Basis of Therapy
Examination, risk factors, and EFP/AAP 2018 staging & grading. Tap a finding to continue.
Stage and grade before therapy. The four-step EFP S3 protocol is the same for Stages I–III; staging informs intensity, grading informs recall frequency.
Risk-factor reminders: smoking, diabetes, adherence, family history. Document and address as part of Step 1 — they shape treatment intensity and SPT frequency.
Evidence Guidelines & evidence
- 2018 World Workshop Classification
Periodontitis is staged by interdental CAL and radiographic bone loss, and graded by direct or indirect evidence of progression rate.
Source ↗ - 2018 World Workshop — Periodontal health
Periodontal health is defined as a state free from inflammatory periodontal disease that allows an individual to function normally and not suffer any consequences (mental or physical) as a result of past disease.
1 Examination & risk factors
Full-mouth probing depths at six sites per tooth, BOP, suppuration, mobility, recession, plaque index. Compare current radiographs against prior. Document modifiable risk factors: smoking, diabetes, oral hygiene, family history.
2 Establish staging and grading
Apply the 2018 World Workshop classification — Stage (I–IV) by interdental CAL and bone loss extent; Grade (A–C) by progression rate. Staging guides treatment intensity; grading guides recall frequency in SPT. Tap a diagnosis card below to continue.