Partial-mouth periodontal examination protocols for the determination of the prevalence and extent of gingival bleeding in adolescents.
Objective To compare the performance of partial-mouth periodontal examination ( PMPE) protocols with different cut-off points to the full-mouth examination ( FME) in the assessment of the prevalence and extent of gingival bleeding in adolescents. Methods A cross-sectional study was conducted involvi...
| Publicado en: | Community Dentistry & Oral Epidemiology Vol. 45; no. 5; pp. 427 - 434 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125084806&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 125084806 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03015661 HXZ jtl: Community Dentistry & Oral Epidemiology issn: 03015661 maglogo: Y pubinfo: dt: Oct2017 vid: 45 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 125084806 125084806 125084806 10.1111/cdoe.12306 125084806 ppf: 427 ppct: 7 formats: tig: atl: Partial-mouth periodontal examination protocols for the determination of the prevalence and extent of gingival bleeding in adolescents. aug: au: Machado, Michely Ediani Tomazoni, Fernanda Casarin, Maísa Ardenghi, Thiago M. Zanatta, Fabricio Batistin affil: Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria Rio Grande do Sul, Brazil sug: subj: Hemorrhage In Adolescence Gingiva Gingivitis Periodontal Examination Prevalence Human Adolescence Epidemiological Research Oral Health ROC Curve Sensitivity and Specificity Intraclass Correlation Coefficient Adolescent: 13-18 years ab: Objective To compare the performance of partial-mouth periodontal examination ( PMPE) protocols with different cut-off points to the full-mouth examination ( FME) in the assessment of the prevalence and extent of gingival bleeding in adolescents. Methods A cross-sectional study was conducted involving 12-year-old adolescents. Following a systematic two-stage cluster sampling process, 1134 individuals were evaluated. Different PMPE protocols were compared to the FME with six sites per tooth. Sensitivity, specificity, area under the ROC curve ( AUC), intraclass correlation coefficient ( ICC), relative and absolute biases and the inflation factor were assessed for each PMPE protocol with different cut-off points for the severity of gingival bleeding. Results The highest AUC values were found for the six-site two-diagonal quadrant (2-4) (0.97), six-site random half-mouth (0.95) and Community Periodontal Index (0.95) protocols. The assessment of three sites [mesiobuccal ( MB), buccal (B) and distolingual ( DL)] in two diagonal quadrants and the random half-mouth protocol had higher sensitivity and lower specificity than the same protocols with distobuccal ( DB) sites. However, the use of DB sites led to better specificity and improved the balance between sensitivity and specificity, except for the two-diagonal quadrant (1-3) protocol. The ≥1 cut-off point led to the most discrepant results from the FME. Conclusion Six-site two-diagonal quadrant (2-4) and random half-mouth assessments perform better in the evaluation of gingival bleeding in adolescents. However, when a faster protocol is needed, a two-diagonal quadrant assessment using only MB, B and DL sites can be used with no important loss of information. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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