Self‐report assessment of severe periodontitis: Periodontal screening score development

Carra, Maria Clotilde; Guéguen, A.; Thomas, Frédérique; Pannier, Bruno; Caligiuri, Giuseppina; Steg, Philippe Gabríel; Zins, Marie; Bouchard, Philippe

doi:10.1111/jcpe.12899

Cited by 50 publications

(74 citation statements)

References 40 publications

(80 reference statements)

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“…Based on ROC statistics, in this study the predictive ability of a combination of questionnaire items and other sociodemographic and risk factors was comparable to other populations . Using the same classification, Eke and coworkers (2013) reported a ROC value of 0.81, while Heaton et al (2017) in a sample of African American women reported a ROC value of 0.79.…”

Section: Discussionsupporting

confidence: 64%

“…This questionnaire was validated and proven to be adequate to estimate the prevalence of periodontitis in national surveys in the United States of America . Other research groups have evaluated the performance of different questionnaires together with periodontitis symptoms and risk factors to ascertain periodontitis in different countries or populations at high risk such as postmenopausal females or African Americans …”

Section: Introductionmentioning

confidence: 99%

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Validation of self‐reported measures of periodontitis in a Spanish Population

Montero

Rosa

Montanya

et al. 2019

J of Periodontal Research

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Background and Objective: Use of self-reported questionnaires in Dentistry may be useful to estimate the prevalence of periodontitis in epidemiological studies. This study aims to assess the accuracy of self-reporting for predicting the prevalence of periodontitis in a Spanish population participating in a diabetes incidence study. Materials and Methods: Data were collected from 231 patients participating in the Di@bet.es study. Eight questions about periodontal health were included in a health patient-reported questionnaire. The outcomes from self-reporting were validated against a full-mouth periodontal examination. Multivariable logistic regression predictive modeling was used to determine the sensitivity, specificity, and area under the receiver operator characteristic curve (AUROCC). Results: Self-reported gum health, loose teeth, tooth appearance, and use of dental floss were associated with different definitions of severe periodontitis. Correlations between responses to the questions were weak. The question "Do you think you might have gum disease?" combined with demographic and well-established risk factors resulted in an AUC value of 0.75, sensitivity of 75.2%, and specificity of 60.6% for severeperiodontitis. The answer to 4 questions combined with age, educational level, smoking status, and tooth loss was 76.4% sensitive and 63.5% specific, with an AUC of 0.75 in predicting prevalence of ≥25% of teeth with probing pocket depth (PPD) ≥6 mm. Conclusion:Predictive models, combining self-reporting on oral health status with demographic and risk factors, were useful for estimating the prevalence of severe periodontitis in the Spanish population. K E Y W O R D S di@bet.es study, epidemiology, oral health surveys, periodontitis | 401 MONTERO ET al. S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section. How to cite this article: Montero E, La Rosa M, Montanya E, et al. Validation of self-reported measures of periodontitis in a Spanish Population. J Periodont Res. 2020;55:400-409.

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Section: Discussionsupporting

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Validation of self‐reported measures of periodontitis in a Spanish Population

Montero

Rosa

Montanya

et al. 2019

J of Periodontal Research

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“…However, due to the discrete symptoms intensity during the initial phases of development, periodontitis is hardly recognized by patients. An accessible, reliable, cost-effective, time-saving strategy to facilitate periodontal disease detection could be beneficial to guide the subjects toward specialized evaluation [7,12,15,17,18].…”

Section: Introductionmentioning

confidence: 99%

“…Sparse data concerning self-reported periodontal problems compared with clinical assessment are available [12,13,15,18,19]. To date, no self-reported screening attempts addressing periodontitis have been developed in Romania.…”

