Plaque‐induced gingivitis: Case definition and diagnostic considerations

Trombelli, Leonardo; Farina, Roberto; Silva, Cléverson O.; Tatakis, Dimitris N.

doi:10.1111/jcpe.12939

Cited by 260 publications

(263 citation statements)

References 207 publications

(408 reference statements)

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“…We used a gingival inflammation threshold of 10% FMBS, as reported by the current case definition of gingivitis, and a threshold >30% for generalized gingival inflammation [39]. Previous investigations demonstrated that self-reported bleeding was a symptom with high specificity, but low sensitivity [13,14,46].…”

Section: Discussionmentioning

confidence: 99%

“…The self-awareness of gingival bleeding was calculated by comparing self-reported gingival bleeding with FMBS values. Based on the current literature, the cut-off point for gingival inflammation was set at 10% of FMBS [39]. Thus, subjects with FMBS < 10% who did not self-perceive gum bleeding, as well as subjects with FMBS ≥ 10% who self-perceived gum bleeding were considered aware of their gingival health status.…”

Section: Outcome Measuresmentioning

confidence: 99%

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Self-Perception of Periodontal Health and Associated Factors: A Cross-Sectional Population-Based Study

Romano

Perotto

Bianco

et al. 2020

IJERPH

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The aim of this cross-sectional study was to explore sociodemographic, behavioral, and clinical factors associated with self-awareness of periodontal health. Data were collected from a representative sample of 736 adults (25-75 years old) in a city of Northern Italy who self-assessed gingival bleeding, oral malodor, and tooth mobility in a questionnaire and who underwent clinical periodontal examination and organoleptic evaluation. Approximately 50% of the subjects were aware of their actual gingival health status and oral odor. The logistic regression analysis revealed that females presented higher odds of correctly perceiving their gingival conditions and mouth odor, while those who were older and smokers had a greater probability of being less objective in reporting them. Tooth type and position in the dental arches were positively associated with self-perception of tooth mobility. These findings reflected a low level of self-awareness that may influence oral care-seeking behavior. Subjects may be unconcerned about their periodontal health condition or lack enough knowledge to be aware of it. This points to the need for planning strategies to improve education and knowledge about periodontal health, which, by enhancing self-perception of periodontal symptoms, could help everyone to seek treatment in the initial stage of the disease. population and individual level [8]. In larger populations, a combination of demographic measures and self-reported oral health questions (self-perceived assessment) has demonstrated promising validity in predicting periodontitis for planning public health programs, especially when clinical assessment is unattainable [9][10][11][12]. In individuals, clinical and self-reported measures of periodontal disease have been reported to demonstrate significant disparity [13,14].A recent contribution provided evidence of low sensitivity (disease perception), but high specificity (health perception) values for self-reported bleeding gums [13,14] and low to moderate sensitivity and specificity for oral malodor [15][16][17][18], while little is known about self-perceived tooth mobility [15,16,19,20]. In contrast, people demonstrated the ability to refer to their own dental history, number of remaining teeth, previous experience of restorations, presence of prostheses, and screening of urgent dental care [6,9,[21][22][23][24].Several studies have shown that self-perception of oral health varies among social groups and age cohorts [13,25,26], although these findings have not been corroborated in other studies [27,28]. Most of the available information is derived from older participants, especially community dwelling or institutionalized individuals [29][30][31], while representative samples of adult populations were seldom involved, and none of them assessed predictors of gingival health and oral odor self-awareness [5,10,32]. Self-awareness of periodontal health status influences oral health-seeking behavior and is related to the utilization of dental services for early detection and prevention...

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Section: Discussionmentioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 99%

Self-Perception of Periodontal Health and Associated Factors: A Cross-Sectional Population-Based Study

Romano

Perotto

Bianco

et al. 2020

IJERPH

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“…Periodontal status was defined following the latest available EFP/AAP consensus for gingivitis and periodontitis cases [40,41] and used as categorical independent variables. A gingivitis case was defined if a total score of BoP ≥ 10% [41]. Periodontitis case was defined if interdental CAL is detectable at ≥2 non-adjacent teeth, or buccal or oral CAL ≥ 3 mm with PPD > 3 mm at ≥2 teeth.…”

Section: Periodontal Examinationmentioning

confidence: 99%

Association between Periodontitis and High Blood Pressure: Results from the Study of Periodontal Health in Almada-Seixal (SoPHiAS)

Machado

Aguilera

Botelho

et al. 2020

JCM

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Periodontitis is a common chronic inflammatory disease which could have an important impact on blood pressure (BP). This study aimed to explore (a) the association between periodontal health and BP in a large representative cohort, (b) the predictive value of diagnosis of periodontitis in undiagnosed raised BP and (c) whether age is a mediator of this relationship. In total, 1057 randomly recruited individuals (mean age, 60.9 ± 16.3 years, 57.7% women) underwent periodontal clinical assessment and one-single BP measurement using an automated sphygmomanometer device. Logistic and linear regression models were used to estimate the odds of hypertension based on periodontitis case definitions. Mediation analysis was performed to understand the effect of age on the association of periodontitis with hypertension. Adjusted logistic model for gender, smoking habits and body mass index confirmed the association between high BP and periodontitis (OR = 2.31, 95%CI: 1.75–3.04, p < 0.001). Among 168 participants with undiagnosed high BP (15.9% of the study sample), 62.5% had periodontitis (n = 105). In this study, the association between periodontitis with both systolic blood pressure (SBP) (77.6%, p < 0.001) and diastolic blood pressure (DBP) (66.0%, p < 0.001) was mediated by age. Periodontitis is closely linked to BP in a representative Portuguese population.

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“…Essa publicação é um esforço conjunto da Academia Americana de Periodontia e da Federação Europeia de Periodontia e substitui a classificação até então vigente 2 . Nessa edição de 291 páginas, há 18 artigos relacionados [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] , além do relato de consenso de cada um dos quatro grupos de trabalho [21][22][23][24] e uma introdução 1 . A introdução à nova classificação apresenta-se resumida e faz frequentes menções (inclusive com a disponibilização de link) a artigos originais, tornando uma primeira familiarização com a nova classificação dependente de leituras mais aprofundadas.…”

Section: No Mês De Junho De 2018 Foi Lançado O Proceedings Do Workhunclassified

Classificação das Doenças e Condições Periodontais e Peri-implantares 2018: guia Prático e Pontos-Chave

Steffens

Marcantonio

2018

Rev. odontol. UNESP

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Plaque‐induced gingivitis: Case definition and diagnostic considerations

Cited by 260 publications

References 207 publications

Self-Perception of Periodontal Health and Associated Factors: A Cross-Sectional Population-Based Study

Self-Perception of Periodontal Health and Associated Factors: A Cross-Sectional Population-Based Study

Association between Periodontitis and High Blood Pressure: Results from the Study of Periodontal Health in Almada-Seixal (SoPHiAS)

Classificação das Doenças e Condições Periodontais e Peri-implantares 2018: guia Prático e Pontos-Chave

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