Reliability of partial-mouth periodontal examinations for diagnosing periodontal disease.

IF 2.2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Bohee Kang, Jae Suk Jung, Sunjin Kim, Geum Hee Choi, Heelim Lee, Bumhee Park, Hyelynn Jeon, Suk Ji
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引用次数: 0

Abstract

Purpose: This study investigated the reliability of partial-mouth periodontal examinations (PMPEs) for 1) identifying the presence of periodontitis, 2) staging periodontal disease, and 3) reflecting mean clinical parameters.

Methods: All patients were diagnosed using 8 different exam types: (A) full-mouth periodontal examination (FMPE), (B) Community Periodontal Index of Treatment Needs (CPITN) codes, (C) panoramic radiographs only, (D) clinical parameters only, (E) 6 teeth, including the first molar (#11, #16, #26, #31, #36, #46), (F) CPITN index teeth (#11, #16, #17, #26, #27, #31, #36, #37, #46, #47), (G) Ramfjord teeth (#16, #21, #24, #36, #41, #44), and (H) 10 modified Ramfjord teeth, including all first premolars and first molars (#16, #14, #21, #24, #26, #36, #34, #41, #44, #46). Case definitions were established according to the criteria outlined in the 2018 American Academy of Periodontology/European Federation of Periodontology classification of periodontal diseases. The accuracy of diagnosis and diagnostic performance were assessed using the kappa coefficient and area under the curve (AUC)/receiver operating characteristic analyses, respectively. To compare the mean clinical parameters, intraclass correlation coefficients (ICCs) were calculated between 4 types of PMPEs (E, F, G, H) and FMPE.

Results: In total, 218 subjects (130 female, 88 male) were included in this study. Exam type F achieved perfect agreement (kappa coefficient: 1.0) in identifying the presence of periodontitis, and it showed almost perfect agreement in staging periodontal disease (0.85≤ kappa ≤0.98) except for the healthy category, with AUCs ≥0.97. Exam type H demonstrated the highest correlations of all mean clinical parameters with FMPE (ICCs ≥0.96).

Conclusions: PMPEs using the CPITN index teeth can be an excellent alternative for diagnosing periodontitis and staging its severity.

局部口腔牙周检查诊断牙周病的可靠性。
目的:本研究探讨了局部口腔牙周检查(PMPEs)在以下方面的可靠性:1)确定牙周炎的存在;2)牙周病的分期;3)反映平均临床参数。方法:采用8种不同的检查类型对所有患者进行诊断:(A)全口牙周检查(FMPE), (B)社区牙周治疗需求指数(CPITN)代码,(C)仅全景x线片,(D)仅临床参数,(E) 6颗牙齿,包括第一磨牙(#11,#16,#26,#31,#36,#46,#46),(F) CPITN指数牙齿(#11,#16,#17,#26,#27,#31,#36,#37,#46,#47),(G) Ramfjord牙齿(#16,#21,#24,#36,#41,#44),(H) 10颗改良的Ramfjord牙齿,包括所有第一前磨牙和第一磨牙(#16,#14,#21,#24,#26,#36,#34,#41,#44,),# 46)。病例定义是根据2018年美国牙周病学会/欧洲牙周病联合会牙周病分类中概述的标准建立的。分别采用卡帕系数和曲线下面积(AUC)/受试者工作特征分析来评估诊断的准确性和诊断性能。为了比较平均临床参数,计算4种PMPEs (E、F、G、H)与FMPE之间的类内相关系数(ICCs)。结果:共纳入218例受试者,其中女性130例,男性88例。检查类型F在识别牙周炎存在方面达到完全一致(kappa系数为1.0),除健康类别外,在牙周病分期方面几乎完全一致(0.85≤kappa≤0.98),AUCs≥0.97。检查类型H显示所有平均临床参数与FMPE的相关性最高(ICCs≥0.96)。结论:采用CPITN指数牙进行PMPEs是诊断牙周炎和分期牙周炎严重程度的一个很好的选择。
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 Periodontal and Implant Science
Journal of Periodontal and Implant Science DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.30
自引率
5.30%
发文量
38
期刊介绍: Journal of Periodontal & Implant Science (JPIS) is a peer-reviewed and open-access journal providing up-to-date information relevant to professionalism of periodontology and dental implantology. JPIS is dedicated to global and extensive publication which includes evidence-based original articles, and fundamental reviews in order to cover a variety of interests in the field of periodontal as well as implant science.
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