Consensus Report of the 20th European Workshop on Periodontology: Contemporary and Emerging Technologies in Periodontal Diagnosis.
Luigi Nibali, Tali Chackartchi, Elena Calciolari, Nurcan Buduneli, Georgios Belibasakis, Loreto Abusleme, Paula Matesanz, Iain Chapple, Thomas Dietrich, Bettina Dannewitz, Peter Windisch, Andreas Stavropoulos, Faleh Tamimi, Yuan Li, Marja L Laine, France Lambert, Juan Blanco, Sören Jepsen, Anders Verket, Spyros Vassilopoulos, Ignacio Sanz-Sánchez, Nerea Sánchez, Giovanni Salvi, Christoph Ramseier, Philip Preshaw, Brian Mealey, Henrik Dommisch, Karin Jepsen, Ulvi K Gursoy, Marjolaine Gosset, William Giannobile, Ricardo Faria Almeida, Nicolás Dutzan, Monique Danser, Niklaus P Lang, Roberto Farina, Mario Aimetti, Bahar Eren Kuru, Nikos Donos, Filippo Graziani, Panos N Papapanou, Balazs Feher, Purnima Kumar, Leonardo Trombelli, Cristiano Tomasi, Elena Figuero, Nicola Discepoli, Daniel Hagenfeld, Nagihan Bostanci, Mia Rakic, Bruno Loos, Phoebus Madianos, Lior Shapira, Maurizio S Tonetti, Ke Deng, Philippe Bouchard, Maria Clotilde Carra, Anton Sculean, Kimon Divaris, Nicola West, Moritz Kebschull, Peter Eickholz, Ana Molina, David Herrera, Mariano Sanz, Wim Teughels, Eduardo Montero, Jan Derks
Journal: Journal of clinical periodontology
2025;52 Suppl 29(Suppl 29):4-33
PMID: 40320757
Abstract
BACKGROUND
This Consensus Workshop dealt with diagnostic methodologies in the context of surveillance, screening, assessment of stage and grade, prognosis, monitoring and prediction of periodontal status. Several elements provided the impetus for the workshop, including the limited quality of available research on diagnostic tests, the rapid development of new technologies, the implementation of the 2018 classification and the declarations of the World Health Organisation on diagnosis and oral health.
AIM
To update and evaluate the evidence on diagnostic methods, considering recent advances in knowledge and the implementation of the 2018 classification.
METHODS
The European Workshop Committee of the European Federation of Periodontology guided the development of a consensus report after commissioning eight systematic reviews within three working groups. The reviews were discussed during the in-person consensus meeting involving 70 participants from 21 different countries.
RESULTS
Working Group 1 discussed innovations in traditional diagnostic approaches, justified manual probing as the reference standard and assessed the value of image-based methods. Working Group 2 analysed diagnostic tests based on microbial and host biomarkers and genetic diagnostic tests. Working Group 3 covered emerging technologies to be used within dental and non-dental clinical settings, focusing principally on the impact of questionnaire-based assessments and artificial intelligence systems (AIS) in interpreting different data modalities.
CONCLUSION
Although manual periodontal probing is firmly established as the reference standard, additional approaches based on imaging, biomarkers, host genetics, questionnaires and the development of emerging applied data science methods (e.g., AIS) are increasingly integrated in periodontal diagnostics.
© 2025 The Author(s). Journal of Clinical Periodontology published by John Wiley & Sons Ltd.
Address:
ETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, University Complutense of Madrid, Plaza Ramón y Cajal s/n (Ciudad Universitaria), Madrid, Spain.; Shanghai PerioImplant Innovation Center, Institute for Oral, Craniofacial and Sensory Research, Shanghai Key Laboratory of Stomatology, National Clinical Research Centre for Oral Diseases, Shanghai Ninth People Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.; Birmingham NIHR Biomedical Research Centre in Inflammation, University of Birmingham, Birmingham, UK.; Periodontal Research Group, Dentistry, School of Health Sciences, College of Medicine & Health, The University of Birmingham, Birmingham, UK.; Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK.; Birmingham NIHR Biomedical Research Centre in Inflammation, University of Birmingham, Birmingham, UK.; Periodontal Research Group, Dentistry, School of Health Sciences, College of Medicine & Health, The University of Birmingham, Birmingham, UK.; Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK.; Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, Columbia University, New York, New York, USA.; Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, Columbia University, New York, New York, USA.; Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.; Department of Oral Pathology and Medicine, Faculty of Dentistry, University of Chile, Santiago de Chile, Chile.; Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy.; Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.; Department of Stomatology, Santiago de Compostela University, Santiago de Compostela, Spain.; Section of Oral Health and Periodontology, Division of Oral Diseases, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.; Laboratory Orofacial Pathologies', Imaging and Biotherapies, URP2496, Dental School, Université Paris Cité, Montrouge, France.; Ege University, School of Dentistry, Department of Periodontology, Izmir, Turkey.; Centre for Oral Clinical Research, Institute of Dentistry, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.; UFR d'Odontologie, Université Paris Cité, Service d'Odontologie, Hôpital Rothschild (AP-HP), Paris, France.; Department of Periodontology, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.; Department of Periodontology, Center for Dentistry and Oral Medicine (Carolinum), Goethe University Frankfurt/Main, Frankfurt, Germany.; Department of Periodontology, Academic Centre for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.; Division of Periodontology and Implant Dentistry, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.; Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.; University of Birmingham, Birmingham, UK.; School of Heath Sciences, College of Medicine and Health, Department of Medical Biotechnology Unit of Periodontics, University of Siena, Siena, Italy.; Department of Pediatric Dentistry and Dental Public Health, Adams School of Dentistry, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, USA.; Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.; Conservative Dentistry Department, Faculty of Dentistry, University of Chile, Santiago de Chile, Chile.; Faculty of Dentistry, Periodontology Department, Yeditepe University, Istanbul, Turkey.; Department Periodontics and Oral Surgery, School of Dental Medicine, University of Porto, Porto, Portugal.; Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.; Department of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, Massachusetts, USA.; Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, School of Dentistry, University of Pisa, Pisa, Italy.; Department of Periodontology, Institute of Dentistry, University of Turku, Turku, Finland.; Department of Periodontology and Operative Dentistry, Muenster University Hospital, Münster, Germany.; Department of Periodontology, Operative and Preventive Dentistry, Center for Dental and Oral Medicine, University Hospital Bonn, Bonn, Germany.; Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.; Department of Periodontology, Oro-Dental and Implant Surgery, CHU of Liège, Liège University, Liège and Dental Biomaterials Research Unit, Liège University, Liège, Belgium.; Department of Periodontology, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece.; Department of Periodontics, School of Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.; Periodontology Unit, Centre for Host Microbiome Interactions, King's College London, London, UK.; School of Dentistry, University of Dundee, Dundee, UK.; Faculty of Dental Medicine and Hadassah Medical Center, The Hebrew University, Jerusalem, Israel.; Periodontology, Faculty of Odontology, Malmö University, Malmö, Sweden.; College of Dental Medicine, Catholic University of Leuven, Doha, Qatar.; KU Leuven and Dentistry, Department of Oral Health Sciences, Periodontology and Oral Microbiology, Catholic University of Leuven, University Hospitals Leuven, Leuven, Belgium.; Department of Periodontology, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway.; Section of Periodontology, Bristol Dental School, University of Bristol, Bristol, UK.; Department of Periodontology, Semmelweis University, Budapest, Hungary.
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