Periodontics | New Classification System | INBDE, ADAT
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- Опубліковано 21 лип 2024
- In this video, we go through the new AAP classification guidelines for periodontal health, gingivitis, periodontitis, and peri-implant diseases. Thanks for watching!
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You are something else.
I passed INBDE and Dr. Ryan was the biggest reason why! Thanks @mentaldental !
what were some study materials that you used!? please let me know!
Hey, did u use any other resources? if yes what? ty
Phenomenal teacher !!!
Best in the whole world !!!
This 2018 things will go into head with repetition !!!
Loved the way you taught the cases !!!!
Thank you !!!
Keep on blessing us !!!
Thank you so much Dr.
was a great brief lecture. Could not be enough simpler than this.
You help people! Thank you for your bright lessons. Good bless you!
Dr Ryan, you made this seemingly complex and technical concept absolutely enjoyable and understandable, and I appreciate that. Thousands of internationally trained dentists also appreciate your efforts. God bless you!
I’m so glad it was helpful! You’re welcome, and God bless you! 🙌🏼🙏🏼
Thank you so much Dr.Rayan
You make our studying easier
Much appreciated
Dr.Ryan!you are genius of explanation.I was struggling with understanding perio classification.I couldn’t resolve in clinical situations.But with your explanations I cracked this hard nut.Thank you very very much.
Glad it was helpful!
I just love these videos! THANK YOU FROM THE BOTTON OF MY HEART
Thanks Again Ryan for making the concept easy and thanks for adding cases so that we can practice and get perfect.please make videos for dental anatomy.
I can't thank you enough for your videos. They have really helped me in understanding so many topics that seemed tough.
Thank you
Great to hear! Thank you for the kind words! 🙏🏼
It was amazing finally I could understand classification. Thanks a million
hey Dr. Ryan . i am preparing for NDEB AFK canadian equivalency exam and your videos are so helpful to understand basics n concepts.. thanx a lot.
Thank you so much Dr Ryan!! 🥺🥺✨
Hi, Ryan. As an associate professor of periodontics in her hometown and someone who is studying for the exam to become a dentist in her current country, I would like to state that I learned a lot from your videos and you explain periodontics really well. Thank you!
Thank you so much for your positive feedback! 😊🙏🏼
you are absolutely the best. Thank you for the amazing, simple but yet highly educational videos.
You're very welcome!
Very simplified version of new classification... Thanks
Hello Dr Ryan. I believe you provided all with best resources to complete and pass the test. I would not had completed it without your help. Thank you very much.
I am so glad to hear that! 🙌🏼
This was very very helpful, thank you so much for making the effort to educate and share. There is just so many factors and I'm really struggling to pull it all together so I will be able to stage and grade without taking up half the appointment!
You’re very welcome! I’m so glad it was helpful for you 😊
It was great thanx for your generosity of your knowledge dr Rayan👌👌👌
Thank you!!! 📚 your videos help so much !
Great work sir...got addicted to your classes.
Thank you
Please upload few more case discussions like this. :) you are very Good teacher
thanks a lot Ryan..., specially for the case discussion in this video, things are much clearer now.. God bless you..
Glad it was helpful! 😊🙏🏼
Good informations for best diagnosis.. Thank you Doctor...
this clinical case discussion was really good. gave good insight about the exam. thanks.
The second case Diagnosis is wrong.
And i didnt watcg then further.
Its generelised not localised.
Coz u have CAL (2-3) all over that means its generelised but yes the staging will be decided from 8 mm CAL (even on one tooth)
Incredible review!! thank you!!
Thank you sr. For your knowledge. You are the best.
Hi Dr. Ryan! Thank you so much for your helpful videos.🙏 Just wondering for Case #2 why do we count the 8mm CAL on the distal of tooth #3 as an interdental CAL when there’s no neighbouring tooth? In other words does interdental CAL not have to be between 2teeth?
Thank you for your awesome lecture 😊❤️
Nicely done .Please make some videos on clinical cases NBDE part 2 which comes in board exams .
How to interprete the clinical cases and their diagnosis most importantly the radiograph .
Thanks
Thank you Ryan for your videos!
I just wanted to write this incase someone needed some reassurance I watched the videos and did the questions on the app and passed the exam 🙏🏻 thanks Dr.Rayan!
Way to go!! Congratulations! 🎉🤩🙌🏼
Thank you Dr Ryan you are awesome
Thank you so much. Great video.
Hey Ryan! Could you please explain how progressive bone loss is evaluated for peri-implantitis, and how it differentiates from increased PD compared to baseline?
Dr Ryan is wonderful inspiring has clarity and is inspiring me toward excellence. I am just a Hygienist. Thank you Dr. ryan
Glad you enjoyed it!
Thanks Dr. Ryan!!!
easy, you are the master. Thanks a lot
Thank you Dr Ryan..very useful video you helped me so much .❤from kerala
hi i liked the cases for identification of staging and grading, can you pl share some more like them, they are really helpful. thanks in advance
Amazing and simple!
