Presenter: Michael A. Giardino, DDS




Periodontal and Peri-Implant treatment relies on continuous evaluation and management over the lifespan of the patient, by a team of providers, during which time the disease severity, risk, and required treatment, is dynamic. Various classifications have been and currently are in use, commonly categorizing patients based on the current severity of the conditions and disease progression.

While Periodontal and Peri-Implant disease have known risk factors and etiology, the disease manifestation and progression depends on the interplay between the anatomic environment, the presence of variable biofilm, and the host inflammatory response. As we see in our clinical practice, these axes of disease risk can change independently of each other. In addition, this may or may not effect the disease in a particular patient. Thus a multi-dimensional Staging and Grading system was recently proposed to reflect this multi-dimensional disease.


  1. Review and integrate the existing common disease and condition classification systems used by researchers, clinicians and third parties.
  2. Provide frameworks to classify Periodontitis, Peri-implant mucositis, gingival recession, soft and hard tissue deficiencies, thin gingival or periodontal phenotype or biotype, Aggressive forms of the disease, and risk factors, which will allow us to generate a personalized, evidence-based care plan for our patients.

Presenter: Michael A. Giardino, DDS

Course Details

CE Hours

1.5 Hours

Subject Code

490 Periodontics


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The Washington AGD is a Approved PACE Program Provider for FAGD/MAGD credit. Approval does not imply acceptance by any regulatory authority or AGD endorsement. AGD-Washington, Nationally Approved From 6/1/2018 - 5/31/2024