Accuracy of Self-Reported Periodontal Disease in the Women’s Health Initiative Observational Study

LaMonte, Michael J.; Hovey, Kathleen M.; Millen, Amy E.; Genco, Robert J.; Wactawski-Wende, Jean

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Accuracy of Self-Reported Periodontal Disease in the Women’s Health Initiative Observational Study

Published Date:

December 19 2013

Source:

J Periodontol. 85(8):1006-1018

Language:

English

[PDF-480.73 KB]

Details:

Alternative Title:

J Periodontol

Personal Author:

LaMonte, Michael J. ; Hovey, Kathleen M. ; Millen, Amy E. ; Genco, Robert J. ; Wactawski-Wende, Jean ;

Description:

Background

This study examines the accuracy of self-reported periodontal disease in a cohort of older females.

Methods

The study comprised 972 postmenopausal females aged 53 to 83 years who completed baseline (1997 to 2001) and follow-up (2002 to 2006) whole-mouth oral examinations. Examinations included: 1) probing depth, 2) clinical attachment level, and 3) oral radiographs for alveolar crestal height in a study ancillary to the Women’s Health Initiative Observational Study (WHI-OS) conducted in Buffalo, New York, called the OsteoPerio study. Participants also self-reported any history of diagnosis of periodontal/gum disease on a WHI-OS study-wide questionnaire administered during the time interval between the two OsteoPerio examinations.

Results

Participants reporting diagnosis of periodontal/gum disease on the WHI-OS questionnaire (n = 259; 26.6%) had worse oral hygiene habits, periodontal disease risk factors, and clinical periodontal measures compared with those not reporting periodontal/gum disease. Frequency of reported periodontal/gum disease was 13.5%, 24.7%, and 56.2% across OsteoPerio baseline examination categories of none/mild, moderate, and severe periodontal disease, respectively (trend: P <0.001), defined by criteria of the Centers for Disease Control and Prevention/American Academy of Periodontology (CDC/AAP). Sensitivity, specificity, and positive and negative predictive values for reported periodontal disease status were 56.2%, 78.8%, 32.8%, and 90.7%, respectively, when CDC/AAP-defined severe periodontal disease at baseline was the criterion measure (prevalence of 15%) and were 76.0%, 77.4%, 22.0%, and 97.4%, respectively, when tooth loss to periodontitis (prevalence of 7%) was the criterion.

Conclusion

A simple question for self-reported periodontal disease characterizes periodontal disease prevalence with moderate accuracy in postmenopausal females who regularly visit their dentist, particularly in those with more severe disease.

Subject:

[+]

Pubmed ID:

24354649

Pubmed Central ID:

PMC6004791

Document Type:

Journal Article

Funding:

DE04898/DE/NIDCR NIH HHS/United States ; N01WH32122/WH/WHI NIH HHS/United States ; R01 DE013505/DE/NIDCR NIH HHS/United States ; CC999999/Intramural CDC HHS/United States ; DE13505/DE/NIDCR NIH HHS/United States ;

Place as Subject:

New York

Collection(s):

CDC Public Access

Main Document Checksum:

[+]

Supporting Files:

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