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Robust Ligature-Induced Model of Murine Periodontitis for the Evaluation of Oral Neutrophils

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Published on: January 21, 2020

Exploring periodontitis misclassification mechanisms under partial-mouth protocols.

Talal S Alshihayb¹, Praveen Sharma^2,3, Thomas Dietrich^2,4

¹College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Journal of Clinical Periodontology

|March 5, 2022

Summary

Partial-mouth protocols (PMPs) can misclassify periodontitis. Ranking teeth by clinical severity improves detection sensitivity, offering a better alternative for accurate periodontitis diagnosis.

Keywords:

bias misclassification periodontal disease periodontitis sensitivity and specificity

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Area of Science:

Periodontology
Dental Public Health

Background:

Partial-mouth protocols (PMPs) are used for periodontitis assessment.
Potential for misclassification exists under PMPs.

Purpose of the Study:

Investigate periodontitis misclassification sources with PMPs.
Explore methods to improve PMP validity.

Main Methods:

Analyzed data from 10,680 adults (244,999 teeth) from NHANES.
Compared full-mouth vs. PMP parameters and case identification.
Developed PMPs based on population ranking of clinical severity.

Main Results:

Lingual inter-proximal sites showed higher sensitivity than buccal sites.
Common PMPs frequently misclassified severe periodontitis.
Ranking-based PMPs with 8 teeth had 70.1%-79.4% sensitivity; 14 teeth reached 90% sensitivity.

Conclusions:

Confirmed clinical symmetry and sources of misclassification.
Ranking teeth by clinical severity offers optimal sensitivity for severe periodontitis detection.
This ranking-based approach is a favorable alternative to current PMPs.