Have you had bleeding from your gums? Self-report to identify giNGival inflammation (The SING diagnostic accuracy and diagnostic model development study)
- PMID: 33751629
- DOI: 10.1111/jcpe.13455
Have you had bleeding from your gums? Self-report to identify giNGival inflammation (The SING diagnostic accuracy and diagnostic model development study)
Abstract
Aim: To assess the diagnostic performance of self-reported oral health questions and develop a diagnostic model with additional risk factors to predict clinical gingival inflammation in systemically healthy adults in the United Kingdom.
Methods: Gingival inflammation was measured by trained staff and defined as bleeding on probing (present if bleeding sites ≥ 30%). Sensitivity and specificity of self-reported questions were calculated; a diagnostic model to predict gingival inflammation was developed and its performance (calibration and discrimination) assessed.
Results: We included 2853 participants. Self-reported questions about bleeding gums had the best performance: the highest sensitivity was 0.73 (95% CI 0.70, 0.75) for a Likert item and the highest specificity 0.89 (95% CI 0.87, 0.90) for a binary question. The final diagnostic model included self-reported bleeding, oral health behaviour, smoking status, previous scale and polish received. Its area under the curve was 0.65 (95% CI 0.63-0.67).
Conclusion: This is the largest assessment of diagnostic performance of self-reported oral health questions and the first diagnostic model developed to diagnose gingival inflammation. A self-reported bleeding question or our model could be used to rule in gingival inflammation since they showed good sensitivity, but are limited in identifying healthy individuals and should be externally validated.
Keywords: diagnosis; epidemiology; gingival inflammation; prediction modelling; self-report.
© 2021 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.
References
REFERENCES
-
- Abbood, H., Hinz, J., Cherukara, G., & Macfarlane, T. (2016). Validity of self-reported periodontal disease: A systematic review and meta-analysis. Journal of Periodontology, 87(12), 1474-1483.
-
- Blicher, B., Joshipura, K., & Eke, P. (2015). Validation of self-reported periodontal disease: A systematic review. Journal of Dental Research, 84(10), 881-890.
-
- Chapple, I. L. C., Dommisch, H., Glogauer, M., Johnson, G. K., Mealey, B. L., Eickholz, P., Geisinger, M. L., Genco, R. J., Glogauer, M., Goldstein, M., Griffin, T. J., Holmstrup, P., Johnson, G. K., Kapila, Y., Lang, N. P., Meyle, J., Murakami, S., Plemons, J., Romito, G. A., … Yoshie, H. (2018). Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Periodontology, 89(Suppl 1), S74-84.
-
- Clarkson, J. E., Pitts, N. B., Bonetti, D., Boyers, D., Braid, H., Elford, R., Fee, P. A., Floate, R., Goulão, B., Humphris, G., Needleman, I., Norrie, J. D. T., Ord, F., van der Pol, M., Ramsay, C. R., Ricketts, D. N. J., Worthington, H. V., & Young, L., INTERVAL Trial Collaboration. (2018). INTERVAL (Investigation of NICE technologies for enabling risk-variable-adjusted-length) dental recalls trial : a multicentre randomised controlled trial investigating the best dental recall interval for optimum, cost-effective maintenance of oral health in dentate adults attending dental primary care. BMC Oral Health, 18(1), 135.
-
- Clarkson, J. E., Ramsay, C. R., Averley, P., Bonetti, D., Boyers, D., Campbell, L., Chadwick, G. R., Duncan, A., Elders, A., Gouick, J., Hall, A. F., Heasman, L., Heasman, P. A., Hodge, P. J., Jones, C., Laird, M., Lamont, T. J., Lovelock, L. A., Madden, I., … Young, L. (2013). IQuaD dental trial; improving the quality of dentistry: a multicentre randomised controlled trial comparing oral hygiene advice and periodontal instrumentation for the prevention and management of periodontal disease in dentate adults attending dental primary care. BMC Oral Health, 13, 58.
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