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Article: Perceived risk of deteriorating periodontal conditions

TitlePerceived risk of deteriorating periodontal conditions
Authors
Issue Date2003
PublisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPE
Citation
Journal Of Clinical Periodontology, 2003, v. 30 n. 11, p. 982-989 How to Cite?
AbstractBackground: Interpretation of risk for periodontitis is critical for treatment planning. How periodontists assess risk for periodontitis is unclear. Purpose: To study (1) what factors periodontists use when assessing the risks for worsening periodontal conditions anticipating that no treatment would be provided, and (2) if risk assessment is consistent and independent of specialty background training. Material and Methods: Medical history, clinical dental data, full-mouth intra-oral radiographs, and slide pictures were obtained from each of 51 subjects, and the information was provided to 23 examiners. Results: The mean age of the study subjects was 51.5 years (SD±17.7, range 23-81), with 28 women included. In 10 of the subjects, only gingivitis was identified, while 22 subjects had advanced chronic periodontitis. Risk scores assigned for 2 and 4 years differed significantly between European- and US-trained periodontists (p < 0.001) and between graduate students in training and periodontists from either the US or Europe (p < 0.01) (Wilcoxon n-pair test), with European periodontists scoring the lowest risks. Risk scores were correlated between groups (p < 0.01 with ρ range 0.82-0.89) (Spearman's rank correlation). The best-fit model (r2 = 0.86) to assess perceived risk for worsening periodontal conditions based on data from all examiners combined included the following variables: (1) overall horizontal alveolar bone loss (p < 0.000), (2) age-adjusted proportional radiographic bone height score for the worst site (p < 0.000), and (3) proportion of pocket probing depths ≥6.0 mm. Conclusions: Differences exist on the scale of risk values based on specialty training. Consistency in scoring patterns exists. The examiners based their assigned risk scores almost exclusively on measures of existing disease severity, including radiographic bone loss and numbers of periodontal pockets ≥6.0 mm, and excluding most known risk factors such as smoking, diabetes, and poor oral hygiene.
Persistent Identifierhttp://hdl.handle.net/10722/154274
ISSN
2015 Impact Factor: 3.915
2015 SCImago Journal Rankings: 1.848
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPersson, GRen_US
dc.contributor.authorAttström, Ren_US
dc.contributor.authorLang, NPen_US
dc.contributor.authorPage, RCen_US
dc.date.accessioned2012-08-08T08:24:21Z-
dc.date.available2012-08-08T08:24:21Z-
dc.date.issued2003en_US
dc.identifier.citationJournal Of Clinical Periodontology, 2003, v. 30 n. 11, p. 982-989en_US
dc.identifier.issn0303-6979en_US
dc.identifier.urihttp://hdl.handle.net/10722/154274-
dc.description.abstractBackground: Interpretation of risk for periodontitis is critical for treatment planning. How periodontists assess risk for periodontitis is unclear. Purpose: To study (1) what factors periodontists use when assessing the risks for worsening periodontal conditions anticipating that no treatment would be provided, and (2) if risk assessment is consistent and independent of specialty background training. Material and Methods: Medical history, clinical dental data, full-mouth intra-oral radiographs, and slide pictures were obtained from each of 51 subjects, and the information was provided to 23 examiners. Results: The mean age of the study subjects was 51.5 years (SD±17.7, range 23-81), with 28 women included. In 10 of the subjects, only gingivitis was identified, while 22 subjects had advanced chronic periodontitis. Risk scores assigned for 2 and 4 years differed significantly between European- and US-trained periodontists (p < 0.001) and between graduate students in training and periodontists from either the US or Europe (p < 0.01) (Wilcoxon n-pair test), with European periodontists scoring the lowest risks. Risk scores were correlated between groups (p < 0.01 with ρ range 0.82-0.89) (Spearman's rank correlation). The best-fit model (r2 = 0.86) to assess perceived risk for worsening periodontal conditions based on data from all examiners combined included the following variables: (1) overall horizontal alveolar bone loss (p < 0.000), (2) age-adjusted proportional radiographic bone height score for the worst site (p < 0.000), and (3) proportion of pocket probing depths ≥6.0 mm. Conclusions: Differences exist on the scale of risk values based on specialty training. Consistency in scoring patterns exists. The examiners based their assigned risk scores almost exclusively on measures of existing disease severity, including radiographic bone loss and numbers of periodontal pockets ≥6.0 mm, and excluding most known risk factors such as smoking, diabetes, and poor oral hygiene.en_US
dc.languageengen_US
dc.publisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPEen_US
dc.relation.ispartofJournal of Clinical Periodontologyen_US
dc.subject.meshAdulten_US
dc.subject.meshAnalysis Of Varianceen_US
dc.subject.meshClinical Competence - Statistics & Numerical Dataen_US
dc.subject.meshDecision Makingen_US
dc.subject.meshDental Careen_US
dc.subject.meshDental Researchen_US
dc.subject.meshDentist's Practice Patterns - Statistics & Numerical Dataen_US
dc.subject.meshDentists - Statistics & Numerical Dataen_US
dc.subject.meshDisease Progressionen_US
dc.subject.meshEducation, Dental, Graduate - Standardsen_US
dc.subject.meshEuropeen_US
dc.subject.meshFemaleen_US
dc.subject.meshGingivitis - Classificationen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshObserver Variationen_US
dc.subject.meshPeriodontal Indexen_US
dc.subject.meshPeriodontics - Classification - Educationen_US
dc.subject.meshPeriodontitis - Classificationen_US
dc.subject.meshRisk Assessment - Methods - Standardsen_US
dc.subject.meshUnited Statesen_US
dc.titlePerceived risk of deteriorating periodontal conditionsen_US
dc.typeArticleen_US
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1034/j.1600-051X.2003.00415.xen_US
dc.identifier.pmid14761121-
dc.identifier.scopuseid_2-s2.0-0348226458en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0348226458&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume30en_US
dc.identifier.issue11en_US
dc.identifier.spage982en_US
dc.identifier.epage989en_US
dc.identifier.isiWOS:000186174700009-
dc.publisher.placeDenmarken_US
dc.identifier.scopusauthoridPersson, GR=7101853867en_US
dc.identifier.scopusauthoridAttström, R=7005222726en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US
dc.identifier.scopusauthoridPage, RC=7402110036en_US

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