1.

Kriteria Skoring CPITN :

0 = Periodonsium sehat

1 = Terdapat perdarahan setelah probing

2 = Terdapat kalkulus
suprakedalaman
atau subgingiva
timbunan
plakdiinsersikan
di sekelilingpada
margin
gingiva,
tidak
te
3
poket dengan
4 atauatau
5 mm
(jika probe
poket,
daerah
warn

4 = Terdapat poket lebih dari 6 mm (jika probe diinsersikan pada poket, daerah warna probe seluruh
* = Terdapat keterlibatan daerah furkasi atau loss attachment dengan kedalaman poket lebih dari 7

Lampiran

Menulis Diagnosis Penyakit Periodontal

American Academy of Periodontology & CPITN
Klasifikasi Kondisi dan Penyakit Periodontal
Classification of Periodontal
Disease
Periodontal Health
Gingivitis/Gingival diseases

Conditions

CPITN

None

0 - Periodontal Health

No pockets, bleeding on probing

A. Dental plaque-induced gingival
diseases

Sextant Scores of - 1 & 2

Bleeding on probing, and/or
calculus or restoration overhang
present

B. Non-plaque-induced gingival
lesions

Chronic Periodontitis
A. Localized
B. Generalized (> 30% of
sites are involved)

Example: Two sextants of

CPITN of 4 could be
localized chronic
periodontitis and maybe
three or more sextants
would be generalized
chronic periodontitis

Age Distinction: Was described as adult

onset periodontitis, in people older that 35
years.

Sextant Score of 3 to 4

CPITN- 3 = 3.5 5.5 mm

probing depth
Severity of Disease:

-4 = > 6mm probing

Slight: 1-2 mm clinical attachment loss

(CAL); (3-4mm pockets, < 30% bone
loss)

depth

Moderate: 3-4 mm CAL; (4-6mm

pockets, < 50% bone loss)

Severity of Disease:

Severe: >5 mm CAL: ( > 6mm pockets, >

50% bone loss)

Slight CPITN
of 3
Moderate
CPITN of 3

Severe CPITN
of 4

Written Diagnosis:
Use the descriptors localized or
generalized depending on the
distribution of sextant scores, and

severity of disease.

Ex. Gen slight chronic perio

Gen slight, locally severe chronic
perio
Aggressive Periodontitis
A. Localized
B. Generalized (> 30% of
sites are involved)

Age Distinction: Usually described as

early onset < 35 years of age or rapidly
progressing
Severity of Disease (same as above):

Sextant Score of 3 to 4

CPITN - 3 = 3.5 5.5 mm

probing

Slight: 1-2 mm CAL; (3-4mm pockets, <

30% bone loss)
Moderate: 3-4 mm CAL; 4-6mm pockets,
< 50% bone loss
Severe: >5 mm CAL: > 6mm pockets, >
50% bone loss
In the world of oral epidemiology, any
pocket depth >6mm is considered a
"deep pocket" with advanced or severe
periodontal disease.
Written Diagnosis Example:
Localized Severe, Aggressive
Periodontitis

-4 = > 6mm probing

depth

Severity of Disease:

Slight CPITN
of 3
Moderate

CPITN of 3
Severe CPITN
of 4

Classification of
Periodontal Disease
Periodontitis as a
Manifestation of Systemic
Diseases

Conditions
A. Associated with hematological disorders
(neutropenia, leukemia)
B. Associated with genetic disorders
(Downs, histiocytosis)
C. Not otherwise specified

Necrotizing Periodontal
Diseases

Necrotizing Ulcerative Gingivitis (NUG)

gingival disease...does not extend into
periodontal attachment.
Necrotizing Ulcerative Periodontitis (NUP)
- extending into periodontal attachment

Abscesses of the
Periodontium

A. Gingival abscess
B. Periodontal abscess
c. Pericoronal abscess

Periodontitis Associated
With Endodontic Lesions

Combined periodontic-endodontic lesions

Developmental or Acquired
Deformities and Conditions

A. Localized tooth-related factors that

modify or predispose to plaque-induced
gingival diseases/periodontitis
B. Mucogingival deformities and conditions
around teeth
C. Mucogingival deformities and conditions
on edentulous ridges
D. Occlusal trauma

CPITN

Community Periodontal Index of Treatment Needs (CPITN)

CPITN
SCORES

CLINICAL
DESCRIPTION

Treatment needs

Periodontal
Health

Promote self-assessment skills - Oral hygiene

instructions (OHI)

Bleeding on
probing

OHI

Calculus or
Restoration
overhang present

OHI + prophy (ultrasonic scaling/overhang removal)

3.5 5.5 mm
probing depth

OHI + ultrasonic scaling

Pocket depths >6

mm

Evaluate Severity & Rick Factors (such as DM,

Smoking, Immunocompromised, Age)

AGE DETERMINES RISK CATEGORY

14 35 YEARS

36 59 YEARS

>60 YEARS

HIGH RISK

MODERATE
RISK

LOW RISK

High Intensity
OHI
Non-Surgical
Pocket
Debridement

OHI
OHI
Pocket
Debridement

Optional Recall
Optional Recall

Chemotheraphy

Pocket
Debridement

Active Recall

Antibiotik harus digunakan dalam hubungannya dengan pembersihan awal mulut

menyeluruh pada pasien risiko tinggi. Penggunaan antibiotik tanpa adanya debridemen
penuh mulut akar memiliki manfaat yang sangat sedikit.

Catatan:
90-95% dari diagnosis akan menjadi gingivitis atau periodontitis kronis.
Tambahkan deskripsi "lokal atau umum", serta keparahan (sedikit, sedang, atau berat).
Umumnya, menggunakan age break point 30-35 tahun sebagai bantuan untuk menentukan
apakah itu agresif atau periodontitis kronis.
Ingat, CPITN tidak mengenali resesi dan kehilangan perlekatan klinis. Seorang pasien bisa
mengalami generalisasi periodontitis parah dengan kehilangan 70% tulang dan gigi mobile, tapi
3 mm atau kurang kedalaman poket akibat resesi. Skor CPITN bisa terlihat seperti: X / 2/2
karena kedalaman probing dangkal.
2/2 / X