Details:

Alternative Title:
J Periodontol
Personal Author:
LaMonte, Michael J. ; Hovey, Kathleen M. ; Millen, Amy E. ; Genco, Robert J. ; Wactawski-Wende, Jean
LaMonte, Michael J. ; Hovey, Kathleen M. ; Millen, Amy E. ; Genco, Robert J. ; Wactawski-Wende, Jean Less -
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:
[+]
Aged
Aged, 80 And Over
Age Factors
Alveolar Bone Loss
Article
Cohort Studies
Dental Plaque
Educational Status
Female
Follow-Up Studies
Humans
Middle Aged
Oral Hygiene
Periodontal Attachment Loss
Periodontal Diseases
Periodontal Index
Periodontal Pocket
Postmenopause
Predictive Value Of Tests
Prevalence
Risk Factors
Self Report
Sensitivity And Specificity
Smoking
Tooth Loss
Women's Health

Source:
J Periodontol. 85(8):1006-1018
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
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 Less -
Place as Subject:
New York
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:17346b26794068cbe4d25dcdd0a98125be4ff9f12a542ac665153698758a69f5
File Type:

Supporting Files

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