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Inicio Revista Clínica de Periodoncia, Implantología y Rehabilitación Oral Determinantes del Diagnóstico Periodontal
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Vol. 3. Issue 2.
Pages 94-99 (August 2010)
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Vol. 3. Issue 2.
Pages 94-99 (August 2010)
Open Access
Determinantes del Diagnóstico Periodontal
Determinants of Periodontal Diagnosis
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35368
J.E. Botero1,
Corresponding author
drjavo@yahoo.com

Correspondencia autor.
, E. Bedoya1
1 Profesor. Facultad de Odontología, Universidad de Antioquia. Medellín, Colombia
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Resumen

Un correcto diagnóstico periodontal es necesario para la realización de una terapia periodontal exitosa en nuestro paciente. Entendiendo que la enfermedad periodontal es un proceso infeccioso-inflamatorio, diferentes variables se deben analizar clínicamente para determinar el diagnóstico. El diagnóstico entonces es un análisis concienzudo de la expresión clínica de la enfermedad, desde gingivitis hasta periodontitis. Este artículo analiza los determinantes más importantes del diagnóstico periodontal utilizados en la práctica clínica diaria.

Palabras clave:
Profundidad al sondaje
nivel de inserción clínica
pérdida ósea
sangrado al sondaje
periodontitis crónica
periodontitis agresiva
Abstract

The correct diagnosis of periodontal disease is a pre-requisite for an appropriate periodontal treatment. Periodontal disease is an infectious-inflammatory process that affects different clinical variables that must be analyzed before reaching the diagnosis. The diagnosis should be a carefully performed analysis of the clinical expression of the disease, from gingivitis to periodontitis. This article reviews the most important determinants of periodontal diagnosis.

