Journal of clinical periodontology · 2026
Gingival and Periodontal Diseases and Conditions in Children and Adolescents: Consensus Report.
СтатьяConsensus StatementНазвание и аннотация: Перевод в очереди
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Chapple Iain, Gizani Sotiria, Sanz Mariano, Declerck Dominique, Madianos Phoebus, Clerehugh Valerie, Danser Monique, Davidovich Esti, Davies Janet, Donos Nikos, Dursun Elisabeth, Figuero Elena, Graziani Filippo, Gursoy Mervi, Jepsen Soren, Joseph Clara, Kebschull Moritz, Kraemer Norbert, Lambrinaki Tina, López Rodrigo, Manton David J, Meyle Joerg, Molina Ana, Shapira Lior, Somani Cheryl, Tsilingaridis Georgios, Twetman Svante, West Nicola, Wondimu Biniyam, Wong Ferranti, Herrera David
Аннотация
BACKGROUND: The objectives of this Focused Workshop were to update the epidemiology, aetiology, risk factors, diagnosis and management of gingival and periodontal diseases and conditions in children and adolescents, and to explore the applicability of the 2018 Classification in children and adolescents.
METHODS: The Workshop discussions were informed by three specifically commissioned systematic reviews covering gingival and periodontal diseases and conditions, in systemically healthy children and adolescents, or in children and adolescents with systemic conditions.
RESULTS: Over 70 genetic, congenital and acquired systemic conditions that impact the periodontal tissues were identified, with levels of evidence graded as very low, low or moderate. Gingival diseases and conditions in systemically healthy children and adolescents were identified, alongside local predisposing and systemic modifying factors. Periodontitis and other periodontal conditions in the 2018 Classification System also apply to children and adolescents; however, there are challenges with periodontal probing in the primary and mixed dentition.
CONCLUSIONS: Periodontal tissues in children and adolescents differ from those in adults and require special consideration, accounting for their stage of development and predisposing and modifying factors unique to younger patients, which may confound accurate diagnosis, prognostication and management. Specific approaches to screening, examination and treatment are necessary for safe and effective management in this patient group.
METHODS: The Workshop discussions were informed by three specifically commissioned systematic reviews covering gingival and periodontal diseases and conditions, in systemically healthy children and adolescents, or in children and adolescents with systemic conditions.
RESULTS: Over 70 genetic, congenital and acquired systemic conditions that impact the periodontal tissues were identified, with levels of evidence graded as very low, low or moderate. Gingival diseases and conditions in systemically healthy children and adolescents were identified, alongside local predisposing and systemic modifying factors. Periodontitis and other periodontal conditions in the 2018 Classification System also apply to children and adolescents; however, there are challenges with periodontal probing in the primary and mixed dentition.
CONCLUSIONS: Periodontal tissues in children and adolescents differ from those in adults and require special consideration, accounting for their stage of development and predisposing and modifying factors unique to younger patients, which may confound accurate diagnosis, prognostication and management. Specific approaches to screening, examination and treatment are necessary for safe and effective management in this patient group.