PDF(Pubmed)
Abstract：
BACKGROUND: A new classification for Periodontal and Peri-implant Diseases and Conditions was introduced in the 2017 World Workshop. In the past the 1999 Armitage Classification was commonly used in practice. This study aimed to assess the ease and practicability of retroactively diagnosing a subset of patients formerly diagnosed using the 1999 AAP/CDC classification with the 2017 AAP/EFP disease classification.
METHODS: A random subset of 10% of all patients referred over a 7-year period (2011-2018) to the Post-Doctoral Periodontics Clinic at Columbia University College of Dental Medicine were reviewed by accessing the Electronic Health Records (EHRs) on axiUm. Patients diagnosed with periodontal disease based on the 1999 AAP/CDC classification (including chronic and aggressive Periodontitis) were reclassified using the 2017 classification (stage: I, II, III and grade: A, B, C).
RESULTS: A sample of 336 patient records were examined. 132 were diagnosed with gingivitis, and 204 with periodontitis. Of these 204 patients, 68 (33.3%) were diagnosed with aggressive and 136 (66.7%) with chronic periodontitis. Patients diagnosed with aggressive periodontitis, 10% were reclassified as stage II, 47% as stage III, and 43% as stage IV periodontitis, and 100% were reclassified as grade C. Among patients with chronic periodontitis, 7% were reclassified as stage I, 65% as stage II, 21% as stage III, and 7% as stage IV; 11% of these were reclassified as grade A, 63% grade B, and 26% grade C.
CONCLUSIONS: The majority of those originally diagnosed with aggressive (90%) and chronic (80%) periodontitis were reclassified as either molar/incisor pattern stage III grade C or stage IV grade C periodontitis, and stage II or III periodontitis, respectively. The study demonstrated that it is practical to retroactively reassign a diagnosis according to the new 2017 classification using available information included in dental EHRs.
METHODS: A random subset of 10% of all patients referred over a 7-year period (2011-2018) to the Post-Doctoral Periodontics Clinic at Columbia University College of Dental Medicine were reviewed by accessing the Electronic Health Records (EHRs) on axiUm. Patients diagnosed with periodontal disease based on the 1999 AAP/CDC classification (including chronic and aggressive Periodontitis) were reclassified using the 2017 classification (stage: I, II, III and grade: A, B, C).
RESULTS: A sample of 336 patient records were examined. 132 were diagnosed with gingivitis, and 204 with periodontitis. Of these 204 patients, 68 (33.3%) were diagnosed with aggressive and 136 (66.7%) with chronic periodontitis. Patients diagnosed with aggressive periodontitis, 10% were reclassified as stage II, 47% as stage III, and 43% as stage IV periodontitis, and 100% were reclassified as grade C. Among patients with chronic periodontitis, 7% were reclassified as stage I, 65% as stage II, 21% as stage III, and 7% as stage IV; 11% of these were reclassified as grade A, 63% grade B, and 26% grade C.
CONCLUSIONS: The majority of those originally diagnosed with aggressive (90%) and chronic (80%) periodontitis were reclassified as either molar/incisor pattern stage III grade C or stage IV grade C periodontitis, and stage II or III periodontitis, respectively. The study demonstrated that it is practical to retroactively reassign a diagnosis according to the new 2017 classification using available information included in dental EHRs.
摘要：
背景：在2017年世界研讨会上介绍了牙周和种植体周围疾病和病症的新分类。在过去，在实践中通常使用1999年的Armitage分类。这项研究旨在评估回顾性诊断以前使用1999年AAP/CDC分类和2017年AAP/EFP疾病分类诊断的患者子集的难易性和实用性。
方法：通过访问axiUm上的电子健康记录（EHRs），对在7年期间（2011-2018年）转诊到哥伦比亚大学牙科医学院的后博士牙科医生诊所的所有患者中的10％的随机子集进行了审查。根据1999年AAP/CDC分类（包括慢性和侵袭性牙周炎）诊断为牙周病的患者使用2017年分类进行了重新分类（阶段：I，II,III和等级：A，B,C).
结果：检查了336份患者记录的样本。132人被诊断为牙龈炎,204患有牙周炎。在这204名患者中，68例（33.3％）被诊断为侵袭性牙周炎，136例（66.7％）被诊断为慢性牙周炎。被诊断为侵袭性牙周炎的患者，10%被重新分类为第二阶段，47%为第三阶段，43%为IV期牙周炎，100％被重新分类为C级。在慢性牙周炎患者中，7%被重新分类为第一阶段，65%作为第二阶段，21%作为第三阶段，7%为第四阶段；其中11%被重新分类为甲级，63%的B级，
结论：最初诊断为侵袭性（90％）和慢性（80％）牙周炎的大多数患者被重新分类为磨牙/切牙型III期C级或IV期C级牙周炎，和II期或III期牙周炎，分别。该研究表明，使用牙科EHR中包含的可用信息，根据2017年的新分类追溯重新分配诊断是可行的。
方法：通过访问axiUm上的电子健康记录（EHRs），对在7年期间（2011-2018年）转诊到哥伦比亚大学牙科医学院的后博士牙科医生诊所的所有患者中的10％的随机子集进行了审查。根据1999年AAP/CDC分类（包括慢性和侵袭性牙周炎）诊断为牙周病的患者使用2017年分类进行了重新分类（阶段：I，II,III和等级：A，B,C).
结果：检查了336份患者记录的样本。132人被诊断为牙龈炎,204患有牙周炎。在这204名患者中，68例（33.3％）被诊断为侵袭性牙周炎，136例（66.7％）被诊断为慢性牙周炎。被诊断为侵袭性牙周炎的患者，10%被重新分类为第二阶段，47%为第三阶段，43%为IV期牙周炎，100％被重新分类为C级。在慢性牙周炎患者中，7%被重新分类为第一阶段，65%作为第二阶段，21%作为第三阶段，7%为第四阶段；其中11%被重新分类为甲级，63%的B级，
结论：最初诊断为侵袭性（90％）和慢性（80％）牙周炎的大多数患者被重新分类为磨牙/切牙型III期C级或IV期C级牙周炎，和II期或III期牙周炎，分别。该研究表明，使用牙科EHR中包含的可用信息，根据2017年的新分类追溯重新分配诊断是可行的。
