Author/Authors :
Mittal, Vishnu Departments of Periodontics - Genesis Institute of Dental Sciences and Research - Ferozepur, India , Raman Preet K, Bhullar Department of Oral and Maxillofacial Pathology - Genesis Institute of Dental Sciences and Research - Ferozepur, India , Rachita, Bansal ITS Dental College Hospital and Research Centre - Greater Noida, India , Karanprakash, Singh Department of Public Health Dentistry - Genesis Institute of Dental Sciences and Research - Ferozepur, India , Anand, Bhalodi Departments of Periodontics - Pacific Dental College and Hospital - Udaipur, India , Paramjit K, Khinda Departments of Periodontics - Genesis Institute of Dental Sciences and Research - Ferozepur - Punjab, India
Abstract :
The Diagnosis and classification of periodontal diseases has remained a dilemma since long. Two
distinct concepts have been used to define diseases: Essentialism and Nominalism. Essentialistic
concept implies the real existence of disease whereas; nominalistic concept states that the names
of diseases are the convenient way of stating concisely the endpoint of a diagnostic process. It
generally advances from assessment of symptoms and signs toward knowledge of causation and
gives a feasible option to name the disease for which etiology is either unknown or it is too complex
to access in routine clinical practice. Various classifications have been proposed by the American
Academy of Periodontology (AAP) in 1986, 1989 and 1999. The AAP 1999 classification is among the
most widely used classification. But this classification also has demerits which provide impediment
for its use in day to day practice. Hence a classification and diagnostic system is required which can
help the clinician to access the patient’s need and provide a suitable treatment which is in harmony
with the diagnosis for that particular case. Here is an attempt to propose a practicable classification
and diagnostic system of periodontal diseases for better treatment outcome.
