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KMID : 0355420110350010049
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Journal of Korean Academy of Oral Health
2011 Volume.35 No. 1 p.49 ~ p.56
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The development of simplified periodontal screening and recording
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Ha Jung-Eun
Kim Tai-Il
Yeo Bo-Mi
Jin Bo-Hyoung
Paik Dai-Il
Bae Kwang-Hak
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Abstract
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Objectives. The objective of this study was to evaluate the validity of the periodontal screening and recording (PSR) instrument and a new developed simplified periodontal screening and recording (S-PSR) instrument.
Methods. All the periodontal examinations were done by one trained examiner for making the diagnosis of periodontitis. Periodontitis was defined as clinical periodontal attachment loss of 4.0 mm and over on 1 or more sites, or 2 or more sites not on the same tooth. The overall percent agreement, sensitivity, specificity, Cohen’s kappa statistic and the likelihood ratio were calculated for evaluating the validity of the PSR and the S-PSR (S-PSR, S-PSRM, S-PSRL, S-PSRR) by comparing these with the results of all the periodontal examinations.
Results. This study revealed that the validity of the PSR, S-PSR, and S-PSRM were higher than the S-PSRR and S-PSRL when periodontitis was defined as periodontal attachment loss of 4.0 mm and over on 1 or more sites. When the periodontitis was defined as periodontal attachment loss of 4.0 mm and over on 2 or more sites, the likelihood ratio for a positive result of the PSR and S-PSR were lowest among the screening tools and the likelihood ratios for negative results of the PSR, S-PSR, and S-PSRM were lower than those the S-PSRR and S-PSRL.
Conclusions. The S-PSRM may be a valuable tool for screening the periodontal condition during general dental check-ups or a national oral health screening program.
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KEYWORD
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mass screening, oral examination, periodontal attachment loss, periodontal disease
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