J Clin Diagn Res. 2016 Jun;10(6):ZC107-12. doi: 10.7860/JCDR/2016/19518.8063. Epub 2016 Jun 01.
Evaluation of a New Self-Reported Tool for Periodontitis Screening.
Journal of clinical and diagnostic research : JCDR
Antonio Renatus, Tanja Kottmann, Fabian Schwarzenberger, Holger Jentsch
Affiliations
Affiliations
- Faculty, Department of Cariology, Endodontology and Periodontology, Centre for Periodontology, University Hospital of Leipzig , Leipzig, Germany .
- Clinical Research Organisation , Hamm, Germany .
- Professor for Stochastics, Faculty of Informatics/Mathematics at the HTW Dresden , Dresden, Germany .
- Professor, Department of Cariology, Endodontology and Periodontology, Centre for Periodontology, University Hospital of Leipzig , Leipzig, Germany .
PMID: 27504399
PMCID: PMC4963759 DOI: 10.7860/JCDR/2016/19518.8063
Abstract
INTRODUCTION: Periodontitis is still highly prevalent in industrial population whereas at the same time appropriate screening programs are missing.
AIM: To evaluate, a self-reported questionnaire about periodontal risk factors in combination with the Periodontal Screening Index (PSI) to identify an existing need for periodontal treatment combined with the early recognition of high-risk patients.
MATERIALS AND METHODS: Total 200 patients took part in the questionnaire based study and were examined using the PSI. Thereafter the participants were divided into two groups, subjects with periodontitis (Group 1; PSI 0-2) and subjects without periodontitis (Group 2; PSI 3-4). The answers were evaluated using a point system ranging from 0 to 8, based on known periodontal risk factors and their assumed degree of influence. Receiver-Operating Characteristic (ROC) curve analysis were applied to examine the overall discriminatory power, sensitivity, specificity and corresponding cut-off points of the self-reported periodontal disease scale.
RESULTS: There was a significant difference between Group 1 and 2 concerning the majority of the inquired items (12 of 16, p<0.05). The distribution of the individual total score exhibited a high statistical significance (p<0.001) of robustness in terms of differing definitions of periodontitis. The Area Under the Curve (AUC) was 0.912 with a sensitivity of 86% and a specificity of 76%.
CONCLUSION: The questionnaire produced a reliable assessment of the individual risk (total score) and the need for periodontal treatment as well as the differentiation between gingivitis and periodontitis.
CLINICAL RELEVANCE: Patient-based data (clinical variables and periodontal risk factors of periodontitis) were adequate to make a preliminary assessment of a possible need for periodontal treatment.
Keywords: Periodontal disease; Public health; Questionnaire
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