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Cited by 5,110Oral microbiology and periodontitis researchOral and gingival health researchPeriodontal Regeneration and Treatments

Development of a Classification System for Periodontal Diseases and Conditions

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Armitage, Gary C.·1999·Annals of Periodontology
DOI 10.1902/annals.1999.4.1.1
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Abstract

Classification systems are necessary in order to provide a framework in which to scientifically study the etiology, pathogenesis, and treatment of diseases in an orderly fashion. In addition, such systems give clinicians a way to organize the health care needs of their patients. The last time scientists and clinicians in the field of periodontology and related areas agreed upon a classification system for periodontal diseases was in 1989 at the World Workshop in Clinical Periodontics. 1 Subsequently, a simpler classification was agreed upon at the 1 st European Workshop in Periodontology. 2 These classification systems have been widely used by clinicians and research scientists throughout the world. Unfortunately, the 1989 classification had many shortcomings including: 1) considerable overlap in disease categories, 2) absence of a gingival disease component, 3) inappropriate emphasis on age of onset of disease and rates of progression, and 4) inadequate or unclear classification criteria. The 1993 European classification lacked the detail necessary for adequate characterization of the broad spectrum of periodontal diseases encountered in clinical practice. The need for a revised classification system for periodontal diseases was emphasized during the 1996 World Workshop in Periodontics. 3 In 1997 the American Academy of Periodontology responded to this need and formed a committee to plan and organize an international workshop to revise the classification system for periodontal diseases. The proceedings in this volume are the result of this reclassification effort. The process involved development by the Organizing Committee of an outline for a new classification and identification of individuals to write state‐of‐the‐science reviews for each of the items on the outline. The reviewers were encouraged to depart from the preliminary outline if there were data to support any modifications. On October 30–November 2, 1999, the International Workshop for a Classification of Periodontal Diseases and Conditions was held and a new classification was agreed upon (Fig. 1). This paper summarizes how the new classification for periodontal diseases and conditions presented in this volume differs from the classification system developed at the 1989 World Workshop in Clinical Periodontics. 1 In addition, an analysis of the rationale is provided for each of the modifications and changes. Ann Periodontol 1999;4:1‐6.

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  1. [1]1. The American Academy of Periodontology. Proceedings of the World Workshop in Clinical Periodontics. Chicago: The American Academy of Periodontology; 1989:I/23- I/24.
  2. [2]2. Attström R, van der Velden U. Consensus report (epi- demiology). In: Lang NP, Karring T, eds. Proceedings of the 1 st European Workshop on Periodontics, 1993. Lon- don: Quintessence; 1994;120-126.
  3. [12]12. Batista EL Jr, Novaes AB Jr, Calvano LM, et al. Necro- tizing ulcerative periodontitis associated with severe con- genital immunodeficiency in a prepubescent subject: clinical findings and response to intravenous immu- noglobulin treatment. J Clin Periodontol 1999;26:499- 504.
  4. [17]17. Sweeney EA, Alcoforado GAP, Nyman S, Slots J. Preva- lence and microbiology of localized prepubertal peri- odontitis. Oral Microbiol Immunol 1987;2:65-70.
  5. [18]18. Bimstein E, Delaney JE, Sweeney EA. Radiographic assessment of the alevolar bone in children and ado- lescents. Pediatric Dent 1988;10:199-204.

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Authors
Armitage, G. C.
Affiliations
University of California, San Francisco (US)
Corresponding author
Armitage, Gary C.
Venue
Annals of Periodontology
Publisher
Wiley
Published
1999-12
Volume
4
Issue
1
Pages
1-6
ISSN
  • 1553-0841 (ISSN-L)
  • 2162-5131
DOI
10.1902/annals.1999.4.1.1
OpenAlex
W2174784305
Cited by
5,110
References
28
Citations by year
2026: 103 · 2025: 97 · 2024: 150 · 2023: 191 · 2022: 217 · 2021: 290 · 2020: 303 · 2019: 343 · 2018: 360 · 2017: 332 · 2016: 330 · 2015: 336 · 2014: 289 · 2013: 297 · 2012: 269
FWCI
5.50
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Annals of Periodontology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Health Professions › Pharmacy › Oral and gingival health research
  • Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
Keywords
periodontal disease, periodontal condition, disease classification, classification system revision, gingival disease, periodontitis
MeSH terms
Humans, Terminology as Topic, Periodontal Diseases

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