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http://dx.doi.org/10.5051/jpis.2016.46.1.10

Diagnostic accuracy of a combination of salivary hemoglobin levels, self-report questionnaires, and age in periodontitis screening  

Maeng, You-Jin (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry)
Kim, Bo-Ra (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry)
Jung, Hoi-In (BK21 PLUS Project, Yonsei University College of Dentistry)
Jung, Ui-Won (Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry)
Kim, Hee Eun (Department of Dental Hygiene, Gachon University College of Health Science)
Kim, Baek-Il (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry)
Publication Information
Journal of Periodontal and Implant Science / v.46, no.1, 2016 , pp. 10-21 More about this Journal
Abstract
Purpose: This study evaluated the predictive performance of a combination of self-report questionnaires, salivary hemoglobin levels, and age as a non-invasive screening method for periodontitis. Methods: The periodontitis status of 202 adults was examined using salivary hemoglobin levels, responses to 10 questions on a self-report questionnaire, and the Community Periodontal Index (CPI). The ability of those two variables and the combination thereof with age to predict the presence of CPI scores of 3-4 and 4 was assessed using logistic regression and receiver operating characteristic (ROC) curve analysis. Results: CPI scores of 3-4 and 4 were present among 79.7% and 46.5% of the sample, respectively. The area under the ROC curves (AUROCs) of salivary hemoglobin levels for predicting prevalence of CPI scores of 3-4 and 4 were 0.63 and 0.67, respectively (with sensitivity values of 71% and 60% and specificity values of 56% and 72%, respectively). Two distinct sets of five questions were associated with CPI scores of 3-4 and 4, with AUROCs of 0.73 and 0.71, sensitivity values of 76% and 66%, and specificity values of 63% and 69%. The combined model incorporating both variables and age showed the best predictive performance, with AUROCs of 0.78 and 0.76, sensitivity values of 71% and 65%, and specificity values of 68% and 77% for CPI scores of 3-4 and 4, respectively. Conclusions: The combination of salivary hemoglobin levels and self-report questionnaires was shown to be a valuable screening method for detecting periodontitis.
Keywords
Community periodontal index; Hemoglobins; Periodontal diseases; Saliva; Self report;
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