Validity of Partial Recording of Attachment Loss in Early-Onset Periodontitis

早发性牙周炎附着丧失部分记录的有效性

• 批准号: 6104683
• 负责人: ALBERT KINGMAN
• 金额: --
• 依托单位: NATIONAL INSTITUTE OF DENTAL & CRANIOFACIAL RESEARCH
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/6104683
• 关键词: clinical research; dental disorder diagnosis; diagnosis quality /standard; early diagnosis; epidemiology; human subject; periodontitis; tooth loss; young adult human (21-34)

An early-onset periodontitis cohort was used to investigate the degree of bias in estimates of prevalence and severity of periodontal attachment loss produced due to various partial recording protocols (PRP's). 266 subjects, ages 19-25 years, were studied. A complete examination consisted of a maximum of 168 measurements, six sites per tooth on all 28 teeth. However, PRP's are routinely used in national surveys of oral health because of logistical considerations. Thus, there is substantial interest in obtaining estimates of the true prevalence and severity of periodontal diseases based on the NIDCR PRP used in our national surveys. The PRP's considered in this study included full mouth assessments for the following combinations of sites: MB, B, DB, ML, L, DL, separately, (MB, B), (MB, B, DB), (MB, B, DL), (ML, L, DL) and (MB, DB, BL, DL). Prevalence of disease was systematically underestimated by all PRP's. The prevalence of attachment loss greater than 3 mm was 64.7 percent based on the full mouth score. However, the corresponding estimates were: 20 to 25 percent for mid-tooth sites, 43.6 to 45.1 percent among the 4 interproximal sites, individu-ally; 47.7 percent for the (MB, B) pair, 54.5 to 56.8 percent for the triple site combinations, and 62 percent for the interproximal quadruplet. Attachment loss severity was 1.17 mm based on the full mouth score. The corresponding estimates were: 0.62 and 0.66 mm for mid-tooth sites, 1.39 to 1.48 mm among the 4 interproximal sites, individually; 1.07 mm for the (MB, B) pair, 1.15 to 1.18 mm for the triple site combinations, and 1.43 mm for the interproximal quadruplet. For early onset periodontitis subjects the prevalence of attachment loss (greater than 3 mm) was underestimated by roughly 15 percent for triple site scores, 30 percent for the (MB, B) and interproximal single site scores, and over 60 percent for the single mid-tooth scores. For severity of disease there was a slight bias (less than 2 percent) for the triple site scores, a 9 percent underestimate for the (MB, B) pair, a 20 to 25 percent overestimate by interproximal single site scores, and a 45 percent underestimate for the single mid-tooth site scores. These studies of the effects of partial recording help elucidate the real patterns of periodontal disease estimates obtained in the NHANESIII survey and also assist in the selection of a PRP for use in the NHANESIV survey.

一个早发性牙周炎队列被用来 调查患病率估计值的偏倚程度， 牙周附着丧失的严重程度， 部分记录协议（PRP）。266例受试者，年龄19 - 25岁， 研究了完整的检查最多包括 168次测量，所有28颗牙齿上每颗牙齿6个部位。然而，在这方面， PRP通常用于国家口腔健康调查，因为 后勤考虑。因此，人们对以下方面很感兴趣： 获得真实患病率和严重程度的估计， 牙周病的基础上NIDCR PRP在我国使用 调查。本研究中考虑的PRP包括全口 以下部位组合的评估：MB、B、DB， ML，L，DL，分别为（MB，B），（MB，B，DB），（MB，B，DL）， (ML、L、DL）和（MB、DB、BL、DL）。患病率为 被所有PRP系统性地低估了。之时尚 附着丧失大于3 mm的占64.7%， 全口得分。然而，相应的估计数是： 中齿部位为43.6%至45.1%， 邻间位点，单独;（MB，B）对为47.7%， 54.5对于三位点组合， 邻间四胞胎附着丧失严重度为1.17 mm基于全口评分。相应的估计 中牙为0.62和0.66mm， 在4个邻间位点中，分别为：（MB， B）对，三位点组合为1.15至1.18 mm， 对于邻间四联体，为mm。早期牙周炎 受试者附着丧失（大于3 mm）的患病率为 对于三重站点得分， （MB、B）和邻间单个部位评分的百分比，以及 超过60%的人在单颗牙齿中得分。的严重程度 疾病有轻微的偏差（小于2%）的三个网站 得分，（MB，B）对低估了9%，为20比25 邻间单部位评分高估的百分比为45%， %低估了单个牙齿中间部位的评分。这些 对部分记录效应的研究有助于阐明真实的 牙周病的模式估计获得的 NHANESIII调查，并协助选择使用PRP 在NHANESIV调查中。