ACES: A new framework for the application of the 2018 periodontal status classification scheme to epidemiological survey data
dc.contributor.author | Holtfreter, Birte | |
dc.contributor.author | Kuhr, Kathrin | |
dc.contributor.author | Borof, Katrin | |
dc.contributor.author | Tonetti, Maurizio S. | |
dc.contributor.author | Sanz, Mariano | |
dc.contributor.author | Kornman, Kenneth | |
dc.contributor.author | Jepsen, Søren | |
dc.contributor.author | Aarabi, Ghazal | |
dc.contributor.author | Völzke, Henry | |
dc.contributor.author | Kocher, Thomas | |
dc.contributor.author | Krois, Joachim | |
dc.contributor.author | Papapanou, Panos N. | |
dc.date.accessioned | 2024-05-01T18:29:55Z | |
dc.date.available | 2025-06-01 14:29:54 | en |
dc.date.available | 2024-05-01T18:29:55Z | |
dc.date.issued | 2024-05 | |
dc.identifier.citation | Holtfreter, Birte; Kuhr, Kathrin; Borof, Katrin; Tonetti, Maurizio S.; Sanz, Mariano; Kornman, Kenneth; Jepsen, Søren ; Aarabi, Ghazal; Völzke, Henry ; Kocher, Thomas; Krois, Joachim; Papapanou, Panos N. (2024). "ACES: A new framework for the application of the 2018 periodontal status classification scheme to epidemiological survey data." Journal of Clinical Periodontology 51(5): 512-521. | |
dc.identifier.issn | 0303-6979 | |
dc.identifier.issn | 1600-051X | |
dc.identifier.uri | https://hdl.handle.net/2027.42/192912 | |
dc.description.abstract | AimTo propose a framework for consistently applying the 2018 periodontal status classification scheme to epidemiological surveys (Application of the 2018 periodontal status Classification to Epidemiological Survey data, ACES).Proposed FrameworkWe specified data requirements and workflows for either completed or planned epidemiological surveys, utilizing commonly collected measures of periodontal status (clinical attachment levels [CAL], probing depths, bleeding on probing), as well as additional necessary variables for the implementation of the 2018 periodontal status classification (tooth loss due to periodontitis and complexity factors). Following detailed instructions and flowcharts, survey participants are classified as having periodontal health, gingivitis or periodontitis. Rates of edentulism must also be reported. In cases of periodontitis, instructions on how to compute the stage and extent are provided. Assessment of grade can be derived from CAL measurements (or from radiographic alveolar bone loss data) in relation to root length and the participant’s age.ConclusionsACES is a framework to be used in epidemiological studies of periodontal status that (i) have been completed, and in which stage and grade according to the 2018 classification are inferred retroactively, or (ii) are being planned. Consistent use of the proposed comprehensive approach will facilitate the comparability of periodontitis prevalence estimates across studies. | |
dc.publisher | Blackwell Publishing Ltd | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.subject.other | ACES | |
dc.subject.other | 2018 periodontitis classification | |
dc.subject.other | grade | |
dc.subject.other | epidemiological survey | |
dc.subject.other | stage | |
dc.title | ACES: A new framework for the application of the 2018 periodontal status classification scheme to epidemiological survey data | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Dentistry | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/192912/1/jcpe13965.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/192912/2/jcpe13965_am.pdf | |
dc.identifier.doi | 10.1111/jcpe.13965 | |
dc.identifier.source | Journal of Clinical Periodontology | |
dc.identifier.citedreference | Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., & Tonetti, M. S. ( 2018 ). Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Clinical Periodontology, 45 ( Suppl. 20 ), S162 – S170. https://doi.org/10.1111/jcpe.12946 | |
