Validity of self‐reported periodontal measures, demographic characteristics, and systemic medical conditions

Chatzopoulos, Georgios S.; Cisneros, Alejandro; Sanchez, Miguel; Lunos, Scott; Wolff, Larry F.

doi:10.1002/jper.17-0586

Cited by 22 publications

(24 citation statements)

References 45 publications

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“…It was acknowledged that a single, self-reported item might not be accurate enough to discriminate between individuals with periodontal disease and those without it. Models combining both self-report measures and some demographic characteristics should provide more valid results [12,15,18]. Moreover, there is a great need to educate women in order to increase the perception about potential oral health changes during pregnancy as well as to raise the awareness regarding potential adverse pregnancy outcomes.…”

Section: Plos Onementioning

confidence: 99%

“…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%

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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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Section: Plos Onementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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“…Self-reported presence of tooth mobility was previously found to be a significant predictor of periodontitis with high specificity and low sensitivity across different epidemiological surveys and populations [12,68,69], and its degree was associated with advanced stages of the disease [20,70].…”

Section: Discussionmentioning

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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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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“…[9][10][11][12] A number of studies have also investigated the validity of selfreported measures for periodontal diseases. [13][14][15][16][17][18][19][20][21][22][23] Some studies reported that a multivariable model containing sociodemographics as well as self-reported periodontal health-related question items was valid for the prediction of clinical periodontitis. [15][16][17][18][19] However, other studies conducted in various countries have demonstrated contrasting results.…”

Section: Introductionmentioning

confidence: 99%

Validity of Self-Reported Periodontitis in Japanese Adults: The Japan Public Health Center–Based Prospective Study for the Next-Generation Oral Health Study

Ueno

Shimazu²,

Sawada³

et al. 2020

Asia Pac J Public Health

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This study evaluated the validity of self-reported periodontitis measures among 2404 Japanese adults aged 40 to 75 years. A self-administered questionnaire survey and a clinical periodontal examination were conducted from 2013 through 2016. The self-reported periodontitis questions included 3 sociodemographic, 3 health, and 5 periodontal health–related items. Based on the clinical case definition of periodontitis, 26.5% of participants were found to be periodontally healthy, 2.7% had mild periodontitis, 55.2% moderate periodontitis, and 15.6% severe periodontitis. No single self-reported question demonstrated satisfactory validity in predicting the presence or absence of periodontitis. The predictive ability in mild and/or moderate periodontitis was poor even after combining multiple sociodemographic, health, and periodontal health-related questions. In severe periodontitis, the model including age, sex, education level, smoking status, diabetes history, body mass index, informed by a dentist, gingival bleeding, calculus deposit, and tooth mobility, presented moderate predictive performance (C-statistic: 0.676, sensitivity: 65.2%, and specificity: 61.1%). An age-stratified analysis on severe periodontitis showed that sensitivity was higher, and specificity was lower in older age group (60-75 years) than younger age group (40-59 years). Further refinement of questions in the self-report is required to increase the accuracy of the prediction of clinical periodontitis.

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Validity of self‐reported periodontal measures, demographic characteristics, and systemic medical conditions

Abstract: Self-reported periodontal screening questions as well as demographic characteristics, smoking, and systemic medical conditions were significant predictors of periodontal disease, and they could be used as valid, economic, and practical measures.

Cited by 22 publications

References 45 publications

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

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

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

Validity of Self-Reported Periodontitis in Japanese Adults: The Japan Public Health Center–Based Prospective Study for the Next-Generation Oral Health Study

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