The 2018 EFP/AAP periodontitis case classification demonstrates high agreement with the 2012 CDC/AAP criteria

Ortigara, Gabriela Barbieri; Ferreira, Ticiane de Góes Mário; Tatsch, Karen Finger; Romito, Giuseppe Alexandre; Ardenghi, Thiago Machado; Sfreddo, Camila Silveira; Moreira, Carlos Heitor Cunha

doi:10.1111/jcpe.13462

Cited by 35 publications

(46 citation statements)

References 40 publications

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“…The higher frequency of severe cases is in agreement with other studies reporting more severe conditions revealed by the 2018 EFP/AAP classification/case definition system that included mild forms of the former classification in stage II (moderate) of the actual 2018 EFP/AAP classification/case definition system. However, in contrast to our findings, previous results indicated a 100% agreement between classifications for the severe category [43].…”

Section: Discussioncontrasting

confidence: 99%

“…A high PPV was calculated by the present study when severe and moderate periodontitis were considered separately. Both PPV and NPV are important parameters for already diagnosed individuals [43]. A moderate periodontitis, diagnosed according to the former classification system, would be referred and treated by dental practitioners; however, according to the 2018 classification system, the same condition would be categorized as severe, and the patient could benefit from a more specialized treatment.…”

Section: Discussionmentioning

confidence: 99%

“…The new 2018 EFP/AAP case definition system should, therefore, replace the 2012 CDC/AAP system in research to ensure the uniformity of reports and further comparisons. However, future studies should be carried out worldwide to assess the applicability of the 2018 EFP/AAP classification, and the way in which the modification of cut-off definition values impacts variation in disease prevalence against the former case definition system [43].…”

Section: Introductionmentioning

confidence: 99%

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Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018)

Costea

Christodorescu

Şoancă

et al. 2022

JCM

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The identification of the associative relationships between ischemic stroke (IS) and risk factors such as advanced age and periodontitis is essential to design real screening protocols and to address them using primary and secondary preventive policies. This study primarily aimed to evaluate the diagnostic performance of the 2018 European Federation of Periodontology/American Academy of Periodontology (EFP/AAP) case definition in detecting periodontitis against the 2012 Centers for Disease Control and Prevention/American Academy of Periodontology (CDC/AAP) case definition in a group of IS patients. Secondarily, we report the periodontal status of IS patients and the associative relationship with respect to some risk factors. Patients with their first IS were assessed based on demographic data, medical, oral risk factors and periodontal parameters. The two case definitions were applied to identify the periodontitis burden. The agreement between the two case definition systems, as well as the misclassification ratio, were calculated. A total of 141 patients were included. According to the 2012 CDC/AAP and the 2018 EFP/AAP case definitions, a frequency of periodontitis of 98.5% and 97.8% based on two modalities of inclusion of cases in the severity groups, sensitivity values of 98.54% or 100%, and specificity values of 25% or 14.7% were calculated. Thus, the new case definition system has a higher capacity to detect periodontitis, especially the well-established forms.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018)

Costea

Christodorescu

Şoancă

et al. 2022

JCM

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“…It is necessary to clarify that, even though the objectives are the same, the methods used in these studies are different. Similar to the present study, Ortigara et al 32 . used only the disease classification stages.…”

Section: Discussionmentioning

confidence: 74%

Diagnostic accuracy of severe periodontitis case definitions: Comparison of the CDC/AAP, EFP/AAP, and CPI criteria

