Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Comparison of 1999 and 2018 Periodontal Disease Classifications in Diabetic and Smoker Groups: A Retrospective Study
Diyabeti Olan ve Sigara İçen Gruplarda 1999 ve 2018 Periodontal Hastalık Sınıflandırmalarının Karşılaştırılması: Retrospektif Bir Çalışma
Ekin BEŞİROĞLUa, Sibel KAYAALTI YÜKSEKa
aDepartment of Periodontology, İstanbul Okan University Faculty of Dentistry, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(1):121-30
doi: 10.5336/dentalsci.2022-89922
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aims to evaluate whether the 2018 classification is more successful in reflecting the severity, prevalence, and progression of the disease by evaluating the risk factors compared to 1999. Material and Methods: The 202 periodontitis patients (120 men, 82 woman; mean age: 43.23±9.81 years) demographic data, medical history and periodontal clinical examinations were used to assign periodontal disease classifications according to 1999 [localized and generalized aggressive/chronic periodontitis (CP)] and 2018 (localized and generalized Stage I-IV and Grade A-C periodontitis) classification systems, retrospectively. Three groups were established based on risk factors [diabetes mellitus (Group D), smoking (Group S), systemic healthy (Group H)]. Results: Statistically significant difference was detected between the distributions of the 1999 and the 2018 classification in D, S, and H groups (p<0.001). 41.7% of generalized severe CP were reclassified as generalized Stage-3 Grade-C periodontitis in the D group. In the S group, 71.9% of the generalized severe CP were reclassified as generalized Stage-3 Grade-C periodontitis. In the H group, 94.7% of localized mild CP, 76.9% of localized moderate CP were reclassified as localized Stage-1 Grade-A periodontitis, localized Stage- 2 Grade-B periodontitis. Conclusion: The 2018 periodontal disease classification provides clinicians with more information about patients' current clinical-medical status and prognosis (NCT04815772).

Keywords: Smoking; diabetes mellitus; periodontitis; classification of periodontal disease
ÖZET
 Amaç: Bu çalışma, 1999 sınıflaması ile karşılaştırıldığında 2018 sınıflamasının risk faktörlerini değerlendirerek hastalığın şiddetini, yaygınlığını ve ilerlemesini yansıtmada daha başarılı olup olmadığını değerlendirmeyi amaçlamaktadır. Gereç ve Yöntemler: 202 periodontit hastasının (120 erkek, 82 kadın; ortalama yaş: 43,23±9,81) demografik verileri, medikal hikâyeleri ve klinik periodontal verileri retrospektif olarak kullanılarak 1999 [lokalize ve generalize agresif/kronik periodontit (KP)] ve 2018 (lokalize ve generalize Evre I-IV ve Derece A-C periodontit) sınıflandırma sistemlerine göre sınıflandırıldı. Bu bireyler risk faktörlerine göre 3 gruba ayrıldı [diabetes mellitus (Grup D), sigara (Grup S), sistemik sağlıklı (Grup H)]. Bulgular: D, S ve H gruplarının 1999 ve 2018 sınıflamasına göre dağılımları arasında istatistiksel olarak anlamlı fark saptandı (p<0,001). D grubunda generalize şiddetli KP'nin %41,7'si generalize Evre-3 Derece-C periodontit olarak yeniden sınıflandırıldı. S grubunda generalize şiddetli KP'nin %71,9'u generalize Evre-3 Derece-C periodontit olarak yeniden sınıflandırıldı. H grubunda lokalize hafif şiddetli KP'nin %94,7'si, lokalize orta şiddetli KP'nin %76,9'u lokalize Evre-1 Derece-A periodontit ve lokalize Evre-2 Derece-B periodontit olarak yeniden sınıflandırıldı. Sonuç: 2018 periodontal hastalık sınıflaması, klinisyenlere hastaların mevcut klinik-tıbbi durumu ve prognozu hakkında daha fazla bilgi sağlamıştır (NCT04815772).

Anahtar Kelimeler: Sigara içme; diabetes mellitus; periodontit; periodontal hastalık sınıflaması
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