A systematic review of definitions of periodontitis and methods that have been used to identify this disease
- PMID:19508246
- DOI: 10.1111/j.1600-051X.2009.01408.x
A systematic review of definitions of periodontitis and methods that have been used to identify this disease
Abstract
Objective: To perform a systematic review and critical analysis of the definitions of periodontitis and the methods which have been used to identify and measure this disease.
Material and methods: Relevant publications were identified after searching MEDLINE, EMBASE, SCISEARCH and LILACS electronic databases. Screening of titles and abstracts and data extraction was conducted independently by two reviewers. To be included in the review, studies were required to define periodontitis and to indicate how it was measured. Studies that related purely to gingivitis, and/or intervention studies, and/or studies where prevalence or severity of periodontitis was not a principal outcome were excluded.
Results: From a total of 34,72 titles and abstracts, 104 potentially relevant full text papers were identified. Of these, 15 met the criteria for inclusion in the final stage of the review. The survey revealed heterogeneity between the studies in the measurement tools used, particularly the types of probes and the sites and areas of the mouth that were assessed. There was also heterogeneity in the use of clinical attachment loss (CAL) and pocket probing depth (PPD) as criteria for periodontitis. In the 15 studies, the threshold for a diagnosis of periodontitis when CAL was the criterion ranged from 2 to > or =6 mm and when PPD was used, from 3 to > or =6 mm.
Conclusions: This review has confirmed previous work which has suggested that epidemiological studies of periodontal diseases are complicated by the diversity of methodologies and definitions used. The studies that were reviewed utilized a minimum diagnostic threshold defining periodontitis, at a given site in terms of CAL of 2 mm and PPD of 3 mm.
Similar articles
- Clinical assessment of periodontitis in young adults--evaluation of probing depth and partial recording methods.Agerholm DM, Ashley FP.Agerholm DM, et al.Community Dent Oral Epidemiol. 1996 Feb;24(1):56-61. doi: 10.1111/j.1600-0528.1996.tb00814.x.Community Dent Oral Epidemiol. 1996.PMID:8833516
- Case definitions for use in population-based surveillance of periodontitis.Page RC, Eke PI.Page RC, et al.J Periodontol. 2007 Jul;78(7 Suppl):1387-99. doi: 10.1902/jop.2007.060264.J Periodontol. 2007.PMID:17608611Review.
- The influence of partial and full-mouth recordings on estimates of prevalence and extent of lifetime cumulative attachment loss: a study in a population of young male military recruits.Eaton KA, Duffy S, Griffiths GS, Gilthorpe MS, Johnson NW.Eaton KA, et al.J Periodontol. 2001 Feb;72(2):140-5. doi: 10.1902/jop.2001.72.2.140.J Periodontol. 2001.PMID:11288785
- Manual and electronic probing of the periodontal attachment level in untreated periodontitis: a systematic review.Silva-Boghossian CM, Amaral CS, Maia LC, Luiz RR, Colombo AP.Silva-Boghossian CM, et al.J Dent. 2008 Aug;36(8):651-7. doi: 10.1016/j.jdent.2008.04.015. Epub 2008 Jun 5.J Dent. 2008.PMID:18534736Review.
- Defining a periodontitis case: analysis of a never-treated adult population.Baelum V, López R.Baelum V, et al.J Clin Periodontol. 2012 Jan;39(1):10-9. doi: 10.1111/j.1600-051X.2011.01812.x. Epub 2011 Nov 10.J Clin Periodontol. 2012.PMID:22093052
Cited by
- Indocyanine green-mediated antimicrobial photodynamic therapy as an adjunct to periodontal therapy: a systematic review and meta-analysis.Bashir NZ, Singh HA, Virdee SS.Bashir NZ, et al.Clin Oral Investig. 2021 Oct;25(10):5699-5710. doi: 10.1007/s00784-021-03871-2. Epub 2021 Mar 12.Clin Oral Investig. 2021.PMID:33710461Free PMC article.
- Massive data analyses show negative impact of type 1 and 2 diabetes on the outcome of periodontal treatment.Raedel M, Noack B, Priess HW, Bohm S, Walter MH.Raedel M, et al.Clin Oral Investig. 2021 Apr;25(4):2037-2043. doi: 10.1007/s00784-020-03512-0. Epub 2020 Aug 20.Clin Oral Investig. 2021.PMID:32820433Free PMC article.
- Expression, purification and characterization of enoyl-ACP reductase II, FabK, from Porphyromonas gingivalis.Hevener KE, Mehboob S, Boci T, Truong K, Santarsiero BD, Johnson ME.Hevener KE, et al.Protein Expr Purif. 2012 Sep;85(1):100-8. doi: 10.1016/j.pep.2012.07.003. Epub 2012 Jul 20.Protein Expr Purif. 2012.PMID:22820244Free PMC article.
- Association between periodontal disease, bacterial vaginosis, and sexual risk behaviours.Zabor EC, Klebanoff M, Yu K, Zhang J, Nansel T, Andrews W, Schwebke J, Jeffcoat M.Zabor EC, et al.J Clin Periodontol. 2010 Oct;37(10):888-93. doi: 10.1111/j.1600-051X.2010.01593.x.J Clin Periodontol. 2010.PMID:20636412Free PMC article.
- Annual alveolar bone loss in older adults taking oral bisphosphonate: a retrospective cohort study.Helmi M, AlOsaimy S, Goodson JM, Hasturk H, Natto ZS.Helmi M, et al.BMC Oral Health. 2019 Nov 27;19(1):260. doi: 10.1186/s12903-019-0955-6.BMC Oral Health. 2019.PMID:31775719Free PMC article.
Publication types
MeSH terms
Related information
LinkOut - more resources
Full Text Sources
Other Literature Sources
Miscellaneous