Key words:
Probing depth
clinical attachment level
bone loss
bleeding on probing
chronic periodontitis
aggressive periodontitis
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Referencias bibliográficas
[1.]
B.A. Dale.
Periodontal epithelium: a newly recognized role in health and disease.
Periodontol, 2000, 30 (2002), pp. 70-78
[2.]
D.D. Bosshardt, N. Lang.
The junctional epithelium: from health to disease.
J Dent Res, 84 (2005), pp. 9-20
[3.]
A. Nanci, D.D. Bosshardt.
Structure of periodontal tissues in health and disease.
Periodontol, 2000, 40 (2006), pp. 11-28
[4.]
E.Y. Choi, S. Santoso, T. Chavakis.
Mechanisms of neutrophil transendothelial migration.
Front Biosci, 14 (2009), pp. 1596-1605
[5.]
K.S. Kornman, R.C. Page, M.S. Tonetti.
The host response to the microbial challenge in periodontitis: assembling the players.
Periodontol, 2000, 14 (1997), pp. 33-53
[6.]
A.K. Abbas, A.H. Lichtman, S. Pillai.
Effector mechanisms of cell mediated immunity.
Cellular and molecular immunology, 6th, Saunders Elsevier, (2007), pp. 303-320
[7.]
R.C. Page, H.E. Schroeder.
Pathogenesis of inflammatory periodontal disease. A summary of current work.
Lab Invest, 34 (1976), pp. 235-249
[8.]
M.A. Weinberg, R.N. Eskow.
Periodontal terminology revisited.
J Periodontol, 74 (2003), pp. 563-565
[9.]
J. Caton, G. Greenstein, A.M. Polson.
Depth of periodontal probe penetration related to clinical and histologic signs of gingival inflammation.
J Periodontol, 52 (1981), pp. 626-629
[10.]
H.P. Müller, T. Eger.
Masticatory mucosa and periodontal phenotype: a review.
Int J Periodontics Restorative Dent, 22 (2002), pp. 172-183
[11.]
M.J. Novak, H.M. Albather, J.M. Close.
Redefining the biologic width in severe, generalized, chronic periodontitis: implications for therapy.
J Periodontol, 79 (2008), pp. 1864-2189
[12.]
G. Greenstein.
Current interpretations of periodontal probing evaluations: diagnostic and therapeutic implications.
Compend Contin Educ Dent, 26 (2005), pp. 381-390
[13.]
A.W. Gargiulo, F.M. Wentz, B. Orban.
Dimensions and relations of the dentogingival junction in humans.
J Periodontol, 32 (1961), pp. 261-267
[14.]
J.S. Vacek, M.E. Gher, D.A. Assad, A.C. Richardson, L.I. Giambarresi.
The dimensions of the human dentogingival junction.
Int J Periodontics Restorative Dent, 14 (1994), pp. 154-165
[15.]
P.D. Toto, A.W. Gargiulo.
Epithelial and connective tissue changes in periodontitis.
J Periodontol, 41 (1970), pp. 587-590
[16.]
M.A. Listgarten.
Periodontal probing: what does it mean?.
J Clin Periodontol, 7 (1980), pp. 165-176
[17.]
G. Matuliene, B.E. Pjetursson, G.E. Salvi, K. Schmidlin, U. Brägger, M. Zwahlen, N.P. Lang.
Influence of residual pockets on progression of periodontitis and tooth loss: results after 11 years of maintenance.
J Clin Periodontol, 35 (2008), pp. 685-695
[18.]
U. Brägger, S. Nyman, N.P. Lang, T. von Wyttenbach, G. Salvi, E. Schürch Jr..
The significance of alveolar bone in periodontal disease. A long-term observation in patients with cleft lip, alveolus and palate.
J Clin Periodontol, 17 (1990), pp. 379-384
[19.]
A. Joss, R. Adler, N.P. Lang.
Bleeding on probing. A parameter for monitoring periodontal conditions in clinical practice.
J Clin Periodontol, 21 (1994), pp. 402-408
[20.]
N.P. Lang, A. Joss, M.S. Tonetti.
Monitoring disease during supportive periodontal treatment by bleeding on probing.
Periodontol, 2000, 12 (1996), pp. 44-48
[21.]
N.P. Lang, A. Joss, T. Orsanic, F.A. Gusberti, B.E. Siegrist.
Bleeding on probing. A predictor for the progression of periodiontal disease?.
J Clin Periodontol, 13 (1986), pp. 590-596
[22.]
N.P. Lang, S. Nyman, C. Senn, A. Joss.
Bleeding on probing as it relates to probing pressure and gingival health.
J Clin Periodontol, 18 (1991), pp. 257-261
[23.]
U. van der Velden.
Influence of periodontal health on probing depth and bleeding tendency.
J Clin Periodontol, 7 (1980), pp. 129-139
[24.]
U. van der Velden, J. Jansen.
Probing forces in relation top robe penetration into the periodontal tissues in dogs. A microscopic evaluation.
J Clin Periodontol, 7 (1980), pp. 325-327
[25.]
U. van der Velden, J. Jansen.
Microscopic evaluation of pocket depth measurements performed with six different probing forces in dogs.
J Clin Periodontol, 8 (1981), pp. 107-116
[26.]
G.C. Armitage, G.K. Svanberg, H. Löe.
Microscopic evaluation of clinical measurements of connective tissue attachment levels.
J Clin Periodontol, 4 (1977), pp. 173-190
[27.]
N.P. Lang, R. Adler, A. Joss, S. Nyman.
Absence of bleeding on probing An indicator of periodontal stability.
J Clin Periodontol, 17 (1990), pp. 714-721
[28.]
A. Talari, J. Ainamo.
Orthopantomographic assessment of the width of attached gingiva.
J Periodontal Res, 11 (1976), pp. 177-181
[29.]
J. Ainamo, A. Talari.
The increase with age of the width of attached gingiva.
J Periodontal Res, 11 (1976), pp. 182-188
[30.]
N.P. Lang, H. Löe.
The relationship between the width of keratinized gingiva and gingival health.
J Periodontol, 43 (1972), pp. 623-627
[31.]
M. Miyasato, M. Crigger, J. Egelberg.
Gingival condition in areas of minimal and appreciable width of keratinized gingiva.
J Clin Periodontol, 4 (1977), pp. 200-209
[32.]
J. Wennström, J. Lindhe, S. Nyman.
