Journal of Indian Society of Periodontology
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EDITORIAL
Year : 2019  |  Volume : 23  |  Issue : 4  |  Page : 297-298  

Periodontal health: A welcome addition


Editor, Journal of Indian Society of Periodontology, Professor, Department of Periodontology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar - 201 201, Ghaziabad, Uttar Pradesh, India

Date of Web Publication1-Jul-2019

Correspondence Address:
Ashish Kumar
Editor, Journal of Indian Society of Periodontology, Professor, Department of Periodontology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar - 201 201, Ghaziabad, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jisp.jisp_261_19

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How to cite this article:
Kumar A. Periodontal health: A welcome addition. J Indian Soc Periodontol 2019;23:297-8

How to cite this URL:
Kumar A. Periodontal health: A welcome addition. J Indian Soc Periodontol [serial online] 2019 [cited 2019 Jul 18];23:297-8. Available from: http://www.jisponline.com/text.asp?2019/23/4/297/261552




All the classifications till date have classified the pathologies of periodontium in the various groups. With more than 25 classifications over a period of 100 years, none has ever tried to define, what the normal periodontium is in a clinical situation, within the classification system.

This 2017/18 classification has for first time introduced the concept of “Periodontal health” in a classification system. Our system of learning dentistry in India also has a similar concept. We are taught what normal physiology is in our I BDS and then we shift to general pathology in II BDS and then to oral pathology in III BDS. Even our books of periodontology (Carranza/Lindhe) have chapters of normal tissues first and then in a sequential manner go on to explain pathology part of periodontium. It's very logical. We would understand pathology and the pathological changes only if we know the normal anatomy and physiology of periodontal tissues.

Before this 2017/18 classification, there were no clear-cut parameters which could define periodontal health for a clinical/epidemiologic scenario. It is also been stated that there are not many studies which could help in defining periodontal health.[1] Periodontal health definition is very important as it becomes a common reference point from a preventive aspect and also as a therapeutic end-point of any therapy.

A very realistic definition of periodontal health as suggested in new classification is “an absence of inflammation” in a clinical scenario. The new classification has used a very practical term “Clinically healthy” to include those patients who have no or minimal inflammation, but also those patients who achieve healthy status post treatment even in reduced periodontium condition.

The status of health of gingiva is best determined by bleeding on probing (BoP). Several aspects of probing, such as angulation, pressure, and probe dimension, can affect the accurate estimation of extent of BoP recording should be done with force not exceeding 0.25 N.[2]

The negative predictive value of BoP is high; thereby meaning that absence of BoP during gingival examination epitomized periodontal health and periodontal stability.[3] Although the presence of bleeding may not be definite indicator of disease. So, absence of BoP implies clinically healthy periodontal tissue.

The new classification states that a slight amount of gingival inflammation can be considered within the realms of “clinical periodontal health”. A BOP score of <10% without clinical attachment loss is considered clinically periodontally healthy. The classification has also defined gingival health in normal and reduced periodontium in clinical and epidemiologic scenarios. So every case having few sites of bleeding has to differentiated from a frank gingivitis case.

Use of these definitions in clinical practice and epidemiologic studies will bring uniformity in data analysis throughout the world in largescale epidemiologic studies, appraisal of the efficacy of preventive measures and treatment procedures and establishment of aims for large-scale therapeutic plans concentrating on prevention of periodontitis.[4]

Periodontal Health is Oral wealth...



 
   References Top

1.
Mariotti A, Hefti AF. Defining periodontal health. BMC Oral Health 2015;15 Suppl 1:S6.  Back to cited text no. 1
    
2.
Lang NP, Bartold PM. Periodontal health. J Periodontol 2018;89 Suppl 1:S9-16.  Back to cited text no. 2
    
3.
Lang NP, Adler R, Joss A, Nyman S. Absence of bleeding on probing. An indicator of periodontal stability. J Clin Periodontol 1990;17:714-21.  Back to cited text no. 3
    
4.
Trombelli L, Farina R, Silva CO, Tatakis DN. Plaque-induced gingivitis: Case definition and diagnostic considerations. J Periodontol 2018;89 Suppl 1:S46-73.  Back to cited text no. 4
    




 

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