An assessment of the validity of the WHO periodontal probe for use with the Community Periodontal Index of Treatment Needs

BDJ ◽  
1988 ◽  
Vol 165 (1) ◽  
pp. 18-21 ◽  
Author(s):  
M A Wilson ◽  
V Clerehugh ◽  
M A Lennon ◽  
H V Worthington
2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Nilima S. Kadam ◽  
Rahul Patil ◽  
Abhijit N. Gurav ◽  
Yojana Patil ◽  
Abhijeet Shete ◽  
...  

The aim of the study was to determine influence of intellectually disability (ID) on oral hygiene status (OHS), periodontal status (PS), and periodontal treatment needs (PTNs) and investigate the association of these clinical parameters with various sociodemographic and clinical variables among multicentric institutionalized ID subjects aged 5–55 years in Kolhapur district, Maharashtra, India. This descriptive cross-sectional study was conducted by both questionnaire and clinical examination. OHS, PS, and PTNs of these subjects were assessed by recording Simplified Oral Hygiene Index (OHI-S) and Community Periodontal Index of Treatment Needs, respectively. Analysis of variance and multiple logistic and stepwise linear regression analysis were used for statistical analysis. Of the 576 subjects examined, the mean age of the subjects was 17.50 ± 7.4 years. Subjects with profound level of ID had the highest mean OHI-S, PS, and PTNs scores of 4.47 ± 1.04, 2.84 ± 0.78, and 2.25 ± 0.44, respectively, as compared with other ID groups (P<0.0001). The present study signified that ID subjects had poor OHS and PS with the highest PTNs and were influenced by age (P<0.0001), degree of ID (P<0.0001), SES, location, institution type, and parent’s level education. The present study underlines a considerable need for prevention and treatment of periodontal disease among ID subjects in India.


2020 ◽  
Vol 1 (3) ◽  
Author(s):  
Shotaro Yoshioka ◽  
Takeshi Miyamoto ◽  
Junichiro Satomi ◽  
Yoshiteru Tada ◽  
Kenji Yagi ◽  
...  

ABSTRACT BACKGROUND The pathophysiology of subarachnoid hemorrhages (SAHs) due to ruptured intracranial aneurysms (IAs) remains unclear. Although a relationship between SAHs and periodontal disease (PD) has been suggested, the mechanism requires clarification. OBJECTIVE To evaluate the relationship between PD and SAHs and to identify periodontal pathogens associated with SAHs. METHODS This prospective study included consecutive patients with ruptured (n = 11) and unruptured (n = 14) IAs and healthy controls (n = 8). The plasma and plaque subgingival bacterial deoxyribonucleic acid (DNA) levels in PD were evaluated by a dentist using the Community Periodontal Index of Treatment Needs (CPITN). Plasma levels of matrix metalloproteinase (MMP-9), tissue inhibitors of matrix metalloproteinase (TIMP2), and procollagen I were analyzed. RESULTS Patients with ruptured IAs, had significantly higher CPITN scores than the controls, suggesting that ruptured IAs were associated with severe PD. Although no rupture-specific bacteria were identified, the positive rate of plaque subgingival bacterial DNA was significantly higher in patients with severe PD than in those without severe PD. Multivariate logistic regression analysis indicated that bleeding on probing (BOP) was associated with ruptured IAs (odds ratio, 1.10; 95% confidence interval 1.04–1.20; P = .0001). BOP was positively associated with plasma MMP-9 levels and a disequilibrium in the MMP-9/TIMP2 ratio. BOP was negatively correlated with plasma procollagen I levels (P &lt; .05, for each). This suggested that local inflammation with severe PD might have systemic effects and lead to ruptured IAs. CONCLUSION Disequilibrium of plasma protease/anti-protease associated with a high BOP rate in severe PD may be attributable to IA rupture.


