Periodontology


























Periodontist
Occupation
Occupation type
Specialty
Activity sectors
Dentistry
Description
Education required
Dental degree
Fields of
employment

Hospitals, private practices

Periodontology or periodontics (from Greek περί peri "around"; and ὀδούς odous "tooth", genitive ὀδόντος odontos) is the specialty of dentistry that studies supporting structures of teeth, as well as diseases and conditions that affect them. The supporting tissues are known as the periodontium, which includes the gingiva (gums), alveolar bone, cementum, and the periodontal ligament. A person who practices this specialty is known as a periodontist.




Contents






  • 1 Periodontal diseases


  • 2 Peri-implantitis


  • 3 Training


    • 3.1 Europe


    • 3.2 Australia


    • 3.3 Canada


    • 3.4 India


    • 3.5 United Kingdom


    • 3.6 United States




  • 4 See also


  • 5 References


  • 6 External links





Periodontal diseases


Periodontal diseases take on many different forms but are usually a result of a coalescence of bacterial plaque biofilm accumulation of the red complex bacteria (e.g., P. gingivalis, T. forsythia, and T. denticola) of the gingiva and teeth, combined with host immuno-inflammatory mechanisms and other risk factors that can lead to destruction of the supporting bone around natural teeth. Untreated, these diseases can lead to alveolar bone loss and tooth loss. As of 2013[update], Periodontal disease accounted for 70.8% of teeth lost in patients with the disease in Korea[1]. Periodontal disease is the second most common cause of tooth loss (second to dental caries) in Scotland. [2] Twice daily brushing and flossing are a way to help prevent periodontal diseases.[3]



Peri-implantitis


Periodontology also involves the placement and maintenance of dental implants, including the treatment of peri-implantitis (inflammatory bone loss around dental implants). The etiology of peri-implantitis is thought to be very similar to periodontal disease.



Training


Before applying to any postgraduate training program in periodontology, one must first complete a dental degree.



Europe


Although each European country has its own independent system, an umbrella organisation—the European Federation of Periodontology (EFP)—has the ability to accredit post-graduate programs according to specific guidelines. The EFP awards a certificate of specialized training in periodontology, periodontics and implant dentistry to every successful European candidates after 3 years of full-time training in an accredited post-graduate program. The EFP organizes bi-annual meetings around Europe under the title EuroPerio where many thousands of dentists attend the sessions featuring over 100 of the worlds top perio speakers.[4][5] The graduate programs that have been approved are the following: Academic Centre for Dentistry Amsterdam [nl], University of Bern, Sahlgrenska University Hospital, Institute for Postgraduate Dental Education Jönköping, UCL Eastman Dental Institute, University of Louvain (UCLouvain), University Complutense in Madrid, University of Dublin, Trinity College, University of Strasbourg in France, Paris Diderot University at Rothschild hospital.



Australia


Australian programs are accredited by the Australian Dental Council (ADC) and are 3 years in length and culminate with either a Master's degree (MDS) or a Doctor of Clinical Dentistry degree (DClinDent). Fellowship can then be obtained with the Royal Australasian College of Dental Surgeons, FRACDS (Perio).



Canada


Canadian programs are accredited by the CDAC[6] and are a minimum of three years in length and usually culminate with a master (MSc or MDent) degree. Graduates are then eligible to sit for the Fellowship exams with the Royal College of Dentists of Canada (FRCD(C)). Dentistry is a regulated profession. To become a licensed dentist in Canada you must have a BDS/DDS/DMD degree and be certified by the NDEB. [7] To further specialise into periodontics, accredited dentists are required to undertake a specialty core knowledge examination and complete a postgraduate degree.



India


Periodontics is offered as a specialization field of dentistry in India. Periodontists attend a Master of Dental Surgery (M.D.S.) program affiliated with dental schools in India. The minimum qualification required for the M.D.S. degree is a Bachelor of Dental Surgery. A majority of dental schools in India offer M.D.S. degrees specializing in Periodontology. The course is three years duration and students are trained for implantology as well as diagnosis and treatment of peri implant diseases along with Periodontology.



United Kingdom


The British Society of Periodontology exists to promote the art and science of periodontology. Their membership includes specialist practitioners, periodontists, general dentists, consultants and trainees in restorative dentistry, clinical academics, dental hygienists and therapists, specialist trainees in periodontology and many others.


