{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:15:28Z","timestamp":1790914528888,"version":"4.1.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Oral Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>A new classification for <jats:italic>Periodontal and Peri-implant Diseases and Conditions<\/jats:italic> was introduced in the 2017 World Workshop. In the past the 1999 Armitage Classification was commonly used in practice. This study aimed to assess the ease and practicability of retroactively diagnosing a subset of patients formerly diagnosed using the 1999 AAP\/CDC classification with the 2017 AAP\/EFP disease classification.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A random subset of 10% of all patients referred over a 7-year period (2011\u20132018) to the Post-Doctoral Periodontics Clinic at Columbia University College of Dental Medicine were reviewed by accessing the Electronic Health Records (EHRs) on axiUm. Patients diagnosed with periodontal disease based on the 1999 AAP\/CDC classification (including <jats:italic>chronic<\/jats:italic> and <jats:italic>aggressive<\/jats:italic> Periodontitis) were reclassified using the 2017 classification (stage: I, II, III and grade: A, B, C).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A sample of 336 patient records were examined. 132 were diagnosed with gingivitis, and 204 with periodontitis. Of these 204 patients, 68 (33.3%) were diagnosed with aggressive and 136 (66.7%) with chronic periodontitis. Patients diagnosed with aggressive periodontitis, 10% were reclassified as stage II, 47% as stage III, and 43% as stage IV periodontitis, and 100% were reclassified as grade C. Among patients with <jats:italic>chronic<\/jats:italic> periodontitis, 7% were reclassified as stage I, 65% as stage II, 21% as stage III, and 7% as stage IV; 11% of these were reclassified as grade A, 63% grade B, and 26% grade C.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The majority of those originally diagnosed with <jats:italic>aggressive<\/jats:italic> (90%) and <jats:italic>chronic<\/jats:italic> (80%) periodontitis were reclassified as either molar\/incisor pattern stage III grade C or stage IV grade C periodontitis, and stage II or III periodontitis, respectively. The study demonstrated that it is practical to retroactively reassign a diagnosis according to the new 2017 classification using available information included in dental EHRs.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12903-024-04385-5","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T06:02:03Z","timestamp":1716876123000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Ease and practicability of the 2017 classification of periodontal diseases and conditions: a study of dental electronic health records"],"prefix":"10.1186","volume":"24","author":[{"given":"Muhammad","family":"Raza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela Gurpegui","family":"Abud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaffer Ahmed","family":"Shariff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"issue":"1","key":"4385_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1902\/annals.1999.4.1.1","volume":"4","author":"GC Armitage","year":"1999","unstructured":"Armitage GC. Development of a classification system for periodontal diseases and conditions. Annals Periodontology. 1999;4(1):1\u20136.","journal-title":"Annals Periodontology"},{"issue":"7","key":"4385_CR2","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1902\/jop.2015.157001","volume":"86","author":"O Periodontitis","year":"2015","unstructured":"Periodontitis O. American Academy of Periodontology Task Force report on the update to the 1999 classification of periodontal diseases and conditions. J Periodontol. 2015;86(7):835\u20138.","journal-title":"J Periodontol"},{"key":"4385_CR3","doi-asserted-by":"publisher","first-page":"S159","DOI":"10.1002\/JPER.18-0006","volume":"89","author":"MS Tonetti","year":"2018","unstructured":"Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018;89:S159\u201372.","journal-title":"J Periodontol"},{"key":"4385_CR4","doi-asserted-by":"publisher","first-page":"S78","DOI":"10.1111\/jcpe.12941","volume":"45","author":"D Herrera","year":"2018","unstructured":"Herrera D, Retamal-Valdes B, Alonso B, Feres M. Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo\u2010periodontal lesions. J Clin Periodontol. 