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Periodontal health.

Niklaus P Lang1, P Mark Bartold2

  • 1Universities of Bern and Zurich, Switzerland.

Journal of Clinical Periodontology
|June 22, 2018
PubMed
Summary

This review defines periodontal health by considering histological and clinical factors. Four levels of periodontal health are proposed, ranging from pristine to disease remission, based on periodontium status and treatment outcomes.

Area of Science:

  • Periodontology
  • Dental Research
  • Oral Health

Background:

  • Definitions of periodontal health lack comprehensive documentation.
  • Establishing clear definitions is crucial for assessing disease and treatment success.

Purpose of the Study:

  • To review histological and clinical determinants of periodontal health.
  • To propose definitions for periodontal health in intact and reduced periodontium.
  • To align definitions with treatment outcomes.

Main Methods:

  • Literature review of histological and clinical determinants.
  • Analysis of factors influencing periodontal health.
  • Synthesis of findings to propose a classification system.

Main Results:

Keywords:
Clinical healthgingivaperiodontal remissionperiodontal stabilitypristine health

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  • Identified key determinants of periodontal health.
  • Proposed four distinct levels of periodontal health: pristine, well-maintained clinical, disease stability, and disease remission/control.
  • Highlighted the role of periodontium status (sound or reduced) and treatment outcomes in classification.

Conclusions:

  • The proposed classification provides a framework for defining periodontal health.
  • These definitions can serve as a common reference point for clinicians and researchers.
  • Individualized treatment response and allostatic conditions are critical in achieving periodontal health.