Monthly Archives: March 2025
-
March 14, 2025
As dental professionals have implemented the 2018 AAP periodontal classification of staging and grading there is still some confusion as to some of the rules of what counts and what does not count. One of the ways to make sense of the ‘rules’ is to ask the question Papapanou et al. (2018) pose in the Journal of Clinical Periodontology, “How do we define a patient as a periodontal patient?” (p. 168). Answering this question clarifies the rules of staging and grading, including the need to capture true interdental CAL’s, the requirement for a matching CAL site, searching for the highest CAL’s, why adjacent CAL doesn’t count, when buccal and lingual CAL can be considered, and how periodontitis distribution is assessed across the entire mouth rather than assigning generalized or localized labels to specific stages.
To answer this question, we must consider how we have traditionally approached it and not ask "Does the patient have perio?" instead "How do we define a patient as