2018;45:S78\u201394.","journal-title":"J Clin Periodontol"},{"key":"4385_CR5","doi-asserted-by":"publisher","first-page":"S171","DOI":"10.1111\/jcpe.12947","volume":"45","author":"JM Albandar","year":"2018","unstructured":"Albandar JM, Susin C, Hughes FJ. Manifestations of systemic diseases and conditions that affect the periodontal attachment apparatus: case definitions and diagnostic considerations. J Clin Periodontol. 2018;45:S171\u201389.","journal-title":"J Clin Periodontol"},{"key":"4385_CR6","doi-asserted-by":"publisher","first-page":"S173","DOI":"10.1002\/JPER.17-0721","volume":"89","author":"PN Papapanou","year":"2018","unstructured":"Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H. Periodontitis: Consensus report of workgroup 2 of the 2017 World workshop on the classification of Periodontal and Peri-implant diseases and conditions. J Periodontol. 2018;89:S173\u201382.","journal-title":"J Periodontol"},{"key":"4385_CR7","doi-asserted-by":"publisher","first-page":"S95","DOI":"10.1111\/jcpe.12942","volume":"45","author":"DH Fine","year":"2018","unstructured":"Fine DH, Patil AG, Loos BG. Classification and diagnosis of aggressive periodontitis. J Clin Periodontol. 2018;45:S95\u2013111.","journal-title":"J Clin Periodontol"},{"key":"4385_CR8","doi-asserted-by":"publisher","first-page":"S112","DOI":"10.1111\/jcpe.12943","volume":"45","author":"I Needleman","year":"2018","unstructured":"Needleman I, Garcia R, Gkranias N, Kirkwood KL, Kocher T, Iorio AD, Moreno F, Petrie A. Mean annual attachment, bone level, and tooth loss: a systematic review. J Clin Periodontol. 2018;45:S112\u201329.","journal-title":"J Clin Periodontol"},{"issue":"9","key":"4385_CR9","doi-asserted-by":"publisher","first-page":"908","DOI":"10.1111\/jcpe.13157","volume":"46","author":"C Graetz","year":"2019","unstructured":"Graetz C, Mann L, Krois J, S\u00e4lzer S, Kahl M, Springer C, Schwendicke F. Comparison of periodontitis patients\u2019 classification in the 2018 versus 1999 classification. J Clin Periodontol. 2019;46(9):908\u201317.","journal-title":"J Clin Periodontol"},{"issue":"11","key":"4385_CR10","doi-asserted-by":"publisher","first-page":"1371","DOI":"10.1111\/jcpe.13356","volume":"47","author":"C Delatola","year":"2020","unstructured":"Delatola C, Loos BG, Laine ML. Three periodontitis phenotypes: bone loss patterns, antibiotic\u2014surgical treatment and the new classification. J Clin Periodontol. 2020;47(11):1371\u20138.","journal-title":"J Clin Periodontol"},{"issue":"4","key":"4385_CR11","first-page":"103","volume":"17","author":"BV Karthikeyan","year":"2015","unstructured":"Karthikeyan BV, Sujatha V, Prabhuji ML. Furcation measurements: realities and limitations. J Int Acad Periodontol. 2015;17(4):103\u20135.","journal-title":"J Int Acad Periodontol"},{"issue":"2","key":"4385_CR12","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1111\/jcpe.13406","volume":"48","author":"L Marini","year":"2021","unstructured":"Marini L, Tonetti MS, Nibali L, Rojas MA, Aimetti M, Cairo F, Cavalcanti R, Crea A, Ferrarotti F, Graziani F, Landi L. The staging and grading system in defining periodontitis cases: consistency and accuracy amongst periodontal experts, general dentists and undergraduate students. J Clin Periodontol. 2021;48(2):205\u201315.","journal-title":"J Clin Periodontol"}],"container-title":["BMC Oral Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-024-04385-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12903-024-04385-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-024-04385-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T06:02:14Z","timestamp":1716876134000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcoralhealth.biomedcentral.com\/articles\/10.1186\/s12903-024-04385-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,28]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4385"],"URL":"https:\/\/doi.org\/10.1186\/s12903-024-04385-5","relation":{},"ISSN":["1472-6831"],"issn-type":[{"value":"1472-6831","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,28]]},"assertion":[{"value":"23 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the Institutional Review Board of the Columbia University Medical Center (IRB protocol: #AAAS1808). As the study involved retrospective analyses of existing EHRs, a need for waiver of written informed consent was granted by the Institutional Review Board of the Columbia University Medical Center.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"621"}}