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The second in this series of articles looks at the problems of diagnosis in periodontology. This is an area that is often neglected in the routine examination of patients, but with the introduction of systems like CPITN the examination of patients with periodontal disease is becoming easier.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The purpose of the present study was to evaluate the professional knowledge in periodontology of the dentists, a subject which has been taught officially since 1972 as an independent area, to determine the self-assessed level of competence and to elaborate on the needs for continuing education in periodontology. The present evaluation used questionnaires sent to all members of the Swiss Society of Odontology SSO in the summer of 2000. One third of the questionnaires were returned. The questionnaires contained three parts: A) Demographic information assuring that the distribution of the answering colleagues corresponded to that of all dentists in Switzerland. B) Self-assessment of undergraduate and continuing education. Colleagues with professional experience of less than six years evaluated themselves as being most competent theoretically, while those with professional experience of 6-25 years felt most competent practically. C) Objective professional knowledge of the etiology and therapy of periodontal diseases. Such evidence-based statements had also been presented to the European Academy of Periodontology (EAP) in 1993 at the 1st European Workshop in Periodontology. In comparison to the students and faculty of the University of Washington and the EAP, it was possible to evaluate the level of knowledge in periodontology of Swiss dentists. It was evident that their professional knowledge was on a level which corresponded to the state of scientific evidence. However, there were differences between graduates from the different Swiss universities.
BACKGROUND: Precision periodontology integrates molecular diagnostics, genomics, and advanced imaging into clinical decision-making. Despite major advances in microbiome characterisation, host genetics, and inflammatory biomarkers, their translation into routine care remains limited. OBJECTIVES: To critically appraise current evidence on microbiome-based profiling, genetic and epigenetic markers, host-response biomarkers, and three-dimensional imaging in periodontology, and to propose a conceptual decision-support framework linking diagnostic outputs to potential therapeutic actions and future implementation research. MATERIALS AND METHODS: A narrative review searching PubMed/MEDLINE, Scopus, Embase, and the Cochrane Library (2010-2025) using terms related to precision periodontology, subgingival microbiome, periodontitis genetics and epigenetics, salivary and GCF biomarkers, aMMP-8, CBCT, risk assessment, and artificial intelligence. Priority was given to meta-analyses, systematic reviews, longitudinal studies, and guideline documents. RESULTS: Microbiological testing has defined but narrow indications; single-SNP genotyping has not demonstrated clinical utility commensurate with cost; aMMP-8 point-of-care testing is among the most extensively investigated host-response tools and may have adjunctive value in selected monitoring and peri-implant scenarios; however, current evidence remains insufficient to support routine diagnostic implementation. CBCT may directly influence surgical decision-making through defect morphology characterisation. AI-based models show promise but lack prospective clinical validation. These conclusions are consistent with the 20th EFP Workshop Consensus Report. CONCLUSIONS: Precision periodontology currently operates in addition to, rather than in replacement of, conventional staging and grading. We propose a conceptual decision-threshold framework for the selective consideration of molecular and advanced imaging tools when their additive contribution may meaningfully inform management. This framework should be regarded as a research-oriented decision-support model rather than a validated clinical algorithm. CLINICAL RELEVANCE: Clinicians are provided with a structured, evidence-based framework that identifies specific clinical scenarios where molecular diagnostics, host-response biomarkers, and three-dimensional imaging may meaningfully modify periodontal treatment decisions, supporting the operationalisation of precision approaches in daily practice.
This referral policy and parameters of care document was commissioned by the Council of the British Society of Periodontology to provide guidance for practitioners, given the changing environment of primary and secondary care dentistry in the UK. These changes included the provision of the so-called 'high street' specialists in various mono-specialties and engendered a new paradigm of openness and information giving from the profession outwards. This was in turn necessitated by both dento-legal requirements and an increasing demand from the public for the provision of more advanced periodontal care. The promotion of periodontal therapy is both public and practitioner based, and by promoting periodontology to the general practitioner there is an inevitable knock-on effect to the patient base. Thus, in October 2000, these guidelines for referring from primary to secondary care were published so that GDPs could be given some indications of good referral practice, based upon the well-known tenets of the Basic Periodontal Examination (BPE). In addition, a number of succinct and relevant parameters of care were proposed, highlighting the need for the practitioner to not only examine the periodontium but also to make a diagnosis and effect a treatment plan and defined therapeutic goals using evidence based procedures.