dc.identifier.citedreference | Germen, M., Baser, U., Lacin, C. C., Firatli, E., Issever, H., & Yalcin, F. ( 2021 ). Periodontitis prevalence, severity, and risk factors: A comparison of the AAP/CDC case definition and the EFP/AAP classification. International Journal of Environmental Research and Public Health, 18 ( 7 ), 3459. https://doi.org/10.3390/ijerph18073459 | |
dc.identifier.citedreference | Ghassib, I. H., Batarseh, F. A., Wang, H. L., & Borgnakke, W. S. ( 2021 ). Clustering by periodontitis-associated factors: A novel application to NHANES data. Journal of Periodontology, 92 ( 8 ), 1136 – 1150. https://doi.org/10.1002/JPER.20-0489 | |
dc.identifier.citedreference | Graetz, C., Mann, L., Krois, J., Salzer, S., Kahl, M., Springer, C., & Schwendicke, F. ( 2019 ). Comparison of periodontitis patients’ classification in the 2018 versus 1999 classification. Journal of Clinical Periodontology, 46 ( 9 ), 908 – 917. https://doi.org/10.1111/jcpe.13157 | |
dc.identifier.citedreference | Graetz, C., Schwalbach, M., Seidel, M., Geiken, A., & Schwendicke, F. ( 2020 ). Oral health-related quality of life impacts are low 27 years after periodontal therapy. Journal of Clinical Periodontology, 47 ( 8 ), 952 – 961. https://doi.org/10.1111/jcpe.13324 | |
dc.identifier.citedreference | Holtfreter, B., Albandar, J. M., Dietrich, T., Dye, B. A., Eaton, K. A., Eke, P. I., Papapanou, P. N., Kocher, T., & Joint EU/USA Periodontal Epidemiology Working Group. ( 2015 ). Standards for reporting chronic periodontitis prevalence and severity in epidemiologic studies: Proposed standards from the Joint EU/USA Periodontal Epidemiology Working Group. Journal of Clinical Periodontology, 42 ( 5 ), 407 – 412. https://doi.org/10.1111/jcpe.12392 | |
dc.identifier.citedreference | Hugoson, A., Sjodin, B., & Norderyd, O. ( 2008 ). Trends over 30 years, 1973–2003, in the prevalence and severity of periodontal disease. Journal of Clinical Periodontology, 35 ( 5 ), 405 – 414. https://doi.org/10.1111/j.1600-051X.2008.01225.x | |
dc.identifier.citedreference | Iao, S., Pei, X., Ouyang, X., Liu, J., Liu, W., & Cao, C. ( 2021 ). Natural progression of periodontal diseases in Chinese villagers based on the 2018 classification. Journal of Periodontology, 92 ( 9 ), 1232 – 1242. https://doi.org/10.1002/JPER.20-0199 | |
dc.identifier.citedreference | Iwasaki, M., Kimura, Y., Ogawa, H., Yamaga, T., Ansai, T., Wada, T., Sakamoto, R., Ishimoto, Y., Fujisawa, M., Okumiya, K., Miyazaki, H., & Matsubayashi, K. ( 2019 ). Periodontitis, periodontal inflammation, and mild cognitive impairment: A 5-year cohort study. Journal of Periodontal Research, 54 ( 3 ), 233 – 240. https://doi.org/10.1111/jre.12623 | |
dc.identifier.citedreference | Jiao, J., Jing, W., Si, Y., Feng, X., Tai, B., Hu, D., Lin, H., Wang, B., Wang, C., Zheng, S., Liu, X., Rong, W., Wang, W., Li, W., Meng, H., & Wang, X. ( 2021 ). The prevalence and severity of periodontal disease in Mainland China: Data from the Fourth National Oral Health Survey (2015–2016). Journal of Clinical Periodontology, 48 ( 2 ), 168 – 179. https://doi.org/10.1111/jcpe.13396 | |
dc.identifier.citedreference | Ju, X., Harford, J., Luzzi, L., & Jamieson, L. M. ( 2021 ). Prevalence, extent and severity of periodontitis among Australian older adults: Comparison of two generations. Journal of Periodontology, 93, 1387 – 1400. https://doi.org/10.1002/JPER.21-0458 | |
dc.identifier.citedreference | Ke, L., Nogueira, G., & Thomson, W. M. ( 2022 ). Influence of case definitions on epidemiological estimates of periodontitis prevalence and its associations with smoking and OHRQoL. Community Dentistry and Oral Epidemiology, 51, 194 – 200. https://doi.org/10.1111/cdoe.12726 | |
