COMPARATIVE ESTIMATION OF PERIODONTAL CONDITIONS BY MEANS OF DIFFERENT INDEX SYSTEMS
COMPARATIVE ESTIMATION OF PERIODONTAL CONDITIONS BY MEANS OF DIFFERENT INDEX SYSTEMS
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DOI：
10.1111/j.1600-051x.1993.tb00711.x
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发表时间：
1993-10-01
影响因子：
6.7
通讯作者：
MITSIS, F
中科院分区：
文献类型：
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作者：
DIAMANTIKIPIOTI, A;PAPAPANOU, PN;MITSIS, F
本研究的目的是通过不同的、常用的、部分的和全口的指数系统来比较从成人样本中获得的牙周病的流行病学数据，以探索方法本身的差异程度。对169名年龄25-的牙齿受试者进行了临床检查，包括对所有牙齿的牙袋深度(PPD)和附着体水平(PAL)进行了周向测量。PPD大于或等于6 mm的个体平均牙位百分比和出现至少一个这样的深槽的受试者的百分比是基于(I)全口数据，(Ii)从1个随机选择的上象限和1个下象限的颊和近中表面得出的数据，(Iii)对6颗‘’Ramfjord牙‘’的探查评估，(Iv)全口社区牙周治疗需求指数(CPITN)，以及(V)基于10颗索引牙齿的部分CPITN。PAL数据通过3个版本的程度和严重程度指数进行分析，其中1个版本由全口评估生成，2个版本通过基于28个牙位和10个牙位的部分评估生成。在整个样本中，不同系统产生的PPD大于或等于6 mm的站点的个体平均百分比介于5.0到4.2个站点/受试者之间。通过全口CPITN评分，平均每个受试者记录到1.0分-4六分，而部分CPITN产生的对应值为0.8分-4分值/受试者。研究发现，至少有一个深口袋的受试者的患病率为：(I)全口检查为47%，(Ii)半口检查为24%，(Iii)使用‘’Ramfjord牙齿‘’为26%，(Iv)部分CPITN为44%。部分记录的准确性在不同年龄组中观察到了差异。对PAL数据的分析产生了范围值在93%到96%之间，严重程度值在3.6到3.9 mm之间。结论是，部分记录系统(I)提供了合理有效的个体平均受影响牙位数目的估计；然而，(Ii)它们严重低估了表现出深牙周袋的受试者的患病率。
The aim of the present study was to compare epidemiological data of periodontal disease obtained from a sample of adults by means of different, commonly employed, partial and full-mouth index systems, in order to explore the amount of discrepancy attributed to the methodology per se. 169 dentate subjects, aged 25-64 years, were subjected to a clinical examination, including circumferential probing assessments of pocket depth (PPD) and attachment level (PAL) at all teeth present. The individual mean % of tooth sites with PPD of greater-than-or-equal-to 6 mm and the % of subjects exhibiting at least one such deep pocket were calculated based on (i) full-mouth data, (ii) data derived from the buccal and mesial surfaces from 1 randomly selected upper and 1 lower quadrant, (iii) probing assessments at the 6 ''Ramfjord teeth'', (iv) the full-mouth community periodontal index for treatment needs (CPITN), and (v) the partial CPITN based on 10 index teeth. The PAL data were analyzed by means of 3 versions of the extent and severity index, 1 generated by full-mouth assessments and 2 by partial assessments based on 28 and 10 tooth sites, respectively. In the entire sample, the individual mean % of sites with PPD of greater-than-or-equal-to 6 mm generated by the different systems ranged between 5.0 and 4.2 sites/subject. By full-mouth CPITN scorings, an average of 1.0 score-4 sextants/subject was recorded, while the partial CPITN generated a corresponding value of 0.8 score-4 sextants/subject. The prevalence of subjects with at least one deep pocket was found to be (i) 47% by the full-mouth examination, (ii) 24% by the half-mouth examination, (iii) 26% by the use of the ''Ramfjord teeth'', and (iv) 44% by the partial CPITN. Variations in the accuracy of the partial recordings were observed in different age groups. Analysis of the PAL data generated extent values ranging between 93 and 96% and severity values between 3.6 and 3.9 mm. It was concluded that partial recording systems (i) provide reasonably valid estimates of the individual mean number of ''affected'' tooth sites; however, (ii) they grossly underestimate the prevalence of subjects exhibiting deep periodontal pockets.