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00925njm 22002777a 4500 dc Herrera González, David author Maurizio Tonetti author Ian Chapple author Moritz Kebschull author Panos N Papapanou author Anton Sculean author Loreto Abusleme author Mario Aimetti author Georgios Belibasakis author Juan Blanco author Nagihan Bostanci author Phillipe Bouchard author Nurcan Budunelli author Elena Calciolari author Maria Clotilde Carra author Tali Chackartchi author Bettina Dannewitz author Monique Danser author Ke Deng author Jan Derks author Thomas Dietrich author Nicola Discepoli author Kimon Divaris author Henrik Dommisch author Nikos Donos author Nicolás Duztan author Peter Eickholz author Bahar Eren Kuru author Ricardo Faria Almeida author Roberto Farina author Balazs Feher author Figuero Ruiz, Elena author William Giannobile author Marjolaine Gosset author Filippo Graziani author Ulvi K Gursoy author Daniel Hagenfeld author Karin Jepsen author Sören Jepsen author Purnima Kumar author Marja L Laine author France Lambert author Niklaus P Lang author Yuang Li author Bruno Loos author Phoebus Madianos author Matesanz Pérez, Paula author Brian Mealey author Molina Villar, Ana Rosario author Montero Solís, Eduardo author Luigi Nibali author Philip Preshaw author Mia Rakic author Christoph Ramseier author Giovanni Salvi author Sánchez Pérez, Silvia Nerea author Sanz Sánchez, Ignacio author Lior Shapira author Andreas Stavropoulos author Faleh Tamimi author Wim Teughels author Cristiano Tomasi author Leonardo Trombelli author Spyros Vassilopoulos author Anders Verket author Nicola West author Peter Windisch author Sanz Alonso, Mariano author 2025-08-01 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. Keywords: artificial intelligence systems; biomarkers; medical imaging; periodontal probing; periodontology; questionnaires; radiographs. © 2025 The Author(s). Journal of Clinical Periodontology published by John Wiley & Sons Ltd. Herrera D, Tonetti MS, Chapple I, Kebschull M, Papapanou PN, Sculean A, Abusleme L, Aimetti M, Belibasakis G, Blanco J, Bostanci N, Bouchard P, Buduneli N, Calciolari E, Carra MC, Chackartchi T, Dannewitz B, Danser M, Deng K, Derks J, Dietrich T, Discepoli N, Divaris K, Dommisch H, Donos N, Dutzan N, Eickholz P, Eren Kuru B, Faria Almeida R, Farina R, Feher B, Figuero E, Giannobile W, Gosset M, Graziani F, Gursoy UK, Hagenfeld D, Jepsen K, Jepsen S, Kumar P, Laine ML, Lambert F, Lang NP, Li Y, Loos B, Madianos P, Matesanz P, Mealey B, Molina A, Montero E, Nibali L, Preshaw P, Rakic M, Ramseier C, Salvi G, Sánchez N, Sanz-Sánchez I, Shapira L, Stavropoulos A, Tamimi F, Teughels W, Tomasi C, Trombelli L, Vassilopoulos S, Verket A, West N, Windisch P, Sanz M. Consensus Report of the 20th European Workshop on Periodontology: Contemporary and Emerging Technologies in Periodontal Diagnosis. J Clin Periodontol. 2025 Aug;52 Suppl 29(Suppl 29):4-33. doi: 10.1111/jcpe.14152. Epub 2025 May 4. PMID: 40320757; PMCID: PMC12286652. 10.1111/jcpe.14152 https://hdl.handle.net/20.500.14352/130780 https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpe.14152 https://pubmed.ncbi.nlm.nih.gov/40320757/ Consensus Report of the 20th European Workshop on Periodontology: Contemporary and Emerging Technologies in Periodontal Diagnosis