Specialist training in periodontics in the UK is either a three-year full-time or four years at three days per week. At the end of the training, candidates are awarded a Master of Clinical Dentistry (MClinDent) before being entered on the specialist list held by the General Dental Council.



United States





UCLA School of Dentistry periodontics graduate clinic


The American Dental Association (ADA) accredited programs are a minimum of three years in length. According to the American Academy of Periodontology, U.S.-trained periodontists are specialists in the prevention, diagnosis and treatment of periodontal diseases and oral inflammation, and in the placement and maintenance of dental implants.[8] Many periodontists also diagnose and treat oral pathology. Historically, periodontics served as the basis for the specialty of oral medicine. Following successful completion of post-graduate training a periodontist becomes Board eligible for the American Board of Periodontology examination. Successful completion of board certification results in Diplomate status in the American Board of Periodontology.



See also




  • Bone grafting

  • Chronic periodontitis

  • Dental implant

  • Gingival graft

  • Gingival recession

  • Journal of Periodontology

  • Periodontitis

  • Scaling and root planing

  • Sinus lift



References





  1. ^ Lee et al., 2017. "Trends in the incidence of tooth extraction due to periodontal disease: results of a 12-year longitudinal cohort study in South Korea." Journal Of Periodontal & Implant Science, 47(5), 264. doi: 10.5051/jpis.2017.47.5.264


  2. ^ McCaul, L., Jenkins, W., & Kay, E. (2001). The reasons for extraction of permanent teeth in Scotland: a 15-year follow-up study. British Dental Journal, 190(12), 658-662. doi: 10.1038/sj.bdj.4801068a


  3. ^ "Periodontology: an overview". Retrieved 17 September 2018..mw-parser-output cite.citation{font-style:inherit}.mw-parser-output .citation q{quotes:"""""""'""'"}.mw-parser-output .citation .cs1-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png")no-repeat;background-position:right .1em center}.mw-parser-output .citation .cs1-lock-limited a,.mw-parser-output .citation .cs1-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/Lock-gray-alt-2.svg/9px-Lock-gray-alt-2.svg.png")no-repeat;background-position:right .1em center}.mw-parser-output .citation .cs1-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/thumb/a/aa/Lock-red-alt-2.svg/9px-Lock-red-alt-2.svg.png")no-repeat;background-position:right .1em center}.mw-parser-output .cs1-subscription,.mw-parser-output .cs1-registration{color:#555}.mw-parser-output .cs1-subscription span,.mw-parser-output .cs1-registration span{border-bottom:1px dotted;cursor:help}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/thumb/4/4c/Wikisource-logo.svg/12px-Wikisource-logo.svg.png")no-repeat;background-position:right .1em center}.mw-parser-output code.cs1-code{color:inherit;background:inherit;border:inherit;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;font-size:100%}.mw-parser-output .cs1-visible-error{font-size:100%}.mw-parser-output .cs1-maint{display:none;color:#33aa33;margin-left:0.3em}.mw-parser-output .cs1-subscription,.mw-parser-output .cs1-registration,.mw-parser-output .cs1-format{font-size:95%}.mw-parser-output .cs1-kern-left,.mw-parser-output .cs1-kern-wl-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right,.mw-parser-output .cs1-kern-wl-right{padding-right:0.2em}


  4. ^ "EuroPerio Congress – EFP". efp.org.


  5. ^ PERIO PEOPLE. "PerioPeople Home". efp.org.


  6. ^ CDAC. (2013). Retrieved from https://www.cda-adc.ca/cdacweb/en/


  7. ^ Becoming a licensed dentist in Canada | The National Dental Examining Board of Canada. (2019). Retrieved from https://ndeb-bned.ca/en/requirements


  8. ^ "What is a Periodontist?". Perio.org. American Academy of Periodontology. Retrieved 2015-01-26.




External links



  • AAP Directory of Periodontists

  • American Academy of Periodontology's (AAP) article on Periodontal Disease

  • British Society of Periodontology

  • Canadian Academy directory of Periodontists

  • Dental Council of India

  • European Federation of Periodontology

  • The National Institute of Cranialfacial Research's article on Periodontal Disease

  • South African Society for Periodontology









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