Impact of Various Detectable Interdental Clinical Attachment Loss Thresholds on the Estimated Prevalence, Stage and Extent of Periodontitis Based on the EFP/AAP Definition

IF 5.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Clinical Periodontology Pub Date : 2025-02-12 DOI:10.1111/jcpe.14131

Wen Meng, Sicheng Wu, Huiwen Chen, Zhongchen Song, Maurizio S. Tonetti, Haixia Lu

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引用次数: 0

Abstract

Aims

To investigate the influence of different detectable interdental clinical attachment loss (CAL) thresholds on estimated prevalence, stage and extent of periodontitis and to assess the influence of three methods in upgrading stage III cases to stage IV in completed surveys.

Materials and Methods

National Health and Nutrition Examination Survey 2011–2014 data of 7651 adults were used. The CDC/AAP definition and the EFP/AAP definition with interdental CAL of 1, 2, 3 and 4 mm as the detectable threshold were applied. Three methods (< 10 opposing pairs of natural teeth, < 20 remaining natural teeth or < 10 remaining natural teeth in one jaw) were used to upgrade stage III cases to stage IV.

Results

Estimated periodontitis prevalence was 37.0%, 92.6%, 91.7%, 66.7% and 32.9% using the CDC/AAP definition and the EFP/AAP definition, with 1-, 2-, 3- and 4-mm thresholds, respectively. As the threshold increased, stage I/II cases decreased, resulting in higher estimated disease extent in stage II cases. Compared with the use of 20 remaining teeth, the use of 10 opposing pairs yielded a nearly 4% increase in the estimated prevalence of stage IV cases.

Conclusions

Different detectable thresholds and opposing pair approximation methods could influence estimated periodontitis prevalence, stage and extent.

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基于EFP/AAP定义的各种可检测的牙间临床附着丧失阈值对牙周炎的估计患病率、分期和程度的影响

目的：探讨不同可检测的牙间临床附着丧失（CAL）阈值对牙周炎患病率、牙周炎分期和牙周炎程度的影响，并评估三种方法对将已完成调查的III期病例升级为IV期的影响。材料与方法：2011-2014年全国健康与营养检查调查资料7651人。采用CDC/AAP定义和EFP/AAP定义，牙间CAL分别为1、2、3和4 mm作为检测阈值。结果：采用CDC/AAP定义和EFP/AAP定义的牙周炎患病率分别为37.0%、92.6%、91.7%、66.7%和32.9%，阈值分别为1、2、3和4 mm。随着阈值的增加，I/II期病例减少，导致II期病例的估计疾病程度更高。与使用剩余的20颗牙齿相比，使用10对相反的牙齿使IV期病例的估计患病率增加了近4%。结论：不同的检测阈值和反对近似方法会影响牙周炎的患病率、分期和程度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Periodontology 医学-牙科与口腔外科

CiteScore

13.30

自引率

10.40%

发文量

175

审稿时长

3-8 weeks

期刊介绍： Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.