Examiner agreement on periodontal indices during dental surveys of elders.
Identifieur interne : 003538 ( PubMed/Checkpoint ); précédent : 003537; suivant : 003539Examiner 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
Affiliations:
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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></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8636458</PMID><DateCompleted><Year>1996</Year><Month>07</Month><Day>08</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0303-6979</ISSN><JournalIssue CitedMedium="Print"><Volume>23</Volume><Issue>1</Issue><PubDate><Year>1996</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Journal of clinical periodontology</Title><ISOAbbreviation>J. Clin. 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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></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mojon</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Division of Gerodontology and Removable Prosthodontics, University of Geneva, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chung</LastName><ForeName>J P</ForeName><Initials>JP</Initials></Author><Author ValidYN="Y"><LastName>Favre</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Budtz-Jörgensen</LastName><ForeName>E</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Clin Periodontol</MedlineTA><NlmUniqueID>0425123</NlmUniqueID><ISSNLinking>0303-6979</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003728" MajorTopicYN="N">Dental Calculus</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005884" MajorTopicYN="N">Gingival Hemorrhage</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015588" MajorTopicYN="N">Observer Variation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010510" MajorTopicYN="N">Periodontal Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010512" MajorTopicYN="Y">Periodontal Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010514" MajorTopicYN="N">Periodontal Pocket</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013557" MajorTopicYN="N" Type="Geographic">Switzerland</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014086" MajorTopicYN="N">Tooth Mobility</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1996</Year><Month>1</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1996</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1996</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8636458</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Suisse</li></country><region><li>Canton de Genève</li></region><settlement><li>Genève</li></settlement><orgName><li>Université de Genève</li></orgName></list><tree><noCountry><name sortKey="Budtz Jorgensen, E" sort="Budtz Jorgensen, E" uniqKey="Budtz Jorgensen E" first="E" last="Budtz-Jörgensen">E. Budtz-Jörgensen</name><name sortKey="Chung, J P" sort="Chung, J P" uniqKey="Chung J" first="J P" last="Chung">J P Chung</name><name sortKey="Favre, P" sort="Favre, P" uniqKey="Favre P" first="P" last="Favre">P. Favre</name></noCountry><country name="Suisse"><region name="Canton de Genève"><name sortKey="Mojon, P" sort="Mojon, P" uniqKey="Mojon P" first="P" last="Mojon">P. Mojon</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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