1、牙周疾病的分类牙周疾病的分类(Classification of Periodontal Diseases)牙周疾病的分类牙周疾病的分类 分类原则分类原则1.按病理学分类按病理学分类2.按临床表现分类按临床表现分类3.按病因分类按病因分类4.混合性分类(病因与临床表现,病因与病理)混合性分类(病因与临床表现,病因与病理)发展史发展史随着人类对疾病的病因、病理的进一步认识和深入研究,牙周随着人类对疾病的病因、病理的进一步认识和深入研究,牙周病的分类不断演变和改进。病的分类不断演变和改进。Gottlieb分类分类 (1928)炎症性炎症性 不洁性脓漏不洁性脓漏(Schmutz pyorrhea)由
2、口腔卫生不良所致由口腔卫生不良所致变性或萎缩变性或萎缩 弥漫性牙槽萎缩(弥漫性牙槽萎缩(diffuse alveolar atrophy)diffuse alveolar atrophy)由全身或代谢性原因所致由全身或代谢性原因所致 (为青少年牙周炎最早的名称)(为青少年牙周炎最早的名称)牙周脓漏牙周脓漏(paradentalparadental pyorrhea)pyorrhea)Orban 分类分类(1949)炎症状态炎症状态(inflammatory conditions)牙龈炎牙龈炎:急性或慢性;溃疡性或化脓性;局限性或全身性等。急性或慢性;溃疡性或化脓性;局限性或全身性等。牙周炎:牙
3、周炎:单纯性(由牙龈炎发展而来)单纯性(由牙龈炎发展而来)复杂性(由牙周变性而来复杂性(由牙周变性而来)变性状态变性状态(degenerative conditions)牙龈变性(牙龈变性(gingivosis):全身原因全身原因 牙周变性(牙周变性(periodontosis):主要为全身原因主要为全身原因 萎缩状态萎缩状态(atrophic conditions)牙周萎缩牙周萎缩 牙周创伤牙周创伤(periodontal traumatism)原发性原发性 继发性继发性 牙龈增生牙龈增生(gingival hyperplasia)感染感染 内分泌失调内分泌失调 药物性药物性 特发性特发性
4、Page&Schroeder 分类分类(1982)I.青春前期牙周炎青春前期牙周炎(prepubertal periodontitis,PPP)弥漫型弥漫型局限型局限型 II.青少年牙周炎青少年牙周炎(juvenile periodontitis,JP)III.快速进展性牙周快速进展性牙周(rapidly progresive periodontitis,RPP)IV.成人牙周炎成人牙周炎(adult periodontitis,AP)牙周疾病分类(牙周疾病分类(1989)世界临床牙周病学专题讨论会世界临床牙周病学专题讨论会 I.成人牙周炎(成人牙周炎(adult periodontitis,
5、AP)II.早早发性牙周炎性牙周炎(early-onset periodontitis,EOP)青春前期青春前期(prepubertal periodontitis,PPP)局限型或广泛型局限型或广泛型 青少年青少年(juvenile periodontitis,JP)局限型或广泛型局限型或广泛型 快速进展性(快速进展性(rapidly progressive periodontitis,RPP)III.伴有全身疾病的牙周炎伴有全身疾病的牙周炎 (periodontitis associated with systemic diseases)IV.坏死坏死溃疡性牙周炎(性牙周炎(necroti
6、zing ulcerative periodontitis)V.顽固性牙周炎固性牙周炎(refractory periodontitis)(1989)分类)分类 的不足:的不足:在疾病范畴上存在着某些重复。在疾病范畴上存在着某些重复。缺乏牙龈病分类。缺乏牙龈病分类。过分强调了疾病的始发年龄及进展速度。过分强调了疾病的始发年龄及进展速度。缺乏分类标准,或分类标准不够明确。缺乏分类标准,或分类标准不够明确。牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(19991999)1999 international workshop for
7、a classification of 1999 international workshop for a classification of periodontal diseases and conditions periodontal diseases and conditions .牙龈病牙龈病牙龈病牙龈病 (g(gingival diseasesingival diseases).慢性牙周炎慢性牙周炎慢性牙周炎慢性牙周炎 (chronic(chronic periodontitisperiodontitis).侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎 (aggressive p
8、eriodontitis)(aggressive periodontitis).反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎 (periodontitis as a(periodontitis as a manifestation of systemic diseases)manifestation of systemic diseases).坏死性牙周病坏死性牙周病坏死性牙周病坏死性牙周病 (necrotizing periodontal diseases)(necrotizing periodontal diseases).牙周脓肿牙周脓肿牙周脓肿牙周脓
9、肿 (abscesses of the periodontium)(abscesses of the periodontium)伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎 (periodontitis (periodontitis associated with endodontic lesions)associated with endodontic lesions).发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和状况 (developmental or(developmental or acquired deformiti