dc.identifier.citedreference | Kornman, K. S., & Papapanou, P. N. ( 2020 ). Clinical application of the new classification of periodontal diseases: Ground rules, clarifications and “gray zones”. Journal of Periodontology, 91 ( 3 ), 352 – 360. https://doi.org/10.1002/JPER.19-0557 | |
dc.identifier.citedreference | Li, A., Chen, L., Thomas, R. Z., van der Velden, U., Amaliya, A., van der Sluis, L. W. M., Schuller, A. A., & Tjakkes, G. E. ( 2021 ). Periodontal breakdown inter-tooth relationships in estimating periodontitis-related tooth loss. Journal of Dentistry, 112 ( 103 ), 755. https://doi.org/10.1016/j.jdent.2021.103755 | |
dc.identifier.citedreference | Löe, H., & Silness, J. (1963). Periodontal disease in pregnancy. I. prevalence and severity. Acta Odontol Scand, 21, 533–551. https://doi.org/10.3109/00016356309011240 | |
dc.identifier.citedreference | Morales, A., Strauss, F. J., Hämmerle, C. H. F., Romandini, M., Cavalla, F., Baeza, M., Sanz, M., & Gamonal, J. ( 2021 ). Performance of the 2017 AAP/EFP case definition compared with the CDC/AAP definition in population-based studies. Journal of Periodontology, 93, 1003 – 1013. https://doi.org/10.1002/JPER.21-0276 | |
dc.identifier.citedreference | Murray, H., Locker, D., & Kay, E. J. ( 1996 ). Patterns of and reasons for tooth extractions in general dental practice in Ontario, Canada. Community Dentistry and Oral Epidemiology, 24 ( 3 ), 196 – 200. https://doi.org/10.1111/j.1600-0528.1996.tb00841.x | |
dc.identifier.citedreference | Ong, G., Yeo, J. F., & Bhole, S. ( 1996 ). A survey of reasons for extraction of permanent teeth in Singapore. Community Dentistry and Oral Epidemiology, 24 ( 2 ), 124 – 127. https://doi.org/10.1111/j.1600-0528.1996.tb00828.x | |
dc.identifier.citedreference | Ortigara, G. B., Mario Ferreira, T. G., Tatsch, K. F., Romito, G. A., Ardenghi, T. M., Sfreddo, C. S., & Moreira, C. H. C. ( 2021 ). The 2018 EFP/AAP periodontitis case classification demonstrates high agreement with the 2012 CDC/AAP criteria. Journal of Clinical Periodontology, 48 ( 7 ), 886 – 895. https://doi.org/10.1111/jcpe.13462 | |
dc.identifier.citedreference | Passarelli, P. C., Pagnoni, S., Piccirillo, G. B., Desantis, V., Benegiamo, M., Liguori, A., Papa, R., Papi, P., Pompa, G., & D’Addona, A. ( 2020 ). Reasons for tooth extractions and related risk factors in adult patients: A cohort study. International Journal of Environmental Research and Public Health, 17 ( 7 ), 2575. https://doi.org/10.3390/ijerph17072575 | |
dc.identifier.citedreference | Pianeta, R., Iniesta, M., Castillo, D. M., Lafaurie, G. I., Sanz, M., & Herrera, D. ( 2021 ). Characterization of the subgingival cultivable microbiota in patients with different stages of periodontitis in Spain and Colombia. A cross-sectional study. Microorganisms, 9 ( 9 ), 1940. https://doi.org/10.3390/microorganisms9091940 | |
dc.identifier.citedreference | Ravidà, A., Troiano, G., Qazi, M., Saleh, M. H. A., Lo Russo, L., Greenwell, H., Giannobile, W. V., & Wang, H. L. ( 2020 ). Development of a nomogram for the prediction of periodontal tooth loss using the staging and grading system: A long-term cohort study. Journal of Clinical Periodontology, 47 ( 11 ), 1362 – 1370. https://doi.org/10.1111/jcpe.13362 | |
dc.identifier.citedreference | Richards, W., Ameen, J., Coll, A. M., & Higgs, G. ( 2005 ). Reasons for tooth extraction in four general dental practices in South Wales. British Dental Journal, 198 ( 5 ), 275 – 278. https://doi.org/10.1038/sj.bdj.4812119 | |
dc.identifier.citedreference | Salonen, L. W., Frithiof, L., Wouters, F. R., & Hellden, L. B. ( 1991 ). Marginal alveolar bone height in an adult Swedish population. A radiographic cross-sectional epidemiologic study. Journal of Clinical Periodontology, 18 ( 4 ), 223 – 232. https://doi.org/10.1111/j.1600-051x.1991.tb00419.x | |
