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Dr. Kenneth S. Kornman, DDS, PhD

Dr. Kornman focuses on chronic inflammatory diseases, including periodontitis, cardiovascular disease, and osteoarthritis. He was Chairman of Periodontology in San Antonio and has published more than 140 papers in Science, New England Journal of Medicine, Journal of American College of Cardiology, Human Molecular Genetics, and various dental journals. Dr. Kornman is Professor in the Dept of Periodontics and Oral Medicine at the University of Michigan and  Editor-in-Chief of the Journal of Periodontology.

Presentation Title: Staging and Grading your Patients: The New Classification of Periodontal Disease

Synopsis:
The future of periodontics is primarily about managing clinically and biologically complex patients, which constitute at least 20 to 25% of our adult population. Based on knowledge at the time of the 1999 World Workshop on Classification of Periodontal Diseases, experts in the field described the rationale and criteria for classifying common and uncommon forms of periodontitis. In the almost two decades since the 1999 Workshop, substantial new evidence and new understandings of these diseases have emerged that indicate that some of the population develops more severe clinical expression of periodontitis. Evidence supports an interaction of multiple risk factors that translates periodontitis in some of our patients into severe disease with greater complexity of clinical management.

The new periodontitis classification acknowledges the importance of more than disease severity to best guide prevention and treatment of periodontal disease in our patients. Achievement of long-term oral and systemic health outcomes in the complex cases require specialty-level diagnostic and surgical skills, informed by deep knowledge and concepts defined in the 2017 reclassification of periodontitis and the new classification of peri-implant diseases and conditions.

This presentation will describe the rationale for why our periodontitis classification system needed to change, and how to identify patients who present with complex cases, and how to define local and systemic outcomes. By definition, each complex case must be defined at the individual patient level, and the treatment planning inherently involves precision management of the individual patient. Importantly, the new periodontics should define a new role for the periodontist in the dental and medical care systems of today and the future..

Learning objectives:

  • Why  there is a need for change in classifying periodontal diseases.
  • What constitutes a “complex case”
  • What skills and core knowledge are needed to be part of the precision management of complex cases
  • How the new periodontics defines new clinical networks of dentists and physicians
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