Examiner agreement on periodontal indices during dental surveys of elders.
Identifieur interne : 009708 ( Ncbi/Merge ); précédent : 009707; suivant : 009709Examiner agreement on periodontal indices during dental surveys of elders.
Auteurs : P. Mojon [Suisse] ; J P Chung ; P. Favre ; E. Budtz-JörgensenSource :
- Journal of clinical periodontology [ 0303-6979 ] ; 1996.
Descripteurs français
- KwdFr :
- Biais de l'observateur, Femelle, Humains, Hémorragie gingivale (épidémiologie), Indice parodontal, Maladies parodontales (épidémiologie), Mobilité dentaire (épidémiologie), Mâchoire partiellement édentée (épidémiologie), Mâchoire édentée (épidémiologie), Mâle, Poche parodontale (épidémiologie), Reproductibilité des résultats, Sensibilité et spécificité, Suisse (épidémiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Tartre dentaire (épidémiologie).
- MESH :
- épidémiologie : Hémorragie gingivale, Maladies parodontales, Mobilité dentaire, Mâchoire partiellement édentée, Mâchoire édentée, Poche parodontale, Suisse, Tartre dentaire.
- Biais de l'observateur, Femelle, Humains, Indice parodontal, Mâle, Reproductibilité des résultats, Sensibilité et spécificité, Sujet âgé, Sujet âgé de 80 ans ou plus.
- Wicri :
- geographic : Suisse.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Dental Calculus (epidemiology), Female, Gingival Hemorrhage (epidemiology), Humans, Jaw, Edentulous (epidemiology), Jaw, Edentulous, Partially (epidemiology), Male, Observer Variation, Periodontal Diseases (epidemiology), Periodontal Index, Periodontal Pocket (epidemiology), Reproducibility of Results, Sensitivity and Specificity, Switzerland (epidemiology), Tooth Mobility (epidemiology).
- MESH :
- geographic , epidemiology : Switzerland.
- epidemiology : Dental Calculus, Gingival Hemorrhage, Jaw, Edentulous, Jaw, Edentulous, Partially, Periodontal Diseases, Periodontal Pocket, Tooth Mobility.
- Aged, Aged, 80 and over, Female, Humans, Male, Observer Variation, Periodontal Index, Reproducibility of Results, Sensitivity and Specificity.
Abstract
Indices used to evaluate periodontal health have been widely accepted in epidemiological studies, yet their reliability cannot be guaranteed. The aim of this study was to evaluate the reliability of periodontal indices applied on elders. 19 elderly subjects, 73-years-old on average, were examined at a 1st appointment by 2 independent examiners. They were re-examined 2 weeks later during a 2nd session. The examinations were performed in a dental chair with good illumination. Periodontal health was evaluated using the community periodontal index of treatment need, and tooth mobility was evaluated using 2 different indices. Inter and intra-examiner agreements were evaluated using kappa statistics. Taken as an overall measurement, the CPITN was a reliable assessment of periodontal treatment need in elders. Disagreement occurred mainly on the evaluation of bleeding and shallow pockets. The detection of fairly mobile teeth was reliable; however, the performance of the more sensitive scale was deceptive. it seems that, in the case of tooth mobility, a choice has to be made between sensitivity or reproducibility. It can be concluded that examiners should be trained carefully since the reliability of the CPITN and tooth mobility evaluation were good but close to a critical level for which an agreement is classified as poor.
PubMed: 8636458
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pubmed:8636458Le document en format XML
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<front><div type="abstract" xml:lang="en">Indices used to evaluate periodontal health have been widely accepted in epidemiological studies, yet their reliability cannot be guaranteed. The aim of this study was to evaluate the reliability of periodontal indices applied on elders. 19 elderly subjects, 73-years-old on average, were examined at a 1st appointment by 2 independent examiners. They were re-examined 2 weeks later during a 2nd session. The examinations were performed in a dental chair with good illumination. Periodontal health was evaluated using the community periodontal index of treatment need, and tooth mobility was evaluated using 2 different indices. Inter and intra-examiner agreements were evaluated using kappa statistics. Taken as an overall measurement, the CPITN was a reliable assessment of periodontal treatment need in elders. Disagreement occurred mainly on the evaluation of bleeding and shallow pockets. The detection of fairly mobile teeth was reliable; however, the performance of the more sensitive scale was deceptive. it seems that, in the case of tooth mobility, a choice has to be made between sensitivity or reproducibility. It can be concluded that examiners should be trained carefully since the reliability of the CPITN and tooth mobility evaluation were good but close to a critical level for which an agreement is classified as poor.</div>
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<Abstract><AbstractText>Indices used to evaluate periodontal health have been widely accepted in epidemiological studies, yet their reliability cannot be guaranteed. The aim of this study was to evaluate the reliability of periodontal indices applied on elders. 19 elderly subjects, 73-years-old on average, were examined at a 1st appointment by 2 independent examiners. They were re-examined 2 weeks later during a 2nd session. The examinations were performed in a dental chair with good illumination. Periodontal health was evaluated using the community periodontal index of treatment need, and tooth mobility was evaluated using 2 different indices. Inter and intra-examiner agreements were evaluated using kappa statistics. Taken as an overall measurement, the CPITN was a reliable assessment of periodontal treatment need in elders. Disagreement occurred mainly on the evaluation of bleeding and shallow pockets. The detection of fairly mobile teeth was reliable; however, the performance of the more sensitive scale was deceptive. it seems that, in the case of tooth mobility, a choice has to be made between sensitivity or reproducibility. It can be concluded that examiners should be trained carefully since the reliability of the CPITN and tooth mobility evaluation were good but close to a critical level for which an agreement is classified as poor.</AbstractText>
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