The aim of the present paper was to study the current state of electronic scientific data-exchange in the field of dentistry and particularly in the specialty of periodontology. The use of electronic communication is unquestionably growing in all areas of life and has established itself in almost all areas of sciences and research. The potential use of Internet resources in the area of periodontology is the main topic of this paper. An overview explains the Internet system, its history, its structure, and the necessary hardware and software to use it. Text-orientated software and graphic interfaces like the World Wide Web will be described. Examples will be included to describing the basic services of Internet. The pros and cons of Internet use will be discussed and a preview of possible future developments in the field of communication for scientifically-oriented information will be included. This paper indicates that modern periodontal therapy and research may be enhanced by the use of Internet resources.
The impetus of the Bologna Process under the auspices of European Union governments has raised enormous expectations. It is the major educational change in Europe within the last 50 years and all the focus from university institutions, learned societies and thematic networks has shifted to this process, with the aim of developing consensus schemes in order to arrive at the expected European Convergence in Higher Education (to be completed by 2010). Dentistry as one of the health professions with clear Educational Standards, as defined by the European Dental Directives, is also reviewing its educational processes within this Bachelor-Master-Doctorate scheme and evaluating how the current and future dental specialities should be accommodated within this framework. Among these specialities, Periodontology is currently considered a formal dental speciality in 11 countries belonging to the EU however it lacks this legal status in the rest of the 14 EU countries. The purpose of this position paper is to provide evidence for the need for a recognized specialty in Periodontology at European level focusing on both the educational and professional perspective, with the hope of providing discussions that may contribute to facilitate its legal establishment as a new dental speciality in Europe.
Randomization, concealment of treatment allocation, blinding, and patient follow-up are key quality components of randomized controlled trials (RCTs). The objective of this study was to assess the quality of RCTs in periodontology using these evidence-based components. Following a detailed search, screening and quality assessments of RCTs were conducted in duplicate and independently. The results showed that although 91% of trials were described as randomised, adequate methods for randomization and allocation concealment were found in 17% and 7% of studies, respectively. Blinding was adequate for the caregiver in 17% and for the examiner in 55% of studies. A clear accounting of all participants was present in 56% of reports. This rigorous systematic review revealed that the quality of RCTs in periodontology, judged by their publications, frequently does not meet recommended standards. If this quality is reflected in actual study conduct, fundamental errors could have a significant impact on the outcomes of these trials.
Since the development of the ruby laser by Maiman in 1960, lasers have been widely employed in medicine for a number of years. The purpose of this paper is to summarize potential applications for lasers in dentistry, with special regard to periodontology. This article briefly describes clinical applications of lasers and laser safety. Particularly, the use of a diode laser seems to be promising, especially in already compromised transplant patients, who need to be treated with a technique where the operative and post-operative blood loss, post-operative discomfort and the recurrence of drug-induced gingival overgrowth need to be kept to a minimum or eliminated. Therefore, the use of lasers in periodontology may lead to an alteration in present clinical practice and help to establish the best management strategy because, by maintaining periodontal health, the life quality of patients can be improved.
Periodontists who become diplomates of the American Board of Periodontology do so for many reasons. The intent of this paper is to explore the motivational factors of a select group of periodontists who have become diplomates. A survey questionnaire was mailed to 129 diplomates (1980-1984) asking them the question: "What motivated you to obtain diplomatic status in the American Board of Periodontology?" The answers from 95 diplomates were as varied as the individual respondents, but the principal motive was "personal achievement." This internalization for the need to become a diplomate was dominant over all external influences. Calculations made since January 1979 and the comments from the participants in this study strongly suggest that additional enticements must be forthcoming to draw more periodontists into diplomate status.