2001 ◽  
Vol 35 (4) ◽  
pp. 349-355 ◽  
Author(s):  
Silvio Rocha Corrêa da Silva ◽  
Roberto A Castellanos Fernandes

OBJETIVO: Avaliar a autopercepção das condições de saúde bucal por idosos e analisar os fatores clínicos, subjetivos e sociodemográficos que interferem nessa percepção. MÉTODOS: Participaram do estudo 201 pessoas, dentadas, com 60 anos ou mais, funcionalmente independentes, que freqüentavam um centro de saúde localizado em Araraquara, SP, Brasil. Foi aplicado questionário com questões sobre as características sociodemográficas da amostra, a autopercepção da condição bucal e o índice Geriatric Oral Health Assessment Index (GOHAI). Realizou-se exame clínico para determinar a prevalência das principais doenças bucais. Foram usados testes estatísticos para determinar a associação das variáveis sociodemográficas e clínicas e do índice GOHAI com a autopercepção da condição bucal e a identificação dos preditores da auto-avaliação. RESULTADOS: O exame clínico revelou grande prevalência das principais doenças bucais, apesar de 42,7% das pessoas avaliarem sua condição bucal como regular. As variáveis associadas à auto-avaliação foram: classe social, índice de GOHAI, dentes cariados e indicados para extração. A análise multivariada mostrou que os preditores da auto-avaliação foram o GOHAI, os dentes com extração indicada e o índice Community Periodontal Index and Treatment Needs. Esses preditores explicaram 30% da variabilidade da auto-avaliação. CONCLUSÕES: Concluiu-se que a percepção da saúde bucal teve pouca influência nas condições clínicas, mostrando ser necessário desenvolver ações preventivas e educativas para a população.


2015 ◽  
Vol 24 (4) ◽  
pp. 214-219
Author(s):  
Dan Piperea-Sianu ◽  
◽  
Adela Maria Ceau ◽  
Alexandru G. Croitoru ◽  
Alice Piperea-Sianu ◽  
...  

Introduction. The relationship between periodontal disease (PD) and rheumatoid arthritis (RA) is currently only partially known, both being chronic multifactorial diseases that may share common pathogenic mechanisms and etiological factors. In a previous meta-analysis we concluded that patients with RA are more commonly affected by PD and develop more severe forms of the disease, compared to the general population. Objectives. The current study aimed to assess the degree of periodontal damage and oral hygiene on a group of patients diagnosed with RA. Methods. The study was conducted on a group of 30 patients, 6 sextants being assessed in each patient (180 potentially evaluable sextants). Establishing the degree of periodontal damage and oral hygiene was achieved by determining the Community Periodontal Index of Treatment Needs (CPITN) and Oral Hygiene Index (IHB, also known as OHI). Results. The mean CPITN score/sextant was 1.92. After clinical examination we found 10 edentulous sextants that could not be evaluated. As a result of the distribution of the scores on all the 170 evaluable sextants, we obtained: CPITN 0 – 11.1%, CPITN 1 – 23.6%, CPITN 2 – 32.4%, CPITN 3 – 27.6%, CPITN 4 – 5.3%. After analyzing the oral hygiene index the mean value we found was 16. Distribution of IHB intervals was: IHB 0-12 (40%), IHB 13-24 (53.3%), IHB 25-36 (6.6%). Discussion and conclusions. Comparing our results to data from the literature, in our group of patients with RA the only CPITN index criteria significantly increased, compared to the healthy population, were gingival bleeding on probing and the number of periodontal pockets with 4-5.5 mm depth.


2021 ◽  
Author(s):  
Hector deLlanos-Lanchares ◽  
Leticia Alvarez-Menendez ◽  
Jose Antonio Alvarez-Riesgo ◽  
Alicia Celemin-Viñuela ◽  
Ildefonso Serrano-Belmonte ◽  
...  

