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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19415 International Blvd Ste 410
SeaTac, WA 98188-5366
AGD Provider ID # 219331
(206) 212-4969

Nationally Approved From 6/1/2018 – 5/31/2024
Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement.

The Washington AGD Continuing Dental Education Committee gratefully acknowledges corporate partners of our programs for their generous support. CE program providers and instructors will disclose to participants any monetary or other special interest the program provider may have with any corporate partners products they are discussing in CE activities. Disclosure will be made in publicity materials and at the beginning of the presentation itself in accordance with our PACE Commerical Support Guidelines.