Section: Introductionmentioning

confidence: 99%

Self-reported and clinical periodontal conditions in a group of Eastern European postpartum women

et al. 2020

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Periodontitis is a highly prevalent condition leading to a continuous destruction of tooth-supporting tissues. It increases the risk for various systemic diseases and adverse pregnancy outcomes. Therefore, screening for periodontitis is important. Screening measures can range from self-reported symptoms to clinical full-mouth periodontal examination. The hypothesis of our study was that self-reported parameters and clinical definition perform equally well in identifying periodontitis patients. The aim of this study was to develop, validate its internal consistency, and evaluate a self-reported instrument against periodontal clinical evaluation for diagnosis of periodontitis in a group of postpartum women, as well as to describe their periodontal status and the risk factors associated with periodontal disease. A cross-sectional study on postpartum women was conducted in a tertiary university hospital, from April 2018 to March 2019. Sociodemographic and behavioral data, periodontal clinical parameters, and self-reported periodontal perception were collected. A 16-item questionnaire was developed to obtain information about perceived periodontal alterations and oral hygiene habits. The utility of the questionnaire was tested against a periodontal diagnosis based on a full-mouth periodontal examination. The questionnaire was applied in 215 postpartum women aged 29.16±5.54 years (mean age (y) ± standard deviation) having the following periodontal status: 16 individuals without periodontal disease (7.44%), 32 individuals with gingivitis (14.88%), 19 individuals with mild periodontitis (8.84%), 132 individuals with moderate periodontitis (61.39%), and 16 individuals with severe periodontitis (7.44%). A significant association was observed between oral hygiene score, smoking status, and periodontal conditions (p<0.05). A significant association between the self-reported items related to "gum swelling", "halitosis", "previous periodontal diagnosis" and "previous periodontal treatment" with clinical periodontitis have been identified (p<0.05). Using selfreported questionnaires for detection of periodontal disease was ineffective in our studied population, since self-reported parameters and clinical definition do not appear to perform

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“…Sensitivity and specificity were considered as low when < 60%, moderate when within 60% and 79%, and high when ≥ 80%. The accuracy determined by the AROC curve was interpreted as poor if within 0.51 and 0.69; useful if within 0.70 and 0.79; and good if ≥ 0.80 .…”

Section: Methodsmentioning

confidence: 99%

Assessing surgical difficulty in locally advanced mid–low rectal cancer: the accuracy of two MRI‐based predictive scores

et al. 2018

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Aim Predicting surgical difficulty is a critical factor in the management of locally advanced rectal cancer (LARC). This study evaluates the accuracy and external validity of a recently published morphometric score to predict surgical difficulty and additionally proposes a new score to identify preoperatively LARC patients with a high risk of having a difficult surgery. Methods This is a retrospective study based on the European MRI and Rectal Cancer Surgery (EuMaRCS) database, including patients with mid/low LARC who were treated with neoadjuvant chemoradiation therapy and laparoscopic total mesorectal excision (L‐TME) with primary anastomosis. For all patients, pretreatment and restaging MRI were available. Surgical difficulty was graded as high and low based upon a composite outcome, including operative (e.g. duration of surgery) and postoperative variables (e.g. hospital stay). Score accuracy was assessed by estimating sensitivity, specificity and area under the receiver operating characteristic curve (AROC). Results In a total of 136 LARC patients, 17 (12.5%) were graded as high surgical difficulty. The previously published score (calculated on body mass index, intertuberous distance, mesorectal fat area, type of anastomosis) showed low predictive value (sensitivity 11.8%; specificity 92.4%; AROC 0.612). The new EuMaRCS score was developed using the following significant predictors of surgical difficulty: body mass index > 30, interspinous distance < 96.4 mm, ymrT stage ≥ T3b and male sex. It demonstrated high accuracy (AROC 0.802). Conclusion The EuMaRCS score was found to be more sensitive and specific than the previous score in predicting surgical difficulty in LARC patients who are candidates for L‐TME. However, this score has yet to be externally validated.

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Self‐report assessment of severe periodontitis: Periodontal screening score development

Abstract: The PESS represents a valuable and accurate tool to screen for severe periodontitis at the population level.

Cited by 50 publications

References 40 publications

Validation of self‐reported measures of periodontitis in a Spanish Population

Validation of self‐reported measures of periodontitis in a Spanish Population

Self-reported and clinical periodontal conditions in a group of Eastern European postpartum women

Assessing surgical difficulty in locally advanced mid–low rectal cancer: the accuracy of two MRI‐based predictive scores

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