Improvements in methods of periodontal probing: comparison of relative attachment level data selected by outlier reduction protocols from Florida disc probe measurements

2002 ◽  
Vol 29 (8) ◽  
pp. 679-687 ◽  
Author(s):  
Harry J. Breen ◽  
Pauline A. Rogers ◽  
Newell W. Johnson
1993 ◽  
Vol 7 (2) ◽  
pp. 152-157 ◽  
Author(s):  
W.B. Clark ◽  
I. Magnusson ◽  
Y.Y. Namgung ◽  
M.C.K. Yang

Attachment level has been used as the "gold standard" for assessment of the progression of periodontal disease. However, the measurement of attachment level by periodontal probing can be subject to a large number of error sources. Recently, we have designed experiments by using an electronic probe to identify the magnitude of error components due to the instrument, gingival tissue condition, position or probing angle, and time interval between replicate probings. Even with a very careful clinical setting, a few percent of uncontrollable large errors or outliers could not be avoided. A previously used 'option-3' probing scheme to reduce the unexpected large error is justified from the mathematical viewpoint.


2000 ◽  
Vol 27 (5) ◽  
pp. 341-346 ◽  
Author(s):  
Thomas K. Pilgram ◽  
Charles F. Hildebolt ◽  
Naoko Yokoyama-Crothers ◽  
Mary Dotson ◽  
Sheldon C. Cohen ◽  
...  

1997 ◽  
Vol 8 (3) ◽  
pp. 336-356 ◽  
Author(s):  
Arthur F. Hefti

For decades, probing clinical pocket depth and attachment level have been recognized as the dentist's most important tools in diagnosing periodontal health and disease. They are physical methods to measure the distance from the bottom of a pocket to a reference line, usually the gingival margin or the cemento-enamel junction. Probing accuracy and precision are affected by factors like the design of the probe, probing force, probe position, pocket depth, or tissue inflammation. Recently, several new electronic periodontal probes have been developed. They feature high instrument precision, allowing for measurements to the nearest tenth of a millimeter. They control for probing force and permit data to be collected and stored electronically. The purpose of this review paper is to summarize various aspects of periodontal probing. First, the history of periodontal probes will be briefly recollected, and interesting and significant inventions of the past and the present emphasized. Then, the importance of the periodontal tissues relative to probe tip penetration will be reviewed, and the probing performance will be discussed. The paper will conclude with notes on selected statistical issues.


2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Ana Patricia Moreno Villagrana ◽  
José Francisco Gómez Clavel

The use of antibiotics in nonsurgical periodontal treatment is indicated in cases in which scaling and root planing present important limitations. However, their use is controversial due to the secondary effects associated with them and the disagreements regarding their prescription. The aim of this study is to determine the effectiveness of systemic antibiotics in the management of aggressive and chronic periodontitis. The study was based on a search of randomized, controlled clinical trials. Common data were concentrated and evaluated by means of an analysis of variance (ANOVA), and a meta-analysis of the results was performed. The meta-analysis (, 95% confidence interval, post hoc Bonferroni) determined that the supplementation of nonsurgical periodontal therapy with a systemic antibiotic treatment—amoxicillin with clavulanic acid and metronidazole or subantimicrobial dose doxycycline—provides statistically significant results in patients with aggressive or chronic periodontitis under periodontal treatment, whilst increasing the clinical attachment level of the gingiva and reducing periodontal probing depth.


2017 ◽  
Vol 33 (3) ◽  
pp. 181-189 ◽  
Author(s):  
Christoph J. Kemper ◽  
Michael Hock

Abstract. Anxiety Sensitivity (AS) denotes the tendency to fear anxiety-related sensations. Trait AS is an established risk factor for anxiety pathology. The Anxiety Sensitivity Index-3 (ASI-3) is a widely used measure of AS and its three most robust dimensions with well-established construct validity. At present, the dimensional conceptualization of AS, and thus, the construct validity of the ASI-3 is challenged. A latent class structure with two distinct and qualitatively different forms, an adaptive form (normative AS) and a maladaptive form (AS taxon, predisposing for anxiety pathology) was postulated. Item Response Theory (IRT) models were applied to item-level data of the ASI-3 in an attempt to replicate previous findings in a large nonclinical sample (N = 2,603) and to examine possible interpretations for the latent discontinuity observed. Two latent classes with a pattern of distinct responses to ASI-3 items were found. However, classes were indicative of participant’s differential use of the response scale (midpoint and extreme response style) rather than differing in AS content (adaptive and maladaptive AS forms). A dimensional structure of AS and the construct validity of the ASI-3 was supported.


Methodology ◽  
2018 ◽  
Vol 14 (3) ◽  
pp. 95-108 ◽  
Author(s):  
Steffen Nestler ◽  
Katharina Geukes ◽  
Mitja D. Back

Abstract. The mixed-effects location scale model is an extension of a multilevel model for longitudinal data. It allows covariates to affect both the within-subject variance and the between-subject variance (i.e., the intercept variance) beyond their influence on the means. Typically, the model is applied to two-level data (e.g., the repeated measurements of persons), although researchers are often faced with three-level data (e.g., the repeated measurements of persons within specific situations). Here, we describe an extension of the two-level mixed-effects location scale model to such three-level data. Furthermore, we show how the suggested model can be estimated with Bayesian software, and we present the results of a small simulation study that was conducted to investigate the statistical properties of the suggested approach. Finally, we illustrate the approach by presenting an example from a psychological study that employed ecological momentary assessment.


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