The role of keratinized gingiva in plaqueassociated gingivitis in dogs.
J Clin Periodontol, 9 (1982), pp. 75-85
[33.]
S.L. Oh.
Attached gingiva: histology and surgical augmentation.
Gen Dent, 57 (2009), pp. 381-385
[34.]
G. Agudio, M. Nieri, R. Rotundo, D. Franceschi, P. Cortellini, G.P. Pini Prato.
Periodontal conditions of sites treated with gingival-augmentation surgery compared to untreated contralateral homologous sites: a 10- to 27-year longterm study.
J Periodontol, 80 (2009), pp. 1399-1405
[35.]
J.M. Goodson.
Diagnosis of periodontitis by physical measurement: interpretation from episodic disease hypothesis.
J Periodontol, 63 (1992), pp. 373-382
[36.]
J.L. Ruiz.
Seven signs and symptoms of occlusal disease: the key to an easy diagnosis.
Dent Today, 28 (2009), pp. 112-113
[37.]
Examination of patients with periodontal disease.
Clinical periodontology and implant dentistry, 5th, pp. 573-586
[38.]
H. Löe, A. Anerud, H. Boysen, E. Morrison.
Natural history of periodontal disease in man Rapid, moderate and no loss of attachment in Sri Lankan laborers 14 to 46 years of age.
J Clin Periodontol, 13 (1986), pp. 431-445
[39.]
V. Baelum, W.M. Luan, X. Chen, O. Fejerskov.
A 10-year study of the progression of destructive periodontal disease in adult and elderly Chinese.
J Periodontol, 68 (1997), pp. 1033-1042
[40.]
V. Baelum, W.M. Luan, X. Chen, O. Fejerskov.
Predictors of destructive periodontal disease incidence and progression in adult and elderly Chinese.
Community Dent Oral Epidemiol, 25 (1997), pp. 265-272
[41.]
T.D. Halazonetis, A.D. Haffajee, S.S. Socransky.
Relationship of clinical parameters to attachment loss in subsets of subjects with destructive periodontal diseases.
J Clin Periodontol, 16 (1989), pp. 563-568
[42.]
A.D. Haffajee, S.S. Socransky, J. Lindhe, R.L. Kent, H. Okamoto, T. Yoneyama.
Clinical risk indicators for periodontal attachment loss.
J Clin Periodontol, 18 (1991), pp. 117-125
[43.]
M.S. Tonetti, N. Claffey, on behalf of the European Workshop in Periodontology group C.
Advances in the progression of periodontitis and proposal of definitions of a periodontitis case and disease progression for use in risk factor research.
J Clin Periodontol, 32 (2005), pp. 205-208
[44.]
J. Gamonal, A. Bascones, O. Jorge, A. Silva.
Chemokine RANTES in gingival crevicular fluid of adult patients with periodontitis.
J Clin Periodontol, 27 (2000), pp. 675-681
[45.]
J.E. Regan, D.F. Mitchell.
Roentgenographic and dissection measurements of alveolar crest height.
J Am Dent Assoc, 66 (1963), pp. 356-359
[46.]
C. Källestål, L. Matsson.
Criteria for assessment of interproximal bone loss on bite-wing radiographs in adolescents.
J Clin Periodontol, 16 (1989), pp. 300-304
[47.]
E. Hausmann, K. Allen, V. Clerehugh.
What alveolar crest level on a bite-wing radiograph represents bone loss?.
J Periodontol, 62 (1991), pp. 570-572
[48.]
A. Khocht, H. Zohn, M. Deasy, K.M. Chang.
Screening for periodontal disease: radiographs vs.
PSR. J Am Dent Assoc, 127 (1996), pp. 749-756
[49.]
M.S. Reddy.
Radiographic alveolar bone change as an outcome measure for therapies that inhibit bone loss or foster bone gain.
J Int Acad Periodontol, 7 (2005), pp. 175-188
[50.]
U. Brägger, D. Håkanson, N.P. Lang.
Progression of periodontal disease in patients with mild to moderate adult periodontitis.
J Clin Periodontol, 19 (1992), pp. 659-666
[51.]
M.K. Jeffcoat.
Radiographic methods for the detection of progressive alveolar bone loss.
J Periodontol, 63 (1992), pp. 367-372
[52.]
M.K. Jeffcoat, M.S. Reddy.
A comparison of probing and radiographic methods for detection of periodontal disease progression.
Curr Opin Dent, 1 (1991), pp. 45-51
[53.]
P.V. Nummikoski, B. Steffensen, K. Hamilton, S.B. Dove.
Clinical validation of a new subtraction radiography technique for periodontal bone loss detection.
J Periodontol, 71 (2000), pp. 598-605
[54.]
G.C. Armitage.
Development of a classification system for periodontal diseases and conditions.
Ann Periodontol, 4 (1999), pp. 1-6
[55.]
G.C. Armitage.
Periodontal diagnoses and classification of periodontal diseases.
Periodontol, 2000, 34 (2004), pp. 9-21
[56.]
A. Mombelli, F. Casagni, P.N. Madianos.
Can presence or absence of periodontal pathogens distinguish between subjects with chronic and aggressive periodontitis?. A systematic review.
J Clin Periodontol, 29 (2002), pp. 10-21
[57.]
G.C. Armitage, M.P. Cullinan.
Comparison of the clinical features of chronic and aggressive periodontitis.
Periodontol, 2000, 53 (2010), pp. 12-27
[58.]
M. Smith, G.J. Seymour, M.P. Cullinan.
Histopathological features of chronic and aggressive periodontitis.
Periodontol, 2000, 53 (2010), pp. 45-54
[59.]
P.J. Ford, J. Gamonal, G.J. Seymour.
Immunological differences and similarities between chronic periodontitis and aggressive periodontitis.
Periodontol, 2000, 53 (2010 Jun), pp. 111-123
[60.]
D.E. Deas, B.L. Mealey.
Response of chronic and aggressive periodontitis to treatment.
Periodontol, 2000, 53 (2010), pp. 154-166
Copyright © 2010. Sociedad de Periodoncia de Chile, Sociedad de Implantología Oral de Chile y Sociedad de Prótesis y Rehabilitación Oral de Chile
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