{"id":229984,"date":"2023-08-17T12:42:12","date_gmt":"2023-08-17T10:42:12","guid":{"rendered":"https:\/\/die-mundgesundheitsstiftung.de\/?page_id=229984"},"modified":"2024-04-30T11:56:03","modified_gmt":"2024-04-30T09:56:03","slug":"klassifikation-parodontitis","status":"publish","type":"page","link":"https:\/\/die-mundgesundheitsstiftung.de\/en\/stiftung\/klassifikation-parodontitis\/","title":{"rendered":"Classification of periodontitis"},"content":{"rendered":"

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Wissenschaft<\/p>\n

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Die neue, global g\u00fcltige Klassifikation parodontaler Erkrankungen erfordert ein Umdenken im Verst\u00e4ndnis des Krankheitsgeschehens und der Diagnostik<\/span><\/p>\n

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Fr\u00fcherkennung und Pr\u00e4vention<\/span><\/h5>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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PA-Klassifizierung 2018: Staging und Grading<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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Parodontalerkrankungen entwickeln sich meist schleichend. Es kann Jahrzehnte dauern, bis eine manifeste Parodontitis diagnostiziert \u2013\u00a0\u00a0<\/span><\/span>und behandelt wird. Wie d<\/span>ie Autoren des neuesten Barmer Zahnreports (2017) feststellen, erfolgt die Behandlung einer Parodontitis bei vielen Patienten so sp\u00e4t, dass selbst eine ad\u00e4quate Therapie den Zahnverlust nicht mehr abwenden kann.<\/span><\/p>\n

Einer der Gr\u00fcnde daf\u00fcr ist die diagnostische Vorgehensweise: B<\/span>isher lag der Fokus auf dem Ausma\u00df der Degeneration (Sondierungstiefe, Bleeding on Probing etc.), nicht jedoch auf dem Beginn der kollagenolytischen Zerst\u00f6rung des parodontalen Gewebes.<\/span><\/p>\n

Mit der Einf\u00fchrung der neuen, weltweit einheitlichen Parodontitis-Klassifikation am 21. Juni 2018 wird der Schwerpunkt st\u00e4rker auf die Entstehung bzw. Progression der Parodontitis gelegt:
Die umfassende Klassifikation basiert auf der aktuellsten Evidenz und orientiert sich an den bei der WHO \u00fcblichen Klassifikationen, z. B. von Krebserkrankungen (Caton et al. 2018). Diese beinhaltet f\u00fcr die Parodontitis eine Entscheidungsmatrix mit einem \u201eStaging und Grading\u201c-System (Tonetti et al. 2018).<\/span><\/p>\n

Im Staging wird die Ausdehnung der Parodontitis definiert<\/span>
<\/b><\/span>Das Staging umfasst vier Stadien von Stufe 1\u00a0<\/span>(geringe<\/span>\u00a0<\/span>parodontale Erkrankung) bis Stufe 4 (starke parodontale Erkrankung).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Das Stadium der Parodontitis wird durch klinische und r\u00f6ntgenologische Befunde bestimmt, wie klinischer Attachmentverlust, r\u00f6ntgenologischer Knochenabbau, Sondierungstiefen, vertikale Defekte und Furkationsbeteiligung, Zahnbeweglichkeit und Zahnverluste.<\/span><\/p>\n

Im Grading wird die Progredienz der Parodontitis definiert<\/span>
<\/b><\/span>Das Erkrankungsrisiko wie das Ma\u00df der Progression werden in drei Stufen eingeteilt, von Stufe A (geringstes Risiko bzw. langsame Progression) bis Stufe C (h\u00f6chstes Risiko bzw. schnelle Progression). Dabei k\u00f6nnen Risikofaktoren wie das Rauchen und Begleiterkrankungen, z.B. Diabetes, ber\u00fccksichtigt werden.\u00a0<\/span><\/p>\n

Die neue Staging- und Grading-Matrix, die die bisherige Einteilung in \u201eaggressive\u201c und \u201echronische\u201c Parodontitis abl\u00f6st, bietet gro\u00dfe Vorteile hinsichtlich einer individualisierten Diagnose und damit auch Therapie. Wenn es gelingt, Risikopatienten zuverl\u00e4ssig und fr\u00fchzeitig zu erfassen, kann dieser einfache, aber effektive Ansatz eine gro\u00dfe Chance sein, die Pr\u00e4valenz der Parodontalerkrankungen zu reduzieren.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Mit Hilfe von aMMP-8 aktiven oralen Kollagenabbau erkennen<\/span><\/h5>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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Fr\u00fcherkennung ist die beste Pr\u00e4vention<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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PerioSafe<\/span>\u00a0<\/span>DRS bietet die M\u00f6glichkeit der raschen quantitativen Ermittlung des Risikos f\u00fcr eine Parodontalerkrankung und deren Progression. Denn PerioSafe<\/span>\u00a9<\/sup><\/b><\/span>\u00a0<\/span>DRS detektiert das Enzym aMMP-8, welches als Biomarker f\u00fcr den Abbau des Kollagennetzwerks des Parodontiums gilt. Mit der immunologischen Pr\u00e4ventionsdiagnostik kann zwischen keinem bzw. nur einem sehr geringen Risiko und einem erh\u00f6hten Risiko f\u00fcr parodontalen Gewebeverlust unterschieden werden.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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F\u00f6rdermitglied werden<\/h2>\n

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Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et<\/p>\n

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Vorstand<\/p>\n

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Science

\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t
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\n \n <\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>
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\n\t\t\t\t\tClassification of periimplantitis<\/a>\n\t\t\t\t<\/div>\n\t\t\t<\/div>
\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t
\n\t\t\t\t\t”Systemische<\/a>\n\t\t\t\t<\/div>\n\t\t\t<\/div><\/p>","protected":false},"author":8,"featured_media":230043,"parent":610,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"dipi_cpt_category":[],"class_list":["post-229984","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nKlassifikation Parodontitis - DMS Deutsche Mundgesundheitsstiftung<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/die-mundgesundheitsstiftung.de\/en\/stiftung\/klassifikation-parodontitis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Klassifikation Parodontitis - DMS Deutsche Mundgesundheitsstiftung\" \/>\n<meta property=\"og:description\" content=\"Wissenschaft\" \/>\n<meta property=\"og:url\" content=\"https:\/\/die-mundgesundheitsstiftung.de\/en\/stiftung\/klassifikation-parodontitis\/\" \/>\n<meta property=\"og:site_name\" content=\"DMS Deutsche Mundgesundheitsstiftung\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-30T09:56:03+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/die-mundgesundheitsstiftung.de\/media\/2023\/08\/DMS-9-1024x512.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"512\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/die-mundgesundheitsstiftung.de\\\/stiftung\\\/klassifikation-parodontitis\\\/\",\"url\":\"https:\\\/\\\/die-mundgesundheitsstiftung.de\\\/stiftung\\\/klassifikation-parodontitis\\\/\",\"name\":\"Klassifikation Parodontitis - 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