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The Efficiency of Half-mouth Examinations in Estimating the Prevalence of Periodontal Disease

Department of Dental Ecology, School of Dentistry, University of North Carolina, Chapel Hill, North Carolina 27514

Several studies, including the NIDR 1985 national survey of working adults, have used periodontal examinations of only two quadrants of the mouth to estimate the prevalence of periodontal conditions. To investigate the efficiency of half-mouth periodontal examinations, I compared the results from the examination of all teeth in a sample of 477 dentate elderly people with scores that would have been obtained if randomly selected pairs of quadrants had been examined instead. In this elderly dentate population, relatively little information would have been lost if diagonal half-mouth or same-side half-mouth scores instead of whole-mouth scores had been used to estimate the number or proportion of teeth with periodontal conditions. However, the proportion of people with the less prevalent conditions, i.e., deep pocketing and mobility, was underestimated slightly. Slightly less efficiency was also noted for the less prevalent conditions. These findings suggest that half-mouth recording may be useful for prevalence surveys, but cannot be recommended for incidence surveys or clinical trials, where incremental changes may be small.

REFERENCES

• Ainamo, J. and Ainamo, A. (1985): Partial Indices as Indicators of the Severity and Prevalence of Periodontal Disease, Int Dent J 35:322-326.[Medline] [Order article via Infotrieve]
• Ainamo, J.; Barmes, D.; Beagrie, G.; Cutress, T.; Martin, J.; and Sardo-Infirri, J. (1982): Development of the World Health Organization (WHO) Community Periodontal Index of Treatment Needs (CPITN), Int Dent J 32:281-291.[Medline] [Order article via Infotrieve]
• Alexander, A.G. (1970): Partial Mouth Recording of Gingivitis, Plaque and Calculus in Epidemiological Surveys, J Periodont Res 5:141-147.[Medline] [Order article via Infotrieve]
• Aucott, D.M. and Ashley, F.P. (1986): Assessment of the WHO Partial Recording Approach in Identification of Individuals Highly Susceptible to Periodontitis, Community Dent Oral Epidemiol 14:152-155.[Medline] [Order article via Infotrieve]
• Carlos, J.P.; Wolfe, M.D.; and Kingman, A. (1986): The Extent and Severity Index: a Simple Method for Use in Epidemiologic Studies of Periodontal Disease, J Clin Periodontol 13:500-505.[CrossRef][Medline] [Order article via Infotrieve]
• Chilton, N.W.; Fertig, J.W.; and Talbott, K. (1978): Partial and Full Mouth Recording of Gingivitis Scores, Pharm Therapeut Dent 3:39-44.
• Downer, M.C. (1972): The Relative Efficiencies of Some Periodontal Partial Recording Selections, J Periodont Res 7:334-340.[CrossRef][Medline] [Order article via Infotrieve]
• Gettinger, G.; Patters, M.R.; Testa, M.A.; Löe, H.; Anerud, A.; Boysen, H.; and Robertson, P.B. (1983): The Use of Six Selected Teeth in Population Measures of Periodontal Status, J Periodontol 54:155-159.[Medline] [Order article via Infotrieve]
• Goldberg, P.; Matsson, L.; and Anderson, H. (1985): Partial Recording of Gingivitis and Dental Plaque in Children of Different Ages and in Young Adults, Community Dent Oral Epidemiol 13:44-46.[Medline] [Order article via Infotrieve]
• Haffajee, A.D.; Socransky, S.S.; Goodson, J.M.; and Lindhe, J. (1985): Intraclass Correlations of Periodontal Measurements, J Clin Periodontol 12:216-224.[Medline] [Order article via Infotrieve]
• Hunt, R.J. (1986): Periodontal Treatment Needs in an Elderly Population in Iowa, Gerodontics 2:24-27.[Medline] [Order article via Infotrieve]
• Hunt, R.J.; Field, H.M.; and Beck, J.D. (1985): The Prevalence of Periodontal Conditions in a Non-institutionalized Elderly Population, Gerodontics 1:176-180.[Medline] [Order article via Infotrieve]
• Kelly, J.E. and Harvey, C.R. (1979): Basic Data on Dental Examination Findings of Persons 1-74 Years, United States, 1971-74. DHEW Publ. No. 79-1662, VHS Series 11, No. 214, Hyattsville, MD: National Center for Health Statistics.
• Mills, W.H.; Thompson, G.W.; and Beagrie, G.S. (1975): Partial-mouth Recording of Plaque and Periodontal Pockets, J Periodont Res 10:36-43.[Medline] [Order article via Infotrieve]
• Ramfjord, S.P. (1967): The Periodontal Disease Index (PDI), J Periodontol 38:602-610.[Medline] [Order article via Infotrieve]
• Russell, A.L. (1956): A System of Classification and Scoring for Prevalence Surveys of Periodontal Disease, J Dent Res 35:350-359.[Free Full Text]
• Socransky, S.S.; Haffajee, A.D.; Goodson, J.M.; and Lindhe, J. (1984): New Concepts of Destructive Periodontal Disease, J Clin Periodontol 11:21-32.[CrossRef][Medline] [Order article via Infotrieve]
• Spencer, A.J. (1980): Diagonal Half-mouth Recording of Restorative and Exodontic Needs, Community Dent Oral Epidemiol 8:123-127.[Medline] