EFP Guide

S222 |

JEPSEN et al .

TABLE 1 Classification of systemic diseases and conditions that affect the periodontal supporting tissues (adapted from Albandar et al. 1 )

TABLE 1 (Continued)

ICD‐10 code

Classification

Disorders

ICD‐10 code

Inflammatory diseases Epidermolysis bullosa acquisita Inflammatory bowel disease

1.3.

Classification

Disorders

L12.3

Systemic disorders that have a major impact on the loss of periodontal tissues by influencing periodontal inflammation

1.

K50,

K51.9, K52.9

Other systemic disorders that influence the pathogenesis of periodontal diseases Diabetes mellitus

2.

Genetic disorders

1.1.

Diseases associated with immunologic disorders Down syndrome

1.1.1.

E10 (type 1), E11 (type 2)

Q90.9 D72.0

Leukocyte adhesion deficiency syndromes Papillon‐Lefèvre syndrome Haim‐Munk syndrome Chediak‐Higashi syndrome

Obesity

E66.9 M81.9

Q82.8 Q82.8 E70.3

Osteoporosis

Arthritis (rheumatoid arthritis, osteoarthritis)

M05,

M06, M15‐ M19

Severe neutropenia – Congenital neutropenia (Kostmann syndrome)

D70.0

Emotional stress and depression Smoking (nicotine dependence)

F32.9

F17

– Cyclic neutropenia

D70.4

Medications

Primary immunodeficiency diseases – Chronic granulomatous disease

Systemic disorders that can result in loss of periodontal tissues independent of periodontitis Neoplasms Primary neoplastic diseases of the periodontal tissues – Oral squamous cell carcinoma

3.

D71.0 D82.9

– Hyperimmunoglobulin E syndromes

3.1.

Cohen syndrome

Q87.8

Diseases affecting the oral mucosa and gingival tissue Epidermolysis bullosa – Dystrophic epidermolysis bullosa

1.1.2.

C03.0 – 1 D48.0 C41.0

– Odontogenic tumors

Q81.2 Q81.8 D68.2

– Other primary neoplasms of the periodontal tissues Secondary metastatic neoplasms of the periodontal tissues Other disorders that may affect the periodontal tissues Granulomatosis with polyangiitis Langerhans cell histiocytosis

– Kindler syndrome Plasminogen deficiency

C06.8

Diseases affecting the connective tissues Ehlers‐Danlos syndromes (types IV, VIII) Angioedema (C1‐inhibitor deficiency) Systemic lupus erythematosus Metabolic and endocrine disorders Glycogen storage disease

1.1.3.

3.2.

Q79.6

M31.3 C96.6 K10.1 E21.0 M34.9 M89.5

D84.1

Giant cell granulomas Hyperparathyroidism

M32.9

1.1.4.

Systemic sclerosis (scleroderma) Vanishing bone disease (Gorham‐ Stout syndrome)

E74.0 E75.2

Gaucher disease Hypophosphatasia

E83.30 E83.31 Q78.8

Hypophosphatemic rickets Hajdu‐Cheney syndrome Acquired immunodeficiency diseases Acquired neutropenia

1.2.

Can obesity affect the course of periodontitis? The relationship between obesity and metabolic status, including hyper‐ glycemia, is complex and it is difficult to unravel their relative contri‐ butions to effects on periodontitis. Nevertheless, recent meta‐analyses consistently show a statistically significant positive association between

D70.9

HIV infection

B24

(Continues)

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