Abstract Purpose: The aim of this retrospective case-control study was to evaluate the influence of dental brushing factors, diet, the consumption of acidic drinks and Community Periodontal Index of Treatment Needs (CPITN) on the development of non-carious cervical lesions (NCCLs). Methods: The sample consisted of undergraduate dentistry students from different Spanish faculties (age range 18 to 29 years). NCCLs and the CPITN were diagnosed and recorded using a periodontal probe. A questionnaire was used to record different brushing factors, the consumption of extrinsic acids and the presence of intrinsic acids. The data obtained were analysed using unconditional uni- and multivariate logistic regression (significance lecel p<0.05). Results: Brushing force was a risk factor (OR=1.71). The presence of NCCLs is significantly more frequent in subjects who brush their teeth vigorously Frequent consumption of salads with vinegar or lemon increases the risk of NCCLs (OR=4.5). As the CPITN score increases, the risk of NCCLs also increases significantly (OR=1.93) for value 1 and OR=6.49 for CPITN of 3. The consumption of extrinsic acids associated with salads seasoned with vinegar or lemon, the brushing force and the CPITN were the risk factors. The model obtained has a 67.14% predictive capacity for NCCLs, a specificity of 76.43%, and a sensitivity of 57.86%. Conclusions: the results of this study show that brushing force, and acidic diet and CPITN significantly increase the risk of NCCLs. Other variables are needed to increase model prediction.


2020 ◽  
Vol 10 (2) ◽  
pp. 44-48
Author(s):  
Abdulsamet Tanık ◽  
Mehmet Gül

Objectives: The aim of this study was to evaluate the validity of partial CPITN (PCPITN) and full-mouth CPITN (FCPITN) indexes from CPITN index versions used in the diagnosis of periodontal disease. Method: The study included 1,000 patients over the age of 20. The clinical attachment loss examination and clinically assisted full-mouth periodontal examination (gold standard) including the depth of the periodontal pocket on probing and dental stones were performed. PCPITN and FCPITN index versions were compared with the gold standard oral examination. Sensitivity, specificity and diagnostic estimation tables were statistically created from the obtained data. Results: For Gingivitis, the sensitivity of the PCPITN index was found to be 68.88%, specificity was 85.94% and the field value under the Receiver Operating Characteristic (ROC) curve was 0.6893. For periodontitis, FCPITN index sensitivity was 89.28%, specificity was 96.56% and field value under the ROC curve was 0.931. Conclusion: Although FCPITN and PCPITN indexes have a near moderate value in the diagnosis of gingivitis, they were found to be more effective in the diagnosis of periodontitis. We think that the FCPITN index is particularly effective in the diagnosis of periodontitis.   How to cite this article: Tanık A, Gül M. The validity of the Community Periodontal Index of Treatment Needs (CPITN) in Epidemiological Studies of Periodontal Diseases. Int Dent Res 2020;10(2):44-48. https://doi.org/10.5577/intdentres.2020.vol10.no2.3   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.


2012 ◽  
Vol 59 (2) ◽  
pp. 83-89 ◽  
Author(s):  
Bojana Davidovic ◽  
Mirjana Ivanovic ◽  
Svjetlana Jankovic ◽  
Jelena Lecic

Introduction. Periodontal diseases and primarily gingivitis occur relatively early in the childhood. It was found that 8.8% of children 3-6 years old had gingivitis and that number increased with age. Gingivitis is especially common during puberty and mixed dentition. The aim was to determine the prevalence and characteristics of gingival and periodontal diseases in children age twelve and fifteen in Republika Srpska. Material and Methods. The study included 506 students of both genders from six schools on the territory of the municipalities Foca, Cajnice and Kalinovik. For the evaluation of oral hygiene and periodontal status, indices suitable for research in pediatric population were used: Greene-Vermillion Debris Index (DI), Greene?s Calculus Index (CI), Oral Hygiene Index (OHI) and Community Periodontal Index of Treatment Needs (CPITN). The evaluation was carried out in accordance with the criteria for the diagnosis and non- communicable diseases, established in 1997 in Geneva. Results. The average DI value for all children was 0.86, the average CI 0.13, and OHI was 0.99. Healthy periodontium had 14.6% of respondents, while deep periodontal pockets of 4-5mm were found in 8.7% of fifteen-year-old children. Conclusion. A significant prevalence of gingivitis was found among examined children. It is necessary to highlight the importance of primary prevention measures, health education, proper training and regular oral hygiene, as well as regular check-ups in order to achieve better periodontal health in children.


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