dc.identifier.citedreference | Sanz, M., Papapanou, P. N., Tonetti, M. S., Greenwell, H., & Kornman, K. ( 2020 ). Guest editorial: Clarifications on the use of the new classification of periodontitis. Journal of Clinical Periodontology, 47 ( 6 ), 658 – 659. https://doi.org/10.1111/jcpe.13286 | |
dc.identifier.citedreference | Schumacher, G.-H., & Gente, M. ( 1995 ). Odontographie – Anatomie der Zähne und des Gebisses ( 5th ed. ). Huethig GmbH. | |
dc.identifier.citedreference | Schützhold, S., Kocher, T., Biffar, R., Hoffmann, T., Schmidt, C. O., Micheelis, W., Jordan, R., & Holtfreter, B. ( 2015 ). Changes in prevalence of periodontitis in two German population-based studies. Journal of Clinical Periodontology, 42 ( 2 ), 121 – 130. https://doi.org/10.1111/jcpe.12352 | |
dc.identifier.citedreference | Sodal, A. T. T., Hove, L. H., Diep, M. T., Skudutyte-Rysstad, R., & Koldsland, O. C. ( 2022 ). Periodontal conditions in a 65-year-old population and prevalence of periodontitis according to three different bone level thresholds. BMC Oral Health, 22 ( 1 ), 246. https://doi.org/10.1186/s12903-022-02276-1 | |
dc.identifier.citedreference | Stodle, I. H., Verket, A., Hovik, H., Sen, A., & Koldsland, O. C. ( 2021 ). Prevalence of periodontitis based on the 2017 classification in a Norwegian population: The HUNT study. Journal of Clinical Periodontology, 48 ( 9 ), 1189 – 1199. https://doi.org/10.1111/jcpe.13507 | |
dc.identifier.citedreference | Tonetti, M. S., Greenwell, H., & Kornman, K. S. ( 2018 ). Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of Clinical Periodontology, 45 ( Suppl. 20 ), S149 – S161. https://doi.org/10.1111/jcpe.12945 | |
dc.identifier.citedreference | Tonetti, M. S., & Sanz, M. ( 2019 ). Implementation of the new classification of periodontal diseases: Decision-making algorithms for clinical practice and education. Journal of Clinical Periodontology, 46 ( 4 ), 398 – 405. https://doi.org/10.1111/jcpe.13104 | |
dc.identifier.citedreference | Winkler, P., Dannewitz, B., Nickles, K., Petsos, H., & Eickholz, P. ( 2022 ). Assessment of periodontitis grade in epidemiological studies using interdental attachment loss instead of radiographic bone loss. Journal of Clinical Periodontology, 49 ( 9 ), 854 – 861. https://doi.org/10.1111/jcpe.13679 | |
dc.identifier.citedreference | Eke, P. I., Page, R. C., Wei, L., Thornton-Evans, G., & Genco, R. J. ( 2012 ). Update of the case definitions for population-based surveillance of periodontitis. Journal of Periodontology, 83 ( 12 ), 1449 – 1454. https://doi.org/10.1902/jop.2012.110664 | |
dc.identifier.citedreference | Eke, P. I., Wei, L., Borgnakke, W. S., Thornton-Evans, G., Zhang, X., Lu, H., McGuire, L., & Genco, R. J. ( 2016 ). Periodontitis prevalence in adults >/= 65 years of age, in the USA. Periodontology 2000, 72 ( 1 ), 76 – 95. https://doi.org/10.1111/prd.12145 | |
dc.identifier.citedreference | El Sayed, N., Rahim-Wostefeld, S., Stocker, F., Behnisch, R., Eickholz, P., & Pretzl, B. ( 2021 ). The 2018 classification of periodontal diseases: Its predictive value for tooth loss. Journal of Periodontology, 93, 560 – 569. https://doi.org/10.1002/JPER.21-0211 | |
dc.identifier.citedreference | Aida, J., Morita, M., Akhter, R., Aoyama, H., Masui, M., & Ando, Y. ( 2009 ). Relationships between patient characteristics and reasons for tooth extraction in Japan. Community Dental Health, 26 ( 2 ), 104 – 109. | |
dc.identifier.citedreference | Alawaji, Y. N., Alshammari, A., Mostafa, N., Carvalho, R. M., & Aleksejuniene, J. ( 2022 ). Periodontal disease prevalence, extent, and risk associations in untreated individuals. Clinical and Experimental Dental Research, 8 ( 1 ), 380 – 394. https://doi.org/10.1002/cre2.526 | |