God bless you!
That’s great! God bless you as well 🙏🏼
Thanks Doc love your videos
Hello Dr Ryan. I hope you are doing great. You have made a very concise and precise video for us. Thanks alot. Secondly is this new classification included in NBDE Part 2 Exam? Thank you.
You are wonderful,God bless you
Excellent.Thank you
I passed SDLE test and Dr. Ryan was the biggest reason Thank you very much @mentaldental
You are so welcome! Congratulations 🤩🎊
i love this so much please do videos about dental physiology
Thanks for a great video, now I understand the new perio classification clearly for the first time. Thank you!
This is a great lecture to create hygiene template
Very nyc explanation. Thank u. Do u hv some more of practice questions with perio charts.
Great video. Please make a video on radiographic lesions and oral lesions malignant and benign..😊
Hi dr Ryan, thanks for incredible videos.
How can I find explanation for the chart in case 2 . Unfortunately I’m not that much familiar to the numbers and their locations in the dental arch.
Thank you so much Sir.
thanks a lot dear doctor 🙏🙏🙏👍👍👍
It is very good explaining
awesome INBDE classification !!!!!
Thank you! 😁
Thank you very much for this video. What is your opinion on use of Hydrogen peroxide for treatment of gum disease?
Thank you for your time.
Is anyone able to explain the Molar/Incisor pattern for grading? I am in dental school still and I'm struggling with the concept
Favorite doctor&Favorite channel ❤️ !
Thank you so much! 🙏🏼
I was able to answer the questions myself by Case#4 haha! Took some time, but I'm glad I learned something. Thank you Dr. Ryan. Much appreciated!
Glad it was helpful!
you are the best!!! thank you
Thank you Dr. Rayan
In case 2 the patient has 6 teeth that are missing, doesn't make her stage 4 ?
Thank you for your help
Hey Ryan! I can't thank you enough for your videos and massive contribution to the dental community.
I do have a question regarding Case #4, I noticed that vertical bone loss was also present on tooth #13. However, you classified this as a Molar-Incisor pattern. I personally thought that it would be a Localized case given the affected premolar in this case. What do you think?
Good question! I arrived at the molar-incisor diagnosis because the vast, vast majority of the disease process is localized around the molars and incisors. Yes, there is some bone loss around #13 that is definitely noteworthy, but the pattern is clearly affecting the incisors and molars more than everything else.
thanks a lot. LOVE U SO MUCH
in which case is possible that the CAL is not available, and consequently we will need Rx? please I wanna know!
Why is the interdental CAL more critical and the one that is used for grading severity? Why is a non-interdental deep pocket of 10mm not as significant?
Hello
First of all thank you for your great effort
I have a question regarding the furcation involvement
You have said that furcation involvement Type 2 represents stage 3
While furcation involvement type 3 which is through and through represents stage 4
But if you look at the staging table in stage 3 both furcations type 2 and type 3 are there
If you can clarify this point I’ll be very thankful
Sorry if my English wasn’t that good
Can anyone tell me why in staging and grading in periodontitis why only smoking and diabetes is added in grade modifiers?
Hey Dr Ryan
I have a doubt
If the CAL is 1-2mm
And PPD is 2 to 6 mm in the mouth
What stage will it be? Is CAL more important?
What does "TS" means on the chart,@ 23:45; sometimes "M" appears, sometimes "I" ?
is the furcation II/ III referring to the Hamp classification or the Glickman's? thank you !!
Thank you so much for the amazing explaining ... could u please upload avideo about bifurcation classification and treatment ????!!
The original Classification video in this series covers that topic!
Hey Ryan...Can you explain case 3. Why we considered grade B?
why is case 4 Molar Incisor as it appears the premolars are affected on the LHS bitewing? But good to know that its not all the molar and incisor teeth affected that would classify it as molar incisor periodontitis
Dr. Ryan, case #3 seems like has grade C rather than B. On UR molar bone loss >60%, am I right?
Thank you very much
Awesome video! One question however,
for the "Peri-Implant Disease and Conditions" section of the new classification, how important is the "Peri-Implant Soft and Hard Tissue Deficiencies" subsection?
That section is relatively unimportant for the board exam. If you're curious, that category under "Peri-Implant Diseases and Conditions" refers to defects in soft and hard tissues that are present PRIOR to implant placement which may be linked to a poor outcome of the implant.
Thank you so much Dr.Ryan,i would also like to ask the following questions:
-how would the therapy plan designed according to the stages?For example, stage 3 grade B or C ?( previously,the therapy would be designed according to the chronic or the aggressive periodontitis)
-in the „radiological Interpretation” video,i hoped that you would incorporate the new classification,and so here, i would like to ask ,how would you suggest differential Diagnoses according to the new classification? For instance, could we describe (stage 3 Grade C , and Stage 4 Garde B) as separate differential diagnoses?
-as an example, A.A. Bacteria was directly related(but not deciding ) to aggressive periodontitis, how is it co-related to periodontitis according to the new classification?
