Validity of self‐reported measures for periodontitis surveillance in a rural sample

Abstract

Background:To evaluate the predictive performance of self-reported questions for periodontitis screening in a representative sample of a rural population. Methods:Nine questions were compared with gold standard clinical examinations (probing six sites/tooth, full-mouth). Case definition for severe periodontitis was defined according to World Workshop (2017-WW) and Centers for Disease Control and Prevention/American Academy of Periodontology (CDC/AAP). Diagnostic tests such as sensitivity (SN), specificity (SP), positive and negative predictive values were performed for all questions alone and grouped into models. Binary logistic regression modeling was used to derive parameter estimates for all variables in a given model and the area under ROC curve was calculated. Results:Clinical examinations showed a prevalence of periodontitis in the sample (n = 585) of 99.4% and 86.3%, being 40.3% and 33.8% of severe disease according to 2017-WW and CDC/AAP case definitions, respectively. Individually, only the questions regarding the self-perception of teeth/gum health and loose and lost teeth were valid to predict severe periodontitis. The best logistic regression models combined sociodemographic variables and risk-factors with the self-reported measures of selfperception of gum disease, teeth/gum health, loose teeth and history of tooth loss. Conclusion:Predictive performance of these self-reported questions presented herein support its potential use for surveillance of severe periodontitis in rural populations with high periodontitis prevalence. K E Y W O R D Sdiagnosis, periodontal diseases, self-perception, self-reported, sensitivity and specificity J Periodontol. 2020;91:617-627.

Diagnostic accuracy of self‐reported measures of periodontal disease: A clinical validation study using the 2017 case definitions

“…The screening accuracy of the CDC/AAP questionnaire for periodontitis and severe periodontitis was similar or slightly better in the current study compared to previous ones in terms of AUROC, sensitivity and specificity (Carra et al, 2018; Eke & Dye, 2009; Eke et al, 2013; Montero et al, 2020; Reiniger et al, 2020; Slade, 2007; Verhulst et al, 2019). However, it might be inappropriate to compare the present results with other studies due to the differences in population characteristics, sample size, case definitions and periodontal examination protocols.…”

“…The oral behaviour-related question about the use of floss was closely linked to periodontal health. The performance of the use of dental floss for periodontitis or severe periodontitis varied in previous studies (Carra et al, 2018;Eke et al, 2013;Montero et al, 2020;Reiniger et al, 2020;Verhulst et al, 2019). It may be due to the heterogeneity of different studies in terms of the characteristics of the study population, especially for dental care habits.…”

“…In order to assess the potential use of self‐reported approach in Dentistry, the Centers for Disease Control and Prevention (CDC), in collaboration with the American Academy of Periodontology (AAP), proposed an 8‐item questionnaire for surveillance of periodontitis (Eke & Genco, 2007). The CDC/AAP questionnaire has been extensively validated in local and national populations in the United States of America, Australian national survey and France, etc., with acceptable performance (Carra et al, 2018; Eke & Dye, 2009; Eke et al, 2013; Heaton et al, 2017; Montero et al, 2020; Reiniger et al, 2020; Slade, 2007; Verhulst et al, 2019).…”

Modelos de autoreportes para detección de enfermedades periodontales

“…Validez de las medidas autoinformadas para la vigilancia de la periodontitis en una muestra rural. (Reiniger et al, 2019).…”

Alcohol use disorders are associated with higher prevalence of periodontitis in a rural area of Brazil

“…Area‐level socioeconomic disadvantages, inadequate monitoring of alcohol distribution, and regulations are determinants of greater exposure to alcohol 13 . Moreover, geographic remoteness (residing in rural areas) and socioeconomic deprivation can also contribute to a poorer periodontal status 14,15 . Considering the peculiarities of urban and rural populations, it seems that both alcohol use and alcohol‐related harm are higher in rural areas compared with metropolitan regions 16 .…”