Scientific journal of the Period I, Year V, n.º 15 Sociedad Española de Periodoncia Editor: Ion Zabalegui 2019 / 15 International Edition periodonciaclínica NEW CLASSIFICATION OF PERIODONTAL AND PERI-IMPLANT DISEASES Guest editors: Mariano Sanz y Panos N. Papapanou ADVERTISING Presentation ANTONIO BUJALDÓN, PRESIDENT OF SEPA 2019-2022 THIS IS THE FIRST EDITORIAL of Periodoncia Clínica of the Before ending this editorial, it is essential to dedicate some SEPA presidential mandate for 2019-2022. It is a huge honour lines of recognition and thanks to the active and committed SEPA to start with a monographic issue on the New Classification members involved with Periodoncia Clínica over the four years that of Periodontal and Peri-implant Diseases, fruit of the work of have passed since the creation of this informative publication, which the World Workshop held in 2017 by the American Academy has consolidated a style and friendly way of strengthening and of Periodontology (AAP) and the European Federation of facilitating professional access to knowledge, under the values of Periodontology (EFP), to which SEPA is proud to belong as one of its rigour, innovation, and excellence that are the hallmarks of SEPA. most dynamic members. Ion Zabalegui, editor of Periodoncia Clínica, together with The rejoicing increases by having the brilliant collaboration as associate editors Laurence Adriaens, Andrés Pascual, and Jorge guest editors of Panos N. Papapanou and Mariano Sanz, the latter Serrano, deserve a display of immense gratitude from all SEPA of which – as chair of the European Workshop in Periodontology members, the Spanish dental community, and the international – has led the work and consensus of this new classification, which periodontal community for having allowed us to enjoy these 15 will allow all oral-health professionals to have clear criteria, based editions of Periodoncia Clínica, together with the immeasurable on evidence and the latest knowledge, when focusing both on work of the national and international editorial committees, the treatment and on the diagnosis and prevention of periodontal and guest editors of each issue, and the huge number of authors who peri-implant diseases. The classification also provides for the first have provided their reviews and clinical cases in a disinterested way time a definition of how to understand and identify periodontal to fulfil SEPA’s aims and mission. health. Thus, this issue number 15 has sought to give shape to the To all the collaborators involved in this project – which was summaries of each of the Workshop’s working groups written by born in February 2015 – much thanks. Similarly, it is also right the EFP – through Iain Chapple, Mariano Sanz, Maurizio Tonetti, to recognize the work of the technical teams that have made it Søren Jepsen, and Tord Berglundh – and translated into Spanish by possible for SEPA to publish its own publication. And, of course, SEPA. a special thanks too to the Platinum and Gold strategic partners The visual style and the focus applied to the clinical cases, who, thanks to their commitment and alliance with a scientific which has made Periodoncia Clinica a benchmark for professionals non-profit-making organization, have encouraged the fulfilment of in periodontology and other related dental disciplines and SEPA’s mission in the service of the development of periodontology therapies, is also reflected in the excellent cases in which the and health promotion. SEPA: periodontology and oral health for outstanding current editor of Periodoncia Clínica, Ion Zabalegui, everyone. and his successor from the next issue, Ignacio Sanz Martín, have participated, accompanying talented young periodontists who are able to reflect on the application of specific cases according to the new classification. Both Ana Marcos and María Rioboo, together with other young clinicians of recognised prestige such as Marta Escribano, enrich this magazine with cases of a brilliant execution and clarity when better understanding the practical application of the new classification. 