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Prediction of Periodontal Disease From Multiple Self-Reported Items in a German Practice-Based Sample.

T Dietrich1,2,3, U Stosch3,4, D Dietrich5

  • 1Department of Health Policy and Health Services Research, Boston University Goldman School of Dental Medicine, Boston, MA.

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|March 15, 2018
PubMed
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Self-reported tooth mobility and other items accurately assess periodontal disease in large studies. This method enhances epidemiologic research by providing reliable self-reported measures for disease ascertainment.

Keywords:
Epidemiologic methodsperiodontitissensitivity and specificityvalidation studies

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Area of Science:

  • Dental epidemiology
  • Public health research

Background:

  • Self-reported measures are valuable for large-scale epidemiologic studies of periodontal disease.
  • Current methods for periodontal disease ascertainment require improvement for broad applicability.

Purpose of the Study:

  • To evaluate the accuracy of a predictive model combining self-reported items and risk factors for periodontal disease assessment.
  • To determine if self-reported data can reliably identify individuals with periodontal disease in epidemiologic settings.

Main Methods:

  • A detailed questionnaire was administered to 246 subjects.
  • Responses were compared against periodontal disease history assessed via radiographs.
  • Multiple regression modeling was employed to build predictive models.

Main Results:

  • Self-reported tooth mobility was a strong predictor, selected in all models.
  • Predictive models incorporating age, gender, and smoking showed good discrimination (AUC > 0.80).
  • High sensitivity and specificity were achieved when assessing periodontal disease history using model-predicted values.

Conclusions:

  • A combination of self-reported items can effectively ascertain periodontal disease in epidemiologic studies.
  • This approach offers a practical tool for large-scale population research on periodontal health.