Validity of the Community Periodontal Index of Treatment Needs' (CPITN) for population periodontitis screening

Bassani, Diego G.; Silva, Carina Maciel da; Oppermann, Rui Vicente

doi:10.1590/s0102-311x2006000200005

Cited by 48 publications

(39 citation statements)

References 25 publications

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“…Previous research has nonetheless shown that the CPITN may under-or overestimate the level of periodontal pocketing or fail to reflect the level of pocketing in all teeth. Similar to our study, one paper compared the CPITN to a measurement of periodontal probing taken from every tooth, but it found that the CPITN fails to measure periodontal disease in comparison to the full mouth assessment (p < 0.001) [Bassani et al, 2006]. Another study also reports that CPITN often underestimates the depth of periodontal pocketing in sextants that have deeper pockets [DiamantiKipioti et al, 1993] despite the CPITN formerly being reported as having better suitability for severe disease diagnosis [Ainamo and Ainamo, 1985].…”

Section: Discussionsupporting

confidence: 72%

Validation of the Basic Erosive Wear Examination

Olley¹,

Wilson

Bartlett³

et al. 2013

Caries Res

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The Basic Erosive Wear Examination (BEWE) is a practical index for screening tooth wear, using a 4-point ordinal scale (0-3). The highest score is recorded in each sextant and a total score (or BEWE sextant cumulative) is calculated per subject. This study aims to investigate if the BEWE sextant cumulative score compares to one comprising a percentage score from all tooth surfaces and as a highest BEWE per subject. The aim is to assess the validity of this score. A total of 350 subjects were recruited from hospital and general practice in south-east England. Buccal, occlusal and lingual/palatal BEWE scores were collected and percentages calculated based on scores 1, 1 and above, 2 and above and 3. BEWE sextant cumulative scores and highest BEWE scores were also recorded per subject. Spearman's correlation coefficients (p values) assessed the relationship between BEWE sextant cumulative scores, BEWE percentages and BEWE highest score per subject. The BEWE sextant cumulative score correlates significantly to a BEWE score taken as a percentage score from all tooth surfaces (Spearman's r > 0.5, p < 0.001) and especially to BEWE surface scores of 1 and above and 2 and above (r > 0.8, p < 0.001) and as a highest surface score per subject (r > 0.8, p < 0.001). BEWE sextant score provides a representation of tooth wear on all tooth surfaces. This study validates a tooth wear index, which provides clinicians with risk indicators of a patient's level of tooth wear and may help to guide clinical management.

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Section: Discussionsupporting

confidence: 72%

Validation of the Basic Erosive Wear Examination

Olley¹,

Wilson

Bartlett³

et al. 2013

Caries Res

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“…PD is a common disease, with the mild and moderate forms affecting 30 to 50% of the adult population, and the severe form affecting 5 to 15% of the adults in the United States 3 . These estimates are confirmed by studies conducted with the Brazilian population [4][5] . A study performed in São Paulo showed that 45% of the subjects presented some degree of periodontal impairment and 5% presented severe PD 6 .…”

Section: Introductionsupporting

confidence: 75%

Associação entre doença periodontal e aterosclerose subclínica: uma revisão sistemática

Batista

Zandonade²,

Roelke³

et al. 2011

J. vasc. bras.

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The association between periodontal disease and the development of atherosclerosis has been studied. The systematic review of literature aims to evaluate the association between periodontal disease and subclinical atherosclerosis. A literature search of the PubMed, Scopus, LILACS, BBO, Cochrane Library and Scielo bibliographic databases was conducted using the following descriptors: "periodontal disease", "periodontitis", "carotid", and "therosclerosis". Articles were excluded if they: presented abstracts written in languages other than Portuguese, English and Spanish; experimental studies; did not contain data testing the degree of association between periodontal disease and subclinical atherosclerosis; did measure the extent of periodontal disease by parameters other than the clinical examination; did not measure the carotid artery intima-media wall thickness by ultrasonography; and covered specific population groups. The studies design, measurement protocols and reported data were compared. A total of 63 papers identified only 10 studies that met the inclusion criteria: 1 longitudinal study, 6 cross-sectional, and 3 case control studies. There was a wide heterogeneity between the studies regarding the methods of measuring periodontal disease and atherosclerosis outcomes. The conclusion is that periodontal infections are strongly associated with the development of subclinical atherosclerosis, however the mechanisms involved on the pathogenic process remain unknown.Keywords: atherosclerosis; periodontics; carotid artery diseases. ResumoA associação entre doença periodontal e o desenvolvimento de aterosclerose tem sido pesquisada. Esta revisão sistemática da literatura se propõe a verificar a associação entre a doença periodontal e a aterosclerose subclínica. A pesquisa utilizou as bases de dados: PubMed, Scopus, LILACS, BBO, Biblioteca Cochrane e Scielo com os termos: "doença periodontal", "periodontite", "carótida" e "aterosclerose". Foram excluídos artigos: que apresentaram resumos escritos em idiomas diferentes do português, inglês e espanhol; com abordagem laboratorial em modelos experimentais; sem descrição ou referência a estimadores de associação entre doença periodontal e aterosclerose subclínica; pesquisas que realizaram a medida da doença periodontal por parâmetros diferentes de exames clínicos; pesquisas que não analisaram a espessura da íntima média da artéria carótida através de exame de ultrassom; e que abordassem grupos específicos. Foram comparados os desenhos de estudo, protocolos de medida e os dados relatados. De um total de 63 referências, apenas 10 artigos contemplavam todos os critérios de inclusão, distribuídos em: 1 estudo longitudinal, 6 transversais e 3 casos controles. Observou-se uma heterogeneidade entre os estudos em relação ao método de mensuração da doença periodontal e os desfechos da aterosclerose. Concluiu-se que infecções periodontais são fortemente associadas ao desenvolvimento da aterosclerose subclínica, entretanto os mecanismos envolvidos no processo patogênico ai...

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“…However, this index has some limitations, such as the underestimation of the less severe periodontal conditions (for example, calculus and gingival bleeding) and underestimation of the outcome prevalence. These weaknesses are particularly relevant when etiological studies are taken into account 50 .…”

Section: S148mentioning

confidence: 99%

Periodontal outcomes and social, racial and gender inequalities in Brazil: a systematic review of the literature between 1999 and 2008

et al. 2011

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The objective of this study was to review the Brazilian epidemiologic literature on periodontal outcomes and socio-demographic factors, assessing bibliographic and methodological characteristics of this scientific production, as well as the consistency and statistical significance of the examined associations. A systematic review was carried out in six bibliographic sources. The review was limited to the period between 1999 and 2008, without any other type of restriction. Among the 410 papers identified, 29 were included in the review. An increasing number of articles, specifically in the last four years of study, was observed. However, there is a concentration of studies in the South and Southeast regions of Brazil, and many of them are not closely connected to theoretical formulations in the field. In spite of these shortcomings, the review findings corroborate the idea that poor socioeconomic conditions are associated with periodontal outcomes, as demonstrated primarily by income and schooling indicators.

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Validity of the Community Periodontal Index of Treatment Needs' (CPITN) for population periodontitis screening

Cited by 48 publications

References 25 publications

Validation of the Basic Erosive Wear Examination

Validation of the Basic Erosive Wear Examination

Associação entre doença periodontal e aterosclerose subclínica: uma revisão sistemática

Periodontal outcomes and social, racial and gender inequalities in Brazil: a systematic review of the literature between 1999 and 2008

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