Assessing periodontitis in populations: a systematic review of the validity of partial-mouth examination protocols

作者：Tran Duong T^*; Gay Isabel; Du Xianglin L; Fu Yunxin; Bebermeyer Richard D; Neumann Ana S; Streckfus Charles; Chan Wenyaw; Walji Muhammad F

来源：Journal of Clinical Periodontology, 2013, 40(12): 1064-1071.

DOI：10.1111/jcpe.12165

• partial-mouth examination protocols
• periodontal indices
• periodontitis
• periodontitis prevalence

ObjectiveTo estimate bias associated with partial-mouth periodontal examination (PMPE) protocols regarding estimates of prevalence, severity and extent of clinical attachment loss (CAL), pocket depth (PD) and gingival recession (REC). %26lt;br%26gt;Material and MethodsA search was made for articles published in English, from 1946 to 2012, which compared PMPE versus full-mouth periodontal examination protocols for CAL or PD4mm or REC3mm thresholds. PMPE protocols were evaluated for sensitivity of estimates of periodontitis prevalence, relative biases for severity and extent estimates. %26lt;br%26gt;ResultsA review of the literature identified 12 studies which reported 32 PMPE protocols. Three PMPE protocols which had sensitivities 85% and relative biases 0.05 in absolute values for severity and extent estimates were as follows: (1) half-mouth six-sites, (2) diagonal quadrants six-sites and (3) full-mouth mesiobuccal-midbuccal-distobuccal (MB-B-DB). Two other PMPE protocols (full-mouth and half-mouth mesiobuccal-midbuccal-distolingual) performed well for prevalence and severity of periodontitis; however, their performance in estimates of extent was unknown. %26lt;br%26gt;ConclusionsAmong the 32 PMPE protocols listed, the half-mouth six-sites and full-mouth MB-B-DB protocols had the highest sensitivities for prevalence estimates and lowest relative biases for severity and extent estimates.

• 出版日期2013-12