会计学牙周疾病(jíbìng)的分类Gottlieb分类(1928)炎症性不洁性脓漏（Schmutzpyorrhea）由口腔卫生不良所致变性或萎缩弥漫性牙槽萎缩（diffusealveolaratrophy)由全身或代谢性原因(yuányīn)所致（为青少年牙周炎最早的名称）牙周脓漏（paradentalpyorrhea)Orban分类(fēnlèi)（1949）炎症状态(inflammatoryconditions)牙龈炎：急性或慢性；溃疡性或化脓性；局限性或全身性等。牙周炎：单纯性（由牙龈炎发展而来）复杂性（由牙周变性而来）变性状态(degenerativeconditions)牙龈变性（gingivosis）：全身原因牙周变性（periodontosis）：主要为全身原因萎缩状态(atrophicconditions)牙周萎缩牙周创伤(periodontaltraumatism)原发性继发性牙龈增生(gingivalhyperplasia)感染内分泌失调药物性特发性Page&Schroeder分类(1982)I.青春前期牙周炎(prepubertalperiodontitis,PPP)弥漫型局限(júxiàn)型II.青少年牙周炎(juvenileperiodontitis,JP)III.快速进展性牙周(rapidlyprogresiveperiodontitis,RPP)IV.成人牙周炎(adultperiodontitis,AP)牙周疾病分类（1989）世界临床(línchuánɡ)牙周病学专题讨论会I.成人牙周炎（adultperiodontitis,AP）II.早发性牙周炎(early-onsetperiodontitis,EOP)青春前期(prepubertalperiodontitis,PPP)局限型或广泛型青少年(juvenileperiodontitis,JP)局限型或广泛型快速进展性（rapidlyprogressiveperiodontitis,RPP）III.伴有全身疾病的牙周炎（periodontitisassociatedwithsystemicdiseases）IV.坏死溃疡性牙周炎（necrotizingulcerativeperiodontitis）V.顽固性牙周炎(refractoryperiodontitis)（1989）分类的不足：①在疾病范畴上存在(cúnzài)着某些重复。②缺乏牙龈病分类。③过分强调了疾病的始发年龄及进展速度。④缺乏分类标准，或分类标准不够明确。牙周疾病和状况的国际新分类（1999）1999internationalworkshopforaclassificationofperiodontaldiseasesandconditionsⅠ.牙龈病(gingivaldiseases)Ⅱ.慢性(mànxìng)牙周炎(chronicperiodontitis)Ⅲ.侵袭性牙周炎(aggressiveperiodontitis)Ⅳ.反映全身疾病的牙周炎(periodontitisasamanifestationofsystemicdiseases)Ⅴ.坏死性牙周病(necrotizingperiodontaldiseases)Ⅵ.牙周脓肿(abscessesoftheperiodontium)Ⅶ．伴牙髓病变的牙周炎(periodontitisassociatedwithendodonticlesions)Ⅷ.发育或获得性异常和状况(developmentaloracquireddeformitiesandconditions)牙周疾病和状况的国际新分类（1999）1999internationalworkshopforaclassificationofperiodontaldiseasesandconditionsⅠ.牙龈病(gingivaldiseases)Ⅱ.慢性牙周炎(chronicperiodontitis)Ⅲ.侵袭性牙周炎(aggressiveperiodontitis)Ⅳ.反映全身疾病的牙周炎(periodontitisasamanifestationofsystemicdiseases)Ⅴ.坏死性牙周病(necrotizingperiodontaldiseases)Ⅵ.牙周脓肿(abscessesoftheperiodontium)Ⅶ．伴牙髓病变的牙周炎(periodontitisassociatedwithendodonticlesions)Ⅷ.发育(fāyù)或获得性异常和状况(developmentaloracquireddeformitiesandcondit