1. Assessment of partial-mouth periodontal examination protocols for periodontitis surveillance.
- Author
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Tran DT, Gay I, Du XL, Fu Y, Bebermeyer RD, Neumann AS, Streckfus C, Chan W, and Walji MF
- Subjects
- Adult, Black or African American statistics & numerical data, Aged, Algorithms, Bias, Centers for Disease Control and Prevention, U.S., Dentition, Educational Status, Female, Hispanic or Latino statistics & numerical data, Humans, Male, Middle Aged, Nutrition Surveys, Population Surveillance, Prevalence, Sensitivity and Specificity, Societies, Dental, United States epidemiology, White People statistics & numerical data, Periodontal Index, Periodontitis epidemiology
- Abstract
Objective: To evaluate bias associated with nine identified partial-mouth periodontal examination (PMPE) protocols in estimating periodontitis prevalence using the periodontitis case definition given by the Centers of Disease Control and Prevention and American Academy of Periodontology (CDC/AAP)., Material and Methods: Prevalence from full-mouth examination was determined in a sample of 3667 adults ≥30 years old from the National Health and Nutrition Examination Survey (NHANES) 2009-2010. Prevalence, absolute bias, relative bias, sensitivity and inflation factor were derived for these protocols according to the CDC/AAP definition and half-reduced CDC/AAP definition as ≤50% of sites were measured., Results: Bias in moderate and severe periodontitis prevalence ranged between 11.1-52.5% and 27.1-76.3% for full-mouth mesiobuccal-distolingual protocol and half-mouth mesiobuccal protocol respectively; according to the CDC/AAP definition. With half-reduced CDC/AAP definition, half-mouth four sites protocol provided small absolute bias (3.2%) and relative bias (9.3%) for the estimates of moderate periodontitis prevalence; corresponding biases for severe periodontitis were -1.2% and -10.2%., Conclusion: Periodontitis prevalence can be estimated with limited bias when a half-mouth four sites protocol and a half-reduced CDC/AAP case definition are used in combination., (© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
- Published
- 2014
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