10、es and conditions)acquired deformities and conditions)牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(19991999)1999 international workshop for a classification of 1999 international workshop for a classification of periodontal diseases and conditions periodontal diseases and conditions .牙龈病牙
11、龈病牙龈病牙龈病 (g(gingival diseasesingival diseases).慢性牙周炎慢性牙周炎慢性牙周炎慢性牙周炎 (c(chronic hronic periodontitisperiodontitis).侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎 (aggressive (aggressive periodontitisperiodontitis).反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎 (periodontitisperiodontitis as a as a manifestation of systemic dise
12、ases)manifestation of systemic diseases).坏死性牙周病坏死性牙周病坏死性牙周病坏死性牙周病 (necrotizing periodontal(necrotizing periodontal diseases)diseases).牙周脓肿牙周脓肿牙周脓肿牙周脓肿 (abscesses of the(abscesses of the periodontiumperiodontium)伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎 (periodontitisperiodontitis associated with endodont
13、ic lesions)associated with endodontic lesions).发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和状况 (developmental or(developmental or acquired deformities and conditions)acquired deformities and conditions).慢性牙周炎慢性牙周炎 Chronic Periodontitis成人牙周炎成人牙周炎adult periodontitis取消取消“成人牙周炎成人牙周炎adult periodontitis”的名称,
14、因为的名称,因为这种牙周炎发生的年龄范围广,可见于乳牙和恒牙这种牙周炎发生的年龄范围广,可见于乳牙和恒牙牙列。虽然该病最常见于成人,但也可见于儿童和牙列。虽然该病最常见于成人,但也可见于儿童和青少年。青少年。“慢性牙周炎慢性牙周炎chronic periodontitis”这一名这一名称较成人牙周炎受年龄的限制少些。称较成人牙周炎受年龄的限制少些。牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(牙周疾病和状况的国际新分类(19991999)1999 international workshop for a classification of 1999 int
15、ernational workshop for a classification of periodontal diseases and conditions periodontal diseases and conditions .牙龈病牙龈病牙龈病牙龈病 (g(gingival diseasesingival diseases).慢性牙周炎慢性牙周炎慢性牙周炎慢性牙周炎 (chronic chronic periodontitisperiodontitis).侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎侵袭性牙周炎 (aggressive aggressive periodontitisperio
16、dontitis).反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎反映全身疾病的牙周炎 (periodontitisperiodontitis as a as a manifestation of systemic diseases)manifestation of systemic diseases).坏死性牙周病坏死性牙周病坏死性牙周病坏死性牙周病 (necrotizing periodontal diseases)(necrotizing periodontal diseases).牙周脓肿牙周脓肿牙周脓肿牙周脓肿 (abscesses of the(abscesses of the periodontiumperiodontium)伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎伴牙髓病变的牙周炎 (periodontitisperiodontitis associated with endodontic lesions)associated with endodontic lesions).发育或获得性异常和状况发育或获得性异常和状况发育或获得性异常和状况
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