1 = Terdapat perdarahan setelah probing 0 = Periodonsium sehat 2 = Terdapat kalkulus supra atau subgingiva atau timbunan plak di sekelilin 3 = Terdapat poket dengan kedalaman 4 atau 5 1. Kriteria Skoring CPITN :
1 = Terdapat perdarahan setelah probing0 = Periodonsium sehat
2 = Terdapat kalkulus supra atau subgingiva atau timbunan plak di sekeliling margin gingiva, tidak terdapat poket dengan kedalaman lebihdari 3 mm (kode warna pada probe semuanya tampak)3 = Terdapat poket dengan kedalaman 4 atau 5 mm (jika probe diinsersikan pada poket, daerah warna probe tampak sebagian)
* = Terdapat keterlibatan daerah furkasi atau loss attachment dengan kedalaman poket lebih dari 7 mm4 = Terdapat poket lebih dari 6 mm (jika probe diinsersikan pada poket, daerah warna probe seluruhnya masuk ke dalam poket dan tidak tampak kode warna)
1. Kriteria Skoring CPITN :
LampiranMenulis Diagnosis Penyakit Periodontal
American Academy of Periodontology & CPITN Klasifikasi Kondisi dan Penyakit Periodontal
Classification of Periodontal Disease
Conditions CPITN
Periodontal Health None 0 - Periodontal Health
Gingivitis/Gingival diseases
No pockets, bleeding on probing
A. Dental plaque-induced gingival diseases
B. Non-plaque-induced gingival lesions
Sextant Scores of - 1 & 2
Bleeding on probing, and/or calculus or restoration overhang present
Chronic PeriodontitisA. Localized
B. Generalized (> 30% of sites are involved)
Example: Two sextants of CPITN of 4 could be “localized chronic periodontitis” and maybe three or more sextants would be “generalized chronic periodontitis”
Age Distinction: Was described as adult onset periodontitis, in people older that 35 years.
Severity of Disease:
Slight: 1-2 mm clinical attachment loss (CAL); (3-4mm pockets, < 30% bone loss)
Moderate: 3-4 mm CAL; (4-6mm pockets, < 50% bone loss)
Severe: >5 mm CAL: ( > 6mm pockets, > 50% bone loss)
Written Diagnosis:
Use the descriptors localized or generalized depending on the distribution of sextant scores, and
Sextant Score of – 3 to 4
CPITN- 3 = 3.5 – 5.5 mm probing depth
-4 = > 6mm probing depth
Severity of Disease:
Slight – CPITN of 3 Moderate – CPITN of 3 Severe – CPITN of 4
severity of disease.
Ex. Gen slight chronic perio
Gen slight, locally severe chronic perio
Aggressive PeriodontitisA. Localized
B. Generalized (> 30% of sites are involved)
Age Distinction: Usually described as early onset < 35 years of age or rapidly progressing
Severity of Disease (same as above):
Slight: 1-2 mm CAL; (3-4mm pockets, < 30% bone loss)
Moderate: 3-4 mm CAL; 4-6mm pockets, < 50% bone loss
Severe: >5 mm CAL: > 6mm pockets, > 50% bone loss
In the world of oral epidemiology, any pocket depth >6mm is considered a "deep pocket" with advanced or severe periodontal disease.
Written Diagnosis Example:
Localized Severe, Aggressive Periodontitis
Sextant Score of – 3 to 4
CPITN - 3 = 3.5 – 5.5 mm probing
-4 = > 6mm probing depth
Severity of Disease:
Slight – CPITN of 3 Moderate – CPITN of 3 Severe – CPITN of 4
Classification of Periodontal Disease
Conditions CPITN
Periodontitis as a Manifestation of Systemic Diseases
A. Associated with hematological disorders
(neutropenia, leukemia)
B. Associated with genetic disorders
(Down’s, histiocytosis)
C. Not otherwise specified
Necrotizing Periodontal Diseases
Necrotizing Ulcerative Gingivitis (NUG) – gingival disease...does not extend into periodontal attachment.
Necrotizing Ulcerative Periodontitis (NUP) - extending into periodontal attachment
Abscesses of the Periodontium
A. Gingival abscess
B. Periodontal abscess
c. Pericoronal abscess
Periodontitis Associated With Endodontic Lesions
Combined periodontic-endodontic lesions
Developmental or Acquired Deformities and Conditions
A. Localized tooth-related factors that modify or predispose to plaque-induced gingival diseases/periodontitis
B. Mucogingival deformities and conditions around teeth
C. Mucogingival deformities and conditions on edentulous ridges
D. Occlusal trauma
Community Periodontal Index of Treatment Needs (CPITN)
CPITN SCORES
CLINICAL DESCRIPTION
Treatment needs
0 Periodontal Health
Promote self-assessment skills - Oral hygiene instructions (OHI)
1 Bleeding on probing
OHI
2 Calculus or Restoration
overhang present
OHI + prophy (ultrasonic scaling/overhang removal)
3 3.5 – 5.5 mm probing depth
OHI + ultrasonic scaling
4 Pocket depths >6 mm
Evaluate Severity & Rick Factors (such as DM, Smoking, Immunocompromised, Age)
AGE DETERMINES RISK CATEGORY
14 – 35 YEARS
HIGH RISK
High Intensity OHI
Non-Surgical Pocket
Debridement
Chemotheraphy
Active Recall
36 – 59 YEARS
MODERATE RISK
OHI
Pocket Debridement
Optional Recall
>60 YEARS
LOW RISK
OHI
Pocket Debridement
Optional Recall
Antibiotik harus digunakan dalam hubungannya dengan pembersihan awal mulut
menyeluruh pada pasien risiko tinggi. Penggunaan antibiotik tanpa adanya debridemen
penuh mulut akar memiliki manfaat yang sangat sedikit.
Catatan: 90-95% dari diagnosis akan menjadi gingivitis atau periodontitis kronis.
Tambahkan deskripsi "lokal atau umum", serta keparahan (sedikit, sedang, atau berat). Umumnya, menggunakan age break point 30-35 tahun sebagai bantuan untuk menentukan apakah itu agresif atau periodontitis kronis. Ingat, CPITN tidak mengenali resesi dan kehilangan perlekatan klinis. Seorang pasien bisa mengalami generalisasi periodontitis parah dengan kehilangan 70% tulang dan gigi mobile, tapi 3 mm atau kurang kedalaman poket akibat resesi. Skor CPITN bisa terlihat seperti: X / 2/2 karena kedalaman probing dangkal. 2/2 / X