Adult Patient Risk Stratification Using a Risk Score for Periodontitis.

Abstract:

BACKGROUND:There is a need for analytical tools predicting the risk of periodontitis. The purpose of this study was to estimate and evaluate a risk score for prediction of periodontitis. MATERIALS AND METHODS:This case-cohort study included a random sample of 155 cases (with periodontitis) and 175 controls (randomly sampled from the study population at baseline) that were followed for 3-year. A logistic regression model was used with estimation of the risk ratio (RR) for each potential predictor. RESULTS:The risk model included the predictors "age > 53 years" (RR = 0.53), "smoking" (RR = 2.9), "gingivitis at baseline" (RR = 3.1), "subgingival calculus at baseline" (RR = 1.9), "history of periodontitis" (RR = 2.3), and "less than 2 observations in the first year of follow-up" (RR = 3.7). Patients were distributed into three risk groups based on the preanalysis risk: low risk, moderate risk, and high risk. The risk score discrimination (95% confidence interval (CI)) was 0.75 (0.70; 0.80) (p < 0.001, C-statistic). CONCLUSIONS:The risk score estimated in the present study enabled to identify patients at higher risk of experiencing periodontitis and may be considered a useful tool for both clinicians and patients.

journal_name

J Clin Med

authors

de Araújo Nobre M,Ferro A,Maló P

doi

10.3390/jcm8030307

subject

Has Abstract

pub_date

2019-03-05 00:00:00

issue

3

issn

2077-0383

pii

jcm8030307

journal_volume

8

pub_type

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