# Periodontal Diagnosis Calculator — PRA & EFP/AAP 2017

> Free clinical decision-support tool that computes the EFP/AAP 2017 periodontal diagnosis (staging I–IV and grading A–C), the Lang–Tonetti Periodontal Risk Assessment (PRA), and personalised supportive-therapy recall intervals from clinical parameters. Optional AI radiograph analysis. Bilingual (English / Italian). No patient data is stored.

- URL: https://perio.bonebenders.com/
- Author: Dr. Ernesto Bruschi — periodontist, implantologist, oral surgeon (https://bonebenders.com/)
- Languages: English (`?lang=en`), Italian (`?lang=it`, default)

## What it does

- EFP/AAP 2017 staging (I–IV: severity and complexity) and grading (A–C: rate of progression).
- Lang & Tonetti (2003) Periodontal Risk Assessment (PRA) across six factors: bleeding on probing, residual pockets ≥5 mm, teeth lost, bone-loss/age ratio, systemic/genetic factors, smoking.
- Personalised recall intervals (2–12 months) for supportive periodontal therapy.
- Post-treatment stability assessment; global, per-sextant and per-tooth charting modes.
- Optional AI analysis of an uploaded radiograph (no identifying data transmitted).
- Printable periodontal report and chart.

## Key definitions

- **Stage** — severity and complexity of periodontitis (clinical attachment loss, radiographic bone loss, tooth loss, complexity factors).
- **Grade** — rate of progression (bone-loss/age ratio; modifiers: smoking ≥10 cigarettes/day, diabetes HbA1c ≥7%).
- **PRA** — individual progression-risk stratification driving the recall frequency.

## References

- Lang NP, Tonetti MS. Periodontal risk assessment (PRA) for patients in supportive periodontal therapy. Oral Health Prev Dent. 2003;1(1):7-16.
- Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis. J Periodontol. 2018;89 Suppl 1:S159-S172.
- Papapanou PN, Sanz M, et al. Periodontitis: consensus report of workgroup 2 of the 2017 World Workshop. J Periodontol. 2018;89 Suppl 1:S173-S182.

## Related reading

- Article (EN): https://bonebenders.com/en/blog/periodontal-screening-diagnosis-calculator/
- Article (IT): https://bonebenders.com/blog/il-nuovo-calcolatore-per-la-diagnosi-parodontale/