Comparison of the reproducibility of results of a new peri-implantitis assessment system (implant success index) with the Misch classification
Abrishami Mohammad Reza, Sabour Siamak, Nasiri Maryam, Amid Reza, Kadkhodazadeh Mahdi,
소속 상세정보
( Abrishami Mohammad Reza ) - Shahid Beheshti University of Medical Sciences Dental School Department of Periodontics
( Sabour Siamak ) - Shahid Beheshti University of Medical Sciences Department of Community Oral Health (COH) Clinical Epidemiology
( Nasiri Maryam ) - Private practice
( Amid Reza ) - Shahid Beheshti University of Medical Sciences Dental School Department of Periodontics
( Kadkhodazadeh Mahdi ) - Shahid Beheshti University of Medical Sciences Dental School Department of Periodontics
KMID : 0355620140400020061
Abstract
Objectives: The present study was conducted to determine the reproducibility of peri-implant tissue assessment using the new implant success index (ISI) in comparison with the Misch classification.
Materials and Methods: In this descriptive study, 22 cases of peri-implant soft tissue with different conditions were selected, and color slides were prepared from them. The slides were shown to periodontists, maxillofacial surgeons, prosthodontists and general dentists, and these professionals were asked to score the images according to the Misch classification and ISI. The intra- and inter-observer reproducibility scores of the viewers were assessed and reported using kappa and weighted kappa (WK) tests.
Results: Inter-observer reproducibility of the ISI technique between the prosthodontists-periodontists (WK=0.85), prosthodontists-maxillofacial surgeons (WK=0.86) and periodontists-maxillofacial surgeons (WK=0.9) was better than that between general dentists and other specialists. In the two groups of general dentists and maxillofacial surgeons, ISI was more reproducible than the Misch classification system (WK=0.99 versus WK noncalculable, WK=1 and WK=0.86). The intra-observer reproducibility of both methods was equally excellent among periodontists (WK=1). For prosthodontists, the WK was not calculable via any of the methods.
Conclusions: The intra-observer reproducibility of both the ISI and Misch classification techniques depends on the specialty and expertise of the clinician. Although ISI has more classes, it also has higher reproducibility than simpler classifications due to its ability to provide more detail.
키워드
Peri-implantitis;Classification;Reproducibility;Bone loss
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