3 periodonciaclínica Management Board Editorial committee Editorial committee Scientific magazine of the SEPA 2019-2022: Clinical Periodontics: Clinical Periodontics: Spanish Society of Periodontology President: Editor: National Editorial Committee: Edited by: Antonio Bujaldón Luis Antonio Aguirre Sociedad Española de Periodoncia Vice-president: Rodrigo Andrés y Osteointegración José Nart Olalla Argibay Editorial management of the project: Secretary: Eva Berroeta Javier García Fernando Blanco-Moreno Paula Matesanz Design and Art Direction: Cristina Carral Board members: Ion Zabalegui Juan Aís Neus Carrió Olalla Argibay Associate editors: Ana Echeverría Editorial co-ordination, layout, Andrés Pascual Ruth Estefanía and printing: Ignacio Sanz Sánchez Francisco José Enrile elestudio.com Francisco Vijande Sebastián Fabreges Translation: Member, Periodoncia Clínica: Gerardo Gómez Moreno Paul Edward Davies Andrés Pascual Óscar González Advertising: Board of Trustees, SEPA Jorge Serrano Federico Hernández-Alfaro [email protected] Foundation of Periodontology Berta Legido € and Dental Implants: Andrés López Price Spain: 180 President: Francesc Matas SEPA members receive a free copy of Antonio Bujaldón Francisco Mesa Clinical Periodontics Rafael Naranjo Vice-president: Andrés Pascual Subscription (annual: three issues): €390 Juan Puchades José Nart Cancellation of the subscription must Isabel Ramos be communicated at least two months Secretary General: Vicente Ríos before its scheduled renewal. Paula Matesanz Silvia Roldán Trustees: Vanessa Ruiz Prices of the printed magazine: Olalla Argibay Laurence Adriaens Juan Rumeu SEPA members: included in the Óscar González Ignacio Sanz Sánchez membership fee Adrián Guerrero Fabio Vignoletti Non-members of SEPA: € 390 David Herrera Institutions: € 390 Rafael Naranjo International Editorial Students: Free online Andrés Pascual Committee: Ignacio Sanz Martín access Ignacio Sanz Sánchez Gil Alcoforado. Portugal For customers in Spain, prices include Mónica Vicario Sofía Aroca. Francia Guest editors n.º 15 VAT and postage costs. Francisco Vijande Raúl Caffesse. EEUU. New classification of Ion Zabalegui Leandro Chambrone. Brasil For deliveries outside of Spain, postage periodontal and peri-implant Honorary Trustees: Moshe Goldstein. Israel costs are not included. diseases: Juan Blanco Phoebus Madianos. Grecia Raúl Caffesse Maurizio Tonetti. Italia Legal Deposit: M-4615-2015 José Javier Echeverría Otto Zuhr. Suiza ISSN 2386-9623 Niklaus Lang Jan Lindhe Blas Noguerol © Copyright SEPA. This publication Mariano Sanz Mariano Panos N. may not be reproduced or transmitted, Maurizio Tonetti Sanz Papapanou in whole or part, by any electronic or Nuria Vallcorba mechanical means, nor by photocopy, Writers: Editor Periodoncia Clínica: recording, or any other system of Tord Berglundh Ion Zabalegui information reproduction without Iain Chapple authorization in writing by the Editor Cuida tus Encías: Marta Escribano Regina Izquierdo copyright owner. The editor assumes Søren Jepsen no responsibility for unsolicited Management Structure: Ana Marcos Terán manuscripts. All opinions belong to their María Rioboo Executive Director: authors. Javier García Ignacio Sanz Martín Mariano Sanz Coordinator of Operations and Innovation: Maurizio Tonetti Jaume Pros Ion Zabalegui Administration: Marta Alcayde Training and Projects: Eva Castro Eugenia Huerta Lorena Ortiz Flor Laciar Communication: Miguel López Paco Romero Member services: Mario Rueda 4 Editorial ION ZABALEGUI, EDITOR OF PERIODONCIA CLÍNICA AT THE END OF 2017, the European Federation of Convinced of the benefit that this new classification implies for Periodontology (EFP), the American Academy of Periodontology our patients, at Periodoncia Clínica we decided to a bring this new (AAP), and representatives of the remaining worldwide classification to all Spanish-speaking colleagues, counting on two associations of periodontology met in Chicago with the aim of of its creators and leading exponents of European and American reaching a consensus on a new classification of periodontal and periodontology: Prof. Mariano Sanz and Prof. Panos Papapanou, peri-implant diseases that allows our field to advance towards who invite us to understand why the classification was necessary precision and individualized dentistry through the unification of and the advantages of its application. diagnosis, prevention, and treatment of these diseases. In addition, in line with this magazine’s purpose of linking This new classification defines three new clinical entities: i) science with the day-to-day practice of the dental clinic, the next periodontal health, ii) reduced periodontium in health, and iii) issue of Periodoncia Clínica (No. 16) will address the clinical gingival inflammation in a patient treated for periodontitis. In the application of these new concepts and thereby address the clinical same way, it recognises three periodontal diagnoses: i) necrotizing concern that has been generated. Through explicative cases, it periodontal diseases, ii) periodontitis, and iii) periodontitis as a will try to link the concepts derived from the consensus with the manifestation of systemic diseases. The other important feature challenges that clinicians face in their daily practice. of this classification is the introduction of the concepts of staging, We hope it can help you. which allows the description of the severity and complexity of managing the case, and grading,