Evaluation of Periodontal Risk in Adult Patients using Two Different Risk Assessment Models - A Pilot Study

Area of Science:

• Periodontology
• Dental Public Health

Background:

• Chronic periodontitis poses a significant global health burden.
• Accurate risk assessment is crucial for effective disease management and prevention.

Purpose of the Study:

• To compare the efficacy of the Periodontal Risk Assessment (PRA) model and a modified PRA (mPRA) model in evaluating periodontal risk.
• To assess the ability of these models to categorize patients with chronic periodontitis into different risk levels.

Main Methods:

• Fifty patients diagnosed with chronic periodontitis (aged 30-60) were analyzed.
• Key periodontal parameters including bleeding on probing, pocket depth, tooth loss, bone loss, clinical attachment loss, and systemic factors (diabetes, smoking) were recorded.
• Risk factors were plotted on radar charts using both PRA and mPRA models to categorize patients as low, moderate, or high risk.

Main Results:

• The modified PRA model identified 31 low-risk, 9 moderate-risk, and 10 high-risk patients.
• The standard PRA model identified 28 low-risk, 13 moderate-risk, and 9 high-risk patients.
• Statistical analysis showed no significant difference between the risk scores generated by the two models (P = 0.627).

Conclusions:

• Both PRA and mPRA models are effective tools for assessing periodontal risk in patients with chronic periodontitis.
• These models can aid in accurate diagnosis, predicting disease progression, and guiding therapeutic strategies during supportive periodontal therapy.