Validity of a Self-reported Questionnaires for Periodontitis in a Kurdish Population of Sulaimani City/Iraq
Keywords:Periodontitis, Questionnaire, Self-reported, Sensitivity, Specificity
Objective: Full-mouth clinical periodontal evaluations in large surveys may not be practicable. Therefore, the questionnaire can be used to reduce cost and time. Therefore, this study aimed to evaluate two previously used questionnaires to determine periodontitis and compare them in the Kurdish population.
Methods: The two different questionnaires used were previously examined in different populations. Full mouth periodontal examination of bleeding on probing, pocket depth, clinical attachment loss, furcation involvement, and recession were recorded. The case definition of periodontitis is based on the 2017 classification. The receiver operating characteristic curve, area under the curve (AUC), and logistic regression were used to examine the validity of each questionnaire.
Results: Self-reported questionnaires had a useful discriminative capability for detecting periodontitis patients. In questionnaire1, (Q1) has the uppermost true positive result (79.2%), and the strongest crude associations were seen for Q3 (17.72) and 4 (10.9). Whereas, in questionnaire 2, the most frequent positive response was to the Q12 (77.2%), and the strongest crude associations were detected for the Q2 (13.76%) and Q6 (20.78%). The combinations of questions revealed increasing the AUC.
Conclusions: The use of several self-reported questions revealed a good performance for screening periodontitis in the Kurdish population, especially those related to patient awareness about periodontal disease, bleeding of the gum, treatment, and diagnosis that had been carried out for patients previously by a dentist.
Petersen PE, Ogawa H. The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontol 2000. 2012;60(1):15-39.
Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJL, Marcenes W. Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression. J Dent Res. 2014;93(11):1045-53.
Eke PI, Dye BA, Wei L, Slade GD, Thornton‐ Evans GO, Borgnakke WS, et al. Update on prevalence of periodontitis in adults in the United States: NHANES 2009 to 2012. J Periodontol. 2015;86(5):611-22.
Gofur NRP, Nurdiana N, Handono K, Kalim H. Periodontal tissue condition on systemic lupus erythematosus patients: a clinical study. Pesqui Bras Odontopediatria Clin Integr. 2020;20:e5094:1-6.
Gätke D, Holtfreter B, Biffar R, Kocher T. Five‐ year change of periodontal diseases in the Study of Health in Pomerania (SHIP). J Clin Periodontol. 2012;39(4):357-67.
Zhan Y, Holtfreter B, Meisel P, Hoffmann T, Micheelis W, Dietrich T, et al. Prediction of periodontal disease: modelling and validation in different general German populations. J Clin Periodontol. 2014;41(3):224-31.
Blicher B, Joshipura K, Eke P. Validation of self- reported periodontal disease: a systematic review. J Dent Res. 2005;84(10):881-90.
Eke PI, Dye BA, Wei L, Slade GD, Thornton- Evans GO, Beck JD, et al. Self-reported measures for surveillance of periodontitis. J Dent Res. 2013;92(11):1041-7.
Khader Y, Alhabashneh R, Alhersh F. Development and validation of a self-reported periodontal disease measure among Jordanians. Int Dent J. 2015;65(4):203–10.
Cyrino RM, Miranda Cota LO, Pereira Lages EJ, Bastos Lages EM, Costa FO. Evaluation of self‐ reported measures for prediction of periodontitis in a sample of Brazilians. J Periodontol. 2011;82(12):1693-704.
Wright CD, Heaton B, McNeil DW. Development and validation of a latent, multidimensional, self-report periodontal disease measure. J Periodontol. 2021;92(11):1554-63.
Eke PI, Thornton‐Evans G, Dye B, Genco R. Advances in surveillance of periodontitis: the centers for disease control and prevention periodontal disease surveillance project. J Periodontol. 2012;83(11):1337-42.
Abbood HM, Hinz J, Cherukara G, Macfarlane T V. Validity of self‐reported periodontal disease: A systematic review and meta‐analysis. J Periodontol. 2016;87(12):1474-83.
Saka‐Herrán C, Jané‐Salas E, González‐Navarro B, Estrugo‐Devesa A, López‐López J. Validity of a self‐reported questionnaire for periodontitis in a Spanish population. J Periodontol. 2020;91(8):1027-38.
Slade GD. Interim analysis of validity of periodontitis screening questions in the Australian population. J Periodontol. 2007;78(75):1463-70.
Newbrun E. Indices to measure gingival bleeding. J Periodontol. 1996;67(6):555–61.
Aminoshariae A, Mackey SA, Palomo L, Kulild JC. Declassifying mobility classification. J Endod. 2020;46(11):1539-44.
Tonetti MS, Deng K, Christiansen A, Bogetti K, Nicora C, Thurnay S, et al. Self‐reported bleeding on brushing as a predictor of bleeding on probing: Early observations from the deployment of an internet of things network of intelligent power‐ driven toothbrushes in a supportive periodontal care population. J Clin Periodontol. 2020;47(10):1219-26.
Chatzopoulos GS, Cisneros A, Sanchez M, Lunos S, Wolff LF. Validity of self‐reported periodontal measures, demographic characteristics, and systemic medical conditions. J Periodontol. 2018;89(8):924-32.
Carra MC, Gueguen A, Thomas F, Pannier B, Caligiuri G, Steg PG, et al. Self‐report assessment of severe periodontitis: periodontal screening score development. J Clin Periodontol. 2018;45(7):818- 31.
Iwasaki M, Usui M, Ariyoshi W, Nakashima K, Nagai-Yoshioka Y, Inoue M, et al. Validation of a self-report questionnaire for periodontitis in a Japanese population. Sci Rep. 2021;11(1):1-12.
Luo H, Wu B. Self-awareness of “gum disease” among US adults. J Public Heal Manag Pract. 2017;23(2):e1-7.
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