dc.identifier.citedreference | Bongo, A. S., Brustad, M., Oscarson, N., & Jonsson, B. ( 2020 ). Periodontal health in an indigenous Sami population in Northern Norway: A cross-sectional study. BMC Oral Health, 20 ( 1 ), 104. https://doi.org/10.1186/s12903-020-01098-3 | |
dc.identifier.citedreference | Botelho, J., Machado, V., Proenca, L., & Mendes, J. J. ( 2020 ). The 2018 periodontitis case definition improves accuracy performance of full-mouth partial diagnostic protocols. Scientific Reports, 10 ( 1 ), 7093. https://doi.org/10.1038/s41598-020-63700-6 | |
dc.identifier.citedreference | Broers, D. L. M., Dubois, L., de Lange, J., Su, N., & de Jongh, A. ( 2022 ). Reasons for tooth removal in adults: A systematic review. International Dental Journal, 72 ( 1 ), 52 – 57. https://doi.org/10.1016/j.identj.2021.01.011 | |
dc.identifier.citedreference | Caton, J. G., Armitage, G., Berglundh, T., Chapple, I. L. C., Jepsen, S., Kornman, K. S., Mealey, B. L., Papapanou, P. N., Sanz, M., & Tonetti, M. S. ( 2018 ). A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classification. Journal of Clinical Periodontology, 45 ( Suppl. 20 ), S1 – S8. https://doi.org/10.1111/jcpe.12935 | |
dc.identifier.citedreference | Chapple, I. L. C., Mealey, B. L., Van Dyke, T. E., Bartold, P. M., Dommisch, H., Eickholz, P., Geisinger, M. L., Genco, R. J., Glogauer, M., Goldstein, M., Griffin, T. J., Holmstrup, P., Johnson, G. K., Kapila, Y., Lang, N. P., Meyle, J., Murakami, S., Plemons, J., Romito, G. A., … Yoshie, H. ( 2018 ). Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Clinical Periodontology, 45 ( Suppl. 20 ), S68 – S77. https://doi.org/10.1111/jcpe.12940 | |
dc.identifier.citedreference | Costea, C. A., Christodorescu, R., Soancă, A., Roman, A., Micu, I. C., Stratul, S. I., Rusu, D., Popescu, D. M., Popa-Wagner, A., & Bulboacă, A. E. ( 2022 ). Periodontitis in ischemic stroke patients: Case definition challenges of the new classification scheme (2018). Journal of Clinical Medicine, 11 ( 3 ), 520. https://doi.org/10.3390/jcm11030520 | |
dc.identifier.citedreference | Dietrich, T., Ower, P., Tank, M., West, N. X., Walter, C., Needleman, I., Hughes, F. J., Wadia, R., Milward, M. R., Hodge, P. J., Chapple, I. L. C., & British Society of Periodontology. ( 2019 ). Periodontal diagnosis in the context of the 2017 classification system of periodontal diseases and conditions – Implementation in clinical practice. British Dental Journal, 226 ( 1 ), 16 – 22. https://doi.org/10.1038/sj.bdj.2019.3 | |
dc.identifier.citedreference | Eke, P. I., Dye, B. A., Wei, L., Thornton-Evans, G. O., Genco, R. J., CDC Periodontal Disease Surveillance workgroup: James Beck (University of North Carolina, Chapel Hill, USA), Gordon Douglass (Past President, American Academy of Periodontology), Roy Page (University of Washin), & James Beck, G. D. R. P. ( 2012 ). Prevalence of periodontitis in adults in the United States: 2009 and 2010. Journal of Dental Research, 91 ( 10 ), 914 – 920. https://doi.org/10.1177/0022034512457373 | |
dc.identifier.citedreference | Furuta, M., Takeuchi, K., Takeshita, T., Shibata, Y., Suma, S., Kageyama, S., Asakawa, M., Shimazaki, Y., Hata, J., Ninomiya, T., & Yamashita, Y. ( 2022 ). Baseline periodontal status and modifiable risk factors are associated with tooth loss over a 10-year period: Estimates of population attributable risk in a Japanese community. Journal of Periodontology, 93 ( 4 ), 526 – 536. https://doi.org/10.1002/JPER.21-0191 | |
dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe its collections in a way that respects the people and communities who create, use, and are represented in them. We encourage you to Contact Us anonymously if you encounter harmful or problematic language in catalog records or finding aids. More information about our policies and practices is available at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.