-3492 (ISSN-L)
- 1943-3670
- OpenAlex
- W2809948294
- Cited by
- 3,202
- References
- 11
- Citations by year
- 2026: 254 · 2025: 505 · 2024: 490 · 2023: 563 · 2022: 468 · 2021: 423 · 2020: 321 · 2019: 156 · 2018: 17 · 2013: 1
- FWCI
- 262.95
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Periodontology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (publishedVersion, other-oa)
- VU Research Portal (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (publishedVersion, other-oa)
- Deep Blue (University of Michigan) (submittedVersion, other-oa)
- CINECA IRIS Institutial research information system (University of Pisa) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- American Academy of Periodontology Foundation
- Colgate University
- Johnson and Johnson
- Procter and Gamble
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
- Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
- Keywords
- periodontitis classification, chronic periodontitis, aggressive periodontitis, necrotizing periodontal disease, endodontic-periodontal lesions, periodontal abscess, periodontitis progression, host immune response, prognosis
- MeSH terms
- Humans, Periodontal Diseases, Periodontitis, Periodontium, Peri-Implantitis
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