Technically Speaking! Tips for Implementing the 2018 AAP Periodontal Classification (Part 6)


Nonetheless confused concerning the 2018 AAP Periodontal classification. By no means concern! The subsequent few month-to-month columns will overview a few of the most necessary updates made to the trade’s international periodontal tips to assist hygiene groups obtain the very best degree of care. As soon as we have now exhausted this subject we are going to transfer onto different questions concerning the means of care. In case you have any particular questions, you prefer to solutions to, please let me know.

Q: When contemplating nonsurgical periodontal remedy as a therapy modality, how prevalent is periodontal illness?

A: Periodontal illness is probably the most widespread illness in adults which makes it a public well being concern and periodontitis makes up an enormous portion of your sufferers which have periodontal illness.  Listed here are the statistics:1,2,3

  1. Sufferers with Gingivitis – 95% of the inhabitants
  2. Sufferers with Periodontitis
  • 13 – <30 years of age – 13% of the inhabitants have grade C periodontitis c.
  • 30 – <65 years of age – 47.2% of inhabitants have grade B periodontitis

Stage I (delicate/slight) – 8.7%

Stage II (reasonable) – 30%

Stage III-IV (superior to extreme) – 8.5%

  • >65 years age – as much as 70.1% of the inhabitants have grade B periodontitis, with 64% having Stage II to Stage IV
  • 11% of sufferers worldwide have Stage IV periodontitis.
  • Periodontitis is extra prevalent in Males (56.4%) vs. Ladies (38.4%), highest in Mexican American’s 66.7%.

To place this into perspective, 9.5 out each 10 sufferers will at minimal have gingivitis requiring nonsurgical periodontal remedy (NSPT). As much as 7 out of each 10 sufferers may have periodontitis (relying on the demographics of your apply) requiring NSPT and probably surgical periodontal remedy (SPT). Bear in mind, as soon as a periodontitis affected person, at all times a periodontitis affected person, and though lengthy intervals of stability could also be achieved with upkeep, periodontitis sufferers will undergo NSPT many occasions all through their lifetime.


  1. Lang NP, Bartold PM. Periodontal well being. J Periodontol. 2018;89(Suppl 1): S9–S16.
  2. Eke PI, Dye BA, Wei L, Thornton-Evans GO, Genco RJ; CDC Periodontal Illness Surveillance workgroup: James Beck GDRP. Prevalence of periodontitis in adults in america: 2009 and 2010. J Dent Res. 2012;91 (10):914-920.
  3. Holtfreter B, Schwahn C, Biffar R, Kocher T. Epidemiology of periodontal illnesses within the Examine of Well being in Pomerania. J Clin Periodontol. 2009;36:114–123. [PubMed] [Google Scholar][Ref list.

About the Author

A passionate educator with 30+ years of clinical and business experience, Gabriele has revolutionized the way practices optimize client outcomes, growth, and revenue through her consultancy company, GEM Dental Experts Inc. A former practice owner, published author, dental hygiene program director, quality assurance program assessor, entrepreneur of the year, and thought leader for Crest and Oral B, Gabriele shares her innovative views on dental hygiene through her work as a public speaker, consultant, educator, and business coach for forward-thinking dental practices.  Gabriele can be reached at [email protected] or visit

RELATED ARTICLE: Technically Speaking: Tips for Implementing the 2018 AAP Periodontal Classification (Part 5)


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