Please complete an outline assignment that is attach on files. I will also provide sample, do not copy and paraphrase using the sample. NO AI & plagiarism! Create an outline of your own. & ple

Periodontology

NAME:

DATE:

AAP Article Outline (Sample)

  1. TITLE- A new classification scheme for periodontal and peri-implant diseases and conditions- Introduction and key changes from the 1999 classification

  2. Main purpose:

  1. To reiterate the importance of clinicians being knowledgeable of the guidelines of diagnoses regarding etiology and treatment of periodontal diseases.

  2. To give a foundation of the updated guidelines of classifying diseases and conditions; further implies additional exploration of the reader to fully grasp the new concept.

  3. Separates gingival disease, periodontal disease, and manifestations of systemic diseases and how they have been modified through this new article.

III. GINGIVAL DISEASE: Reversible- indicates that bleeding when probing should be the main sign of gingivitis. This inspired the concept of detailed maintenance of patients with periodontitis.

  1. Can be “biofilm-induced”: associated with biofilm alone, arbitrated by local risk factors or systemic risk factors, and gingival enlargement related to drugs.

  2. Can be from other factors: “Non-dental biofilm induced”

This states that gingival disease can be related to other factors such as genetics, infections, metabolic diseases, etc.

IV. FORMS OF PERIODONTITIS: bone loss = not reversible. Updated classifications: chronic, aggressive, necrotizing, and systemic manifestations.

  1. Necrotizing has 3 classifications: Necrotizing Gingivitis, Necrotizing Periodontitis, and Necrotizing Stomatitis. These forms have different classifications which are determined by stages and grades.

  2. The four stages are based on the severity and complexity of the management; they are rated I-IV from Initial to Severe Periodontitis. They will need further classification as to whether it is localized, generalized, and which teeth.

  3. The three grades analyze the progression of the disease and are graded A-C. Grade A is slow rate, Grade B is moderate rate, and Grade C is Rapid rate.

V. SYSTEMIC DISEASE ASSOCIATIONS: systemic conditions may be risk factors in regard to the periodontium.

Broken down into five categories:

  1. Systemic diseases that affect the supporting tissues of the periodontium

  2. Other conditions regarding the periodontium such as abscesses and lesions

  3. Deformities around the teeth associated with the mucogingival junction; updated terminology regarding “periodontal biotype” being modified to “periodontal phenotype”. Biotype refers to the thickness of the gingiva, whereas phenotype mimics the great variation of the thickness of keratinized facial tissue. Using a term like “Phenotype”, eliminates the narrow standards a term such as “biotype” will implement. This new case will include the evaluation of the exposed root and CEJ.

  4. Traumatic occlusal forces (replaces the old use of words “excessive occlusal force”). Broken down into 3 categories: primary occlusal trauma, secondary occlusal trauma, and orthodontic forces. This can result in excessive damage to the teeth, including wear or fracture.

  5. Protheses and tooth-related factors that will transform the other categories above of plaque induced conditions. Also note that the term “biologic width” was updated; now using the term “supracrestal attached tissues”. Clinical procedures were added because they are now coming to realize that the procedures being done may cause recession and CAL.

VI. CONCLUSION

  1. This article demonstrates the foundation of the modified guidelines when classifying peri-implant diseases and conditions.

  2. An aspiring goal is to modify the criteria and implement new systems of grading when new scientific evidence is produced; “Keeping up with the times” is exceptionally important.

Citations:

Caton, J, Armitage, G, Berglundh, T, et al. A new classification scheme for periodontal and

peri‐implant diseases and conditions – Introduction and key changes from the 1999

classification. J Clin Periodontol. 2018; 45( Suppl 20): S1– S8.