Effectiveness of the Salivary Occult Blood Test as a Screening Method for Periodontal Status
Effectiveness of the Salivary Occult Blood Test as a Screening Method for Periodontal Status
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DOI：
10.1902/jop.2010.100304
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发表时间：
2011-04-01
影响因子：
4.3
通讯作者：
Yamashita, Yoshihisa
中科院分区：
文献类型：
--
作者：
Shimazaki, Yoshihiro;Akifusa, Sumio;Yamashita, Yoshihisa
背景：尽管成年人牙周病的患病率很高，但社区牙周检查并不流行。本研究考察了新型唾液潜血测试（SOBT）作为牙周状况筛查方法的有效性。方法：对日本福冈市久山40岁以上的成年居民进行全面的健康检查;分析了1，998名受试者，每人有>= 20颗牙齿。使用试纸进行SOBT，然后进行牙周检查。结果分为阴性或阳性。受试者中>= 15%的牙齿在探诊时出血（BOP）或>= 1颗牙齿的探诊深度（PD）>= 4 mm被定义为牙周状况不良。SOBT的结果和牙周参数和其他变量之间的关系进行了examined.Results：的SOBT在筛选牙周状况不良的敏感性和特异性分别为0.72和0.52，分别。在多变量logistic回归分析中，SOBT的结果与BOP的牙齿比例和PD >= 4 mm的牙齿比例显著相关，与年龄、性别、使用抗高血压药物、使用抗糖尿病药物或胰岛素治疗以及龋齿或补牙的数量无关。当无法进行彻底的牙周检查时，SOBT可以提供一种简单的牙周状况筛查方法，尽管它不足以作为牙周检查的合理替代品。J Periodontol 2011;82：581-587.
Background: Community-based periodontal examinations are not popular despite the high prevalence of periodontal disease among adults. This study examines the effectiveness of a novel salivary occult blood test (SOBT) as a screening method for periodontal status.Methods: Comprehensive health examinations were conducted in adult residents aged >= 40 years in Hisayama, Fukuoka, Japan; 1,998 subjects, each with >= 20 teeth, were analyzed. A paper test strip was used to perform the SOBT and was followed by a periodontal examination. Results were ranked as negative or positive. Subjects with >= 15% of teeth with bleeding on probing (BOP) or >= 1 tooth with a probing depth (PD) >= 4 mm were defined as having a poor periodontal status. The relationship between the results of the SOBT and periodontal parameters and among other variables was examined.Results: The sensitivity and specificity of the SOBT in screening for poor periodontal status were 0.72 and 0.52, respectively. In a multivariate logistic regression analysis, the results of the SOBT were significantly associated with the proportion of teeth with BOP and the proportion of teeth with PD >= 4 mm, independent of age, sex, use of antihypertensive medication, use of antidiabetic medication or insulin therapy, and the number of decayed or filled teeth.Conclusion: The SOBT may offer a simple screening method for periodontal status when a thorough periodontal examination is not possible, although it is not sufficiently specific to be a reasonable substitute for a periodontal examination. J Periodontol 2011;82:581-587.