Detection of high‐risk groups and individuals for periodontal diseases

Abstract

The fundamental concepts of measuring periodontal diseases and the interpretation of such information as an historical record of disease, rather than disease activity, emphasises the need for improved diagnostic and prognostic tests. Criteria for an indicator of disease activity were suggested and an index fulfilling these should allow sites to be categorised as "active", quiescent or healing, and enable one to predict the risk of future disease activity. The ability of current measurements and indices, routinely used during clinical assessments of periodontal diseases, to fulfill the suggested criteria was considered and rejected in all cases. It is concluded that clinical parameters are only capable of identifying disease retrospectively, indicating the need for longitudinal, rather than cross-sectional studies in the search for clinical and laboratory markers of disease activity and susceptibility.

Validity of Screening Methods for Periodontitis Using Salivary Hemoglobin Level and Self‐Report Questionnaires in People with Disabilities

“…The community periodontal index (CPI) is a diagnostic method that detects gingival bleeding and subgingival calculus and measures PD with a probe, and it is used for epidemiologic study and periodontitis patient screening 8 . However, the CPI is a mixed index of the signs and symptoms of periodontitis of different classifications 9 . In addition, the method measures PD, which is an indicator of previous disease rather than disease activity.…”

A influência do sexo e da idade na prevalência de bolsas periodontais

“…STOLTENBERG 29 (1993) encontraram 39,5% de bolsas ≥ 4 mm em pacientes de 30-34 anos e 65,7% em 65 a 69 anos. Esta prevalência pode ser explicada pelo tempo que os pacientes permaneceram susceptíveis à doença periodontal 13 .…”

Genes and Gene Polymorphisms Associated with Periodontal Diesases

“…12,13 Epidemiyolojik çalışmalarda erişkin populasyonunun %80-90'ında geçirilmiş veya aktif periodontitise işaret eden klinik ataşman kaybı veya radyografik kemik kaybı görüldüğü, yanı sıra aynı populasyonun ancak %7-15'inin şiddetli ve yaygın periodontitisten etkilendiği bildirilmektedir. [14][15][16][17] Yaygın olarak görülen periodontal hastalıkların etiyolojisinin belirlenmesi ve sınıflan-dırılmasının yanı sıra, hastalığın genetik özel-liklerinin tanımlanması, hastalığın tanı ve tedavisinde de oldukça önemlidir.…”