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Diagnosing periodontal diseases.

E P Barrington1, M Nevins

  • 1Department of Periodontics, University of Illinois, Chicago 60680.

Journal of the American Dental Association (1939)
|October 1, 1990
PubMed
Summary
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Diagnosing periodontal disease currently relies on clinical exams and imaging, with no specific test for disease activity. Identifying specific bacteria can help assess periodontal health in certain patients.

Area of Science:

  • Dentistry
  • Periodontology
  • Microbiology

Background:

  • Current periodontal disease diagnosis relies on visual inspection, periodontal probing, and radiographs.
  • No established diagnostic test accurately measures periodontal disease activity.
  • Adjunctive diagnostic procedures may offer additional insights in specific clinical scenarios.

Purpose of the Study:

  • To review the current diagnostic methods for periodontal disease.
  • To highlight the limitations in assessing disease activity.
  • To discuss the potential role of microbial identification in specific patient populations.

Main Methods:

  • Review of existing literature on periodontal disease diagnosis.
  • Analysis of diagnostic criteria for chronic periodontitis.

Related Experiment Videos

  • Evaluation of adjunctive diagnostic techniques, including microbial identification.
  • Main Results:

    • Standard diagnosis involves clinical examination and radiography.
    • Disease activity cannot be reliably assessed with current standard tests.
    • Microbial identification is not essential for diagnosing common chronic periodontitis but can be useful for special patient groups.

    Conclusions:

    • Periodontal disease diagnosis is primarily clinical.
    • A definitive test for disease activity is still lacking.
    • Microbial analysis serves as a valuable adjunctive tool for specific patient cases, not routine diagnosis.