Brito

Taboza

Silveira

et al. 2021

Journal of Periodontology

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Background: This cross-sectional study aimed to evaluate the diagnostic accuracy of severe periodontitis by three different case definitions.Methods: Patients aged >35 years (n = 243, mean age = 47.8 ± 9.3 years) were evaluated by periodontal examinations and classified in patients with severe periodontitis according to the case definition proposed by the Centers for Disease Control and Prevention (CDC) in collaboration with the American Academy of Periodontology (AAP)-CDC/AAP, the new periodontal disease classification proposed jointly by the AAP and the European Federation of Periodontology (EFP/AAP), and the Community Periodontal Index (CPI). The primary outcome was to compare the diagnostic accuracy of severe periodontitis between the three case definitions. Sensitivity (SS), specificity (SP), and area under the receiver operating characteristic (ROC) curve were used to analyze the accuracy. Results: The proportion of subjects presenting the most severe definitions of each classification was: severe periodontitis (CDC/AAP) = 47.3%, type III and IV periodontitis (EFP/AAP) = 43.2% and CPI code 4 = 44.4%. When comparing the CDC/AAP case definitions with the EFP/AAP classification, SS, SP, and ROC of 81.7%, 91.4%, and 0.866 (CI, 95%: 0.816 to 0.916), respectively, were obtained. Similarly, when comparing CDC/AAP to CPI code 4, SS, SP, and ROC of 81.7%, 89.1%, and 0.854 (CI, 95%: 0.802 to 0.906), respectively, were obtained. When type III and IV periodontitis (EFP/AAP) was compared with CPI code 4, the values were 92.4%, 92%, and 0.922 (CI, 95%: 0.883 to 0.961), respectively. Conclusions: The EFP/AAP classification and the CPI demonstrated high diagnostic accuracy with the CDC/AAP case definition to diagnose severe periodontitis.

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“…Participants will be divided into two groups: (1) participants without periodontitis and (2) those with a diagnosis of periodontitis (mild, moderate and severe) based on Centers for Disease Control and Prevention and American Academy of Periodontology (CDC/AAP) definition (47), suggested for epidemiological studies by Holtfreter et al (48). According to a recent agreement among experts from Europe and USA (48) and recent epidemiologic trends, the 2012 CDC/AAP criteria become a consensus approach for epidemiological studies worldwide (49). Furthermore, the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions (50), in Appendix B, recommended that After a long-standing debate on how to provide data to inform surveillance of periodontal disease, a recent multinational effort has suggested standard reporting of periodontal epidemiology surveys.…”

Section: Periodontitismentioning

confidence: 99%

Incidence of Arterial Hypertension in People With Periodontitis and Characterization of the Oral and Subgingival Microbiome: A Study Protocol

Martínez-García

Castrejón-Pérez

Rodríguez-Hernández

et al. 2022

Front. Cardiovasc. Med.

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Cardiovascular diseases are the leading cause of morbidity and mortality worldwide. High blood pressure in particular, continues to increase throughout the global population at an increasingly fast pace. The relationship between arterial hypertension and periodontitis has been recently discussed in the context of its origins and implications. Particularly relevant is the role of the periodontal microbiome linked to persistent local and systemic inflammation, along with other risk factors and social determinants of health. The present protocol will investigate/assess the association between periodontal disease and its microbiome on the onset of hypertension, within a cohort from Mexico City. One thousand two hundred twelve participants will be studied during a 60-month period. Studies will include analysis of periodontal conditions, sampling and sequencing of the salivary and subgingival microbiome, interviews on nutritional and lifestyle habits, social determinants of health, blood pressure and anthropometric measurements. Statistical associations and several classic epidemiology and machine learning approaches will be performed to analyze the data. Implications for the generation of public policy—by early public health interventions or epidemiological surveillance approaches—and for the population empowerment—via the establishment of primary prevention recommendations, highlighting the relationship between oral and cardiovascular health—will be considered. This latter set of interventions will be supported by a carefully planned science communication and health promotion strategy. This study has been registered and approved by the Research and Ethics Committee of the School of Dentistry, Universidad Nacional Autónoma de México (CIE/0308/05/2019) and the National Institute of Genomic Medicine (CEI/2020/12). The umbrella cohort was approved by the Institutional Bioethics Committee of the National Institute of Cardiology-Ignacio Chavez (INC-ICh) under code 13-802.

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The 2018 EFP/AAP periodontitis case classification demonstrates high agreement with the 2012 CDC/AAP criteria

Cited by 35 publications

References 40 publications

Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018)

Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018)

Diagnostic accuracy of severe periodontitis case definitions: Comparison of the CDC/AAP, EFP/AAP, and CPI criteria

Incidence of Arterial Hypertension in People With Periodontitis and Characterization of the Oral and Subgingival Microbiome: A Study Protocol

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