Differential diagnosis between chronic versus aggressive periodontitis and staging of aggressive periodontitis: A cross-sectional study
Autor: | Vivek Gupta, Srinivas Sulugodu Ramachandra, Dhoom Singh Mehta, Kalyan C Gundavarapu, Nibali Luigi |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Cross-sectional study diagnosis Orthodontics 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Aggressive periodontitis Statistical analysis 030212 general & internal medicine variations business.industry chronic periodontitis 030206 dentistry staging medicine.disease Chronic periodontitis lcsh:RK1-715 lcsh:Dentistry Periodontics Original Article Oral Surgery Differential diagnosis business Oral medicine |
Zdroj: | Contemporary Clinical Dentistry, Vol 8, Iss 4, Pp 594-603 (2017) Contemporary Clinical Dentistry |
ISSN: | 0976-2361 |
Popis: | Background: Differentiating between chronic periodontitis (CP) and aggressive periodontitis (AgP) is challenging. The aim of this study was to assess the variations in diagnosis between CP versus AgP and the staging of AgP based on the disease-staging index for AgP among periodontists, specialists in oral medicine, and general dental practitioners (GDPs). Materials and Methods: Fifteen cases diagnosed as either CP or AgP were included in a “case document” and sent electronically to 75 respondents. Case document included a detailed history with periodontal charting, clinical features, images, and radiographs for all the cases. Diagnosis and staging for the case (if diagnosed as AgP) were requested. A reordered case document (cases in a different sequence) was again sent to respondents after a gap of 1 month. Statistical analysis: Descriptive statistics including frequency and percentage were calculated. Pearson's Chi-square test was used to analyze the data collected. Results: For the “case document,” 10.17% of the responses were different from those of the authors for diagnosis, whereas 4.48% of the responses were different from those of the authors for the staging of AgP. The agreement in the overall responses was in the range of 0.69–0.84, which was considered good. Comparison of the responses for diagnosis showed statistically significant (P = 0.009) difference between specialists in oral medicine and GDPs. Conclusions: Variations exist among respondents regarding the diagnosis of CP versus AgP. Staging of AgP based on the listed criteria showed low variations. |
Databáze: | OpenAIRE |
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