Optimal Examination Sites for Periodontal Disease Evaluation: Applying the Item Response Theory Graded Response Model

Journal of Clinical Medicine

Taneaki Nakagawa¹  Erika Kakuta²  Shogo Takashiba³  Atsutoshi Yoshimura⁴  Hiroaki Kobayashi⁵  Kazuyuki Noguchi⁶  Toshiaki Nakamura⁶  Hideki Takai⁷  Yohei Nakayama⁷  Yorimasa Ogata⁷  Naoyuki Sugano⁸  Makoto Umeda⁹  Mitsuo Fukuda^1,10  Nobuo Yoshinari^1,11  Satoshi Sekino^1,12  Yukihiro Numabe^1,12  Soh Sato^1,13  Atsushi Saito^1,14  Yoshiaki Nomura^1,15  Nobuhiro Hanada^1,15  Fumihiko Suzuki^1,16  Keiso Takahashi^1,17  Tsutomu Sugaya^1,18  Hiromasa Yoshie^1,19  Masato Minabe^2,20  Toshiya Morozumi^2,20  Fusanori Nishimura^2,21 

[1] Department of Dentistry and Oral Surgery, School of Medicine, Keio University, Tokyo 60-8582, Japan;Department of Oral Microbiology, Tsurumi University School of Dental Medicine, Yokohama 230-8501, Japan;Department of Pathophysiology-Periodontal Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8525, Japan;Department of Periodontology and Endodontology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki 852-8588, Japan;Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan;Department of Periodontology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8544, Japan;Department of Periodontology, Nihon University School of Dentistry at Matsudo, Matsudo 271-8587, Japan;Department of Periodontology, Nihon University School of Dentistry, Tokyo 101-8310, Japan;Department of Periodontology, Osaka Dental University, Hirakata 573-1121, Japan;Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya 464-8650, Japan;Department of Periodontology, School of Dentistry, Matsumoto Dental University, Shiojiri 399-0781, Japan;Department of Periodontology, School of Life Dentistry at Tokyo, The Nippon Dental University, Tokyo 102-8159, Japan;Department of Periodontology, School of life Dentistry at Niigata, The Nippon Dental University, Niigata 951-8580, Japan;Department of Periodontology, Tokyo Dental College, Tokyo 101-0061, Japan;Department of Translational Research, Tsurumi University School of Dental Medicine, Yokohama 230-8501, Japan;Division of Dental Anesthesiology, Department of Oral Surgery, Ohu University School of Dentistry, Koriyama 963-8611, Japan;Division of Periodontics, Department of Conservative Dentistry, Ohu University School of Dentistry, Koriyama 963-8611, Japan;Division of Periodontology and Endodontology, Department of Oral Health Science, Hokkaido University Graduate School of Dental Medicine, Sapporo 060-8586, Japan;Division of Periodontology, Department of Oral Biological Science, Niigata University Graduate School of Medical and Dental Sciences, Niigata 951-8514, Japan;Division of Periodontology, Department of Oral Interdisciplinary Medicine, Graduate School of Dentistry, Kanagawa Dental University, Yokosuka 238-8580, Japan;Section of Periodontology, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka 819-0395, Japan;

关键词: periodontitis;    epidemiological index;    item response theory;    oral examination;    diagnosis;    bleeding on probing;   

DOI  :  10.3390/jcm9113754

来源: DOAJ

【 摘 要 】

Periodontal examination data have a complex structure. For epidemiological studies, mass screenings, and public health use, a simple index that represents the periodontal condition is necessary. Periodontal indices for partial examination of selected teeth have been developed. However, the selected teeth vary between indices, and a justification for the selection of examination teeth has not been presented. We applied a graded response model based on the item response theory to select optimal examination teeth and sites that represent periodontal conditions. Data were obtained from 254 patients who participated in a multicenter follow-up study. Baseline data were obtained from initial follow-up. Optimal examination sites were selected using item information calculated by graded response modeling. Twelve sites—maxillary 2nd premolar (palatal-medial), 1st premolar (palatal-distal), canine (palatal-medial), lateral incisor (palatal-central), central incisor (palatal-distal) and mandibular 1st premolar (lingual, medial)—were selected. Mean values for clinical attachment level, probing pocket depth, and bleeding on probing by full mouth examinations were used for objective variables. Measuring the clinical parameters of these sites can predict the results of full mouth examination. For calculating the periodontal index by partial oral examination, a justification for the selection of examination sites is essential. This study presents an evidence-based partial examination methodology and its modeling.

【 授权许可】

Unknown