전악치주검사와 치주선별검사에 근거한 간이치주선별검사의 개발
The development of simplified periodontal screening and recording
하정은, 김태일, 여보미, 진보형, 백대일, 배광학,
소속 상세정보
하정은 ( Ha Jung-Eun ) - 서울대학교 치의학대학원 예방치학교실
김태일 ( Kim Tai-Il ) - 서울대학교 치의학대학원 치주과학교실
여보미 ( Yeo Bo-Mi ) - 서울대학교 치의학대학원 예방치학교실
진보형 ( Jin Bo-Hyoung ) - 서울대학교 치의학대학원 예방치학교실
백대일 ( Paik Dai-Il ) - 서울대학교 치의학대학원 예방치학교실
배광학 ( Bae Kwang-Hak ) - 서울대학교 치의학대학원 예방치학교실
KMID : 0355420110350010049
Abstract
Objectives. The objective of this study was to evaluate the validity of the periodontal screening and recording (PSR) instrument and a new developed simplified periodontal screening and recording (S-PSR) instrument.
Methods. All the periodontal examinations were done by one trained examiner for making the diagnosis of periodontitis. Periodontitis was defined as clinical periodontal attachment loss of 4.0 mm and over on 1 or more sites, or 2 or more sites not on the same tooth. The overall percent agreement, sensitivity, specificity, Cohen’s kappa statistic and the likelihood ratio were calculated for evaluating the validity of the PSR and the S-PSR (S-PSR, S-PSRM, S-PSRL, S-PSRR) by comparing these with the results of all the periodontal examinations.
Results. This study revealed that the validity of the PSR, S-PSR, and S-PSRM were higher than the S-PSRR and S-PSRL when periodontitis was defined as periodontal attachment loss of 4.0 mm and over on 1 or more sites. When the periodontitis was defined as periodontal attachment loss of 4.0 mm and over on 2 or more sites, the likelihood ratio for a positive result of the PSR and S-PSR were lowest among the screening tools and the likelihood ratios for negative results of the PSR, S-PSR, and S-PSRM were lower than those the S-PSRR and S-PSRL.
Conclusions. The S-PSRM may be a valuable tool for screening the periodontal condition during general dental check-ups or a national oral health screening program.
키워드
간이치주선별검사; 전악치주검사; 치주병; 치주선별검사
mass screening; oral examination; periodontal attachment loss; periodontal disease
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