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Comparison of different criteria for periodontitis case definition in head and neck cancer individuals

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Abstract

Purpose

Different periodontitis case definitions have been used in clinical research and epidemiology. The aim of this study was to determine more accurate criterion for the definition of mild and moderate periodontitis case to be applied to head and neck cancer individuals before radiotherapy.

Methods

The frequency of periodontitis in a sample of 84 individuals was determined according to different diagnostic criteria: (1) Lopez et al. (2002);(2) Hujoel et al. (2006); (3) Beck et al. (1990); (4) Machtei et al. (1992); (5) Tonetti and Claffey (2005); (6) and Page and Eke (2007). All diagnosis were based on the clinical parameters obtained by a single calibrated examiner (Kw = 0.71). The individuals were evaluated before radiotherapy. They received oral hygiene instructions, and the cases diagnosed with periodontitis (Page and Eke 2007) were treated. The gold standard was the definition 6, and the others were compared by means of agreement, sensitivity (SS), specificity (SP), and the area under ROC curve. The kappa test evaluated the agreement between definitions.

Results

The frequency of periodontitis at baseline was 53.6 % (definition 1), 81.0 % (definition 2), 40.5 % (definition 3), 26.2 % (definition 4), 13.1 % (definition 5), and 70.2 % (definition 6). The kappa test showed a moderate agreement between definitions 6 and 2 (59.0 %) and definitions 6 and 1 (56.0 %). The criterion with higher SS (0.92) and SP (0.73) was definition 1.

Conclusion

Definition 1 was the most accurate criterion to case periodontitis definition to be applied to head and neck cancer individuals.

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Acknowledgments

We appreciate the support of Pró-Reitoria de Pesquisa da Universidade Federal de Minas Gerais for the English review.

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Authors and Affiliations

  1. Department of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais, Avenue Antônio Carlos 6627, Pampulha, 31270-901, Belo Horizonte, Minas Gerais, Brazil

    Audrey Cristina Bueno, Guilherme Carvalho Silva, Cláudia Silami Magalhães & Allyson Nogueira Moreira

  2. Department of Social and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais, Avenue Antônio Carlos 6627, Pampulha, 31270-901, Belo Horizonte, Minas Gerais, Brazil

    Raquel Conceição Ferreira

  3. Department of Periodontology, School of Dentistry, Federal University of Minas Gerais, Avenue Antônio Carlos 6627, Pampulha, 31270-901, Belo Horizonte, Minas Gerais, Brazil

    Luis Otávio Miranda Cota

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  1. Audrey Cristina Bueno
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  2. Raquel Conceição Ferreira
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  3. Luis Otávio Miranda Cota
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  4. Guilherme Carvalho Silva
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Correspondence to Audrey Cristina Bueno.

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Bueno, A.C., Ferreira, R.C., Cota, L.O.M. et al. Comparison of different criteria for periodontitis case definition in head and neck cancer individuals. Support Care Cancer 23, 2599–2604 (2015). https://doi.org/10.1007/s00520-015-2618-8

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  • DOI: https://doi.org/10.1007/s00520-015-2618-8

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