We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Comparison of the efficacy of periodontal prognostic systems in predicting tooth loss.
- Authors
Saydzai, Selai; Buontempo, Zoe; Patel, Pankti; Hasan, Fatemah; Sun, Chuanming; Akcalı, Aliye; Lin, Guo‐Hao; Donos, Nikos; Nibali, Luigi
- Abstract
Aim: The aim of this analysis was to assess how different tooth‐prognosis systems could predict tooth loss in a cohort of periodontitis patients followed up prospectively during supportive periodontal care (SPC). Materials and Methods: Clinical and radiographic data of 97 patients undergoing regular SPC for 5 years were used to assign tooth prognosis using four different systems (McGuire & Nunn, 1996; Kwok & Caton, 2007; Graetz et al., 2011; Nibali et al., 2017). Three independent examiners assigned tooth prognosis using all four systems, following a calibration exercise. The association between prognostic categories and tooth loss was tested for each prognostic system separately and across prognostic systems. Results: All four systems showed good reproducibility and could identify teeth at higher risk of being lost during 5 years of SPC; the risk of tooth loss increased with the worsening of tooth‐prognosis category (p <.0001). Although specificity and negative predictive values were good, low sensitivity and positive predictive values were detected for all systems. Conclusions: Previously published periodontal prognostic systems exhibited good reproducibility and predictive ability for tooth retention. However, low sensitivity was detected, with several teeth in the worst prognosis category being retained at 5 years. Some modifications in the number of categories and their definitions are suggested.
- Subjects
UNITED Kingdom; TOOTH loss; RESEARCH evaluation; PERIODONTITIS; PERIODONTAL disease; DENTAL care; RISK assessment; COMPARATIVE studies; SENSITIVITY &; specificity (Statistics)
- Publication
Journal of Clinical Periodontology, 2022, Vol 49, Issue 8, p740
- ISSN
0303-6979
- Publication type
Article
- DOI
10.1111/jcpe.13672