Periodontics · single question

Which of the following is used to determine periodontitis GRADING (as opposed to staging)?

  1. Clinical attachment loss
  2. Bleeding on probing
  3. Rate of progression (e.g., bone-loss-to-age ratio) and risk factors
  4. Probing depth
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Correct answer: C. Rate of progression (e.g., bone-loss-to-age ratio) and risk factors

In the 2017 periodontitis classification, STAGING is based on severity (clinical attachment loss, radiographic bone loss, tooth loss, and complexity), while GRADING reflects the rate of progression and risk — estimated using direct/indirect evidence of progression (such as the percent bone loss/age ratio) plus modifying risk factors like smoking and diabetes. Clinical attachment loss and probing depth are staging criteria, not grading criteria.

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