Your efforts are much appreciated
The higher the stage and grade, the more strict maintenance that patient requires and the more likely they will need surgical treatment. Periodontists will typically give antibiotics for more “aggressive” cases (by that I mean Grade C), but they do this after scaling and root planing is completed for all four quadrants. Regardless of stage and grade though, plaque control is the most important component of periodontal therapy.
Thank you so much Dr. Ryan! do we need to go with the new classifications for NBDE 2 or is this only for the INBDE exam?
You're welcome! And it is being integrated into both exams, although more so for the INBDE.
Hello Doctor. Thank you so much for this video.
I have a question regarding case number two concerning the localized diagnosis. I understand that you diagnosed it as localized because the most severe CAL affected only a small number of teeth. But what about the remaining teeth ? All other teeth have CAL as well right?
Same comment here
thank you soo much!
Glad it helped!
Can u share notes and mock related to peridontic abroad exam
asides from watching all of dr ryans videos and solving sample papers, what else should i use to study? and how much prep is covered by just dr ryans vids?
I definitely think my videos are the highest yield resource you can use to study. I also recommend using the Boards Mastery App for practice questions and getting the Mosby’s book that I link to in my video descriptions for studying and additional practice questions. Check out my Patreon page for more details. Best of luck to you!
Hey Dr Ryan! Do you know if we need to know this new classification system for NBDE part 2?
Yes, it is covered on that exam since summer of 2020!
Hello dr Ryan, I have question about case number 4. Patient chief complain was the gap between front teeth and they getting loose. What would be the best option for treatment plan for this patient. Maybe Orthodontic therapy after establishing proper OH ?
Is there any possibility for some surgical procedure in front upper area?
Thank you so much with videos and your help.
Good question! It would be crucial to first stabilize her periodontal condition, likely under the care of a periodontist. Moving teeth in a patient with active periodontal disease is a recipe for disaster. Afterwards, closing that space orthodontically would be possible, and afterwards a fixed U1-1 palatal retainer with or without a post-treatment frenectomy would help to keep the space closed.
You rock. You explained this wonderful. Question about grading - How can we grade if we have no info for the last 5 years? (For example: new patient, and/or patient that has no access to their dental charts)?
Bone loss (seen on radiograph) divided by age gives you primary criteria (between 1.0), also look for grade modifiers like smoking/diabetes etc.
@pegahqasemi8363 exactly ! The indirect evidence of progression . The % bone loss / age is a comprision between nominal and actual bone lost in percentage . Heavy biofilm deposits with low leveles of destruction means the host has healthy immune system and the progression is low . Now I need to learn this in German.
Hi Doctor , thank you so much for your help
I have a question , for chronic periodontitis is now considered as grade A,B and stage 1 and 2 ?!
I don't think that the new classification differentiates between acute and chronic periodontitis
How can I measure if it is below above or equal to 30% of teeth involved in periodontal disease?
I'm confused because I think that case 3 is generalized not localized 🤔
Great question. Only 6 or so teeth are affected by the severe bone loss (measured as extending to or past the middle third of the root), which is 30% of teeth that have SOME amount of bone loss, but the key is only a localized amount have the bone loss of the highest severity.
I dont understand how did you find Grade A in the seconde case. I was sur it was B
I think that 30% threshold for generalised when there are 28, is 9 teeth. Why 8?
hi sir , hope u r good , ur lectures are awesome
what to do and difference between all dental exams like ore and others and which one are for which purpose and which one is best
is there a 'number' of categories to meet in order to classify as a particular stage or grade?
Great question. No, there is not a specific number, and that is part of the diagnostic process. It comes down to a holistic approach and your clinical acumen to decide which stage and grade is most appropriate for that particular patient at that time.
Please dr make a series for anatomy and bacteriology
Why would case #2 be considered localized ? I’d think generalized considering 8 teeth have 4 or more interdental CAL, 26 teeth remaining that’s 30%, wouldn’t that be generalized? Additionally why use 4mm ? Wouldn’t 3mm be considered boneless as well?
I think Case # 2 is Grade B. The patient is already Stage III, which means there was already more than 30% bone loss. CAL of 8mm is already approx. half of the average root length. Assuming 50% bone loss, 50/70=0.7. Then after applying the grade modifiers (diabetes and smoking), there should be No change in grade.
thanks a lott
hey, dr Ryan. I have a quick query..
Is this exclusively for INBDE or is this being used for NBDE too? I'm about a couple of weeks away from taking my part 2 and I remember reading on the JCNDE exam descriptive page that they will be following the old classification regardless of the new system. Is this still the case or should I review the new system? I'm asking purely from an exam perspective. Your input will be deeply appreciated! Thanks!
Hi there! Both the NBDE and INBDE are using this new classification system as of Summer 2020 (but it is still important to know the old one as well). Here is the link to confirm that: www.ada.org/en/jcnde/examinations/nbde-general-information
@@mentaldental Thank you so much for taking the time. :)
Case #2 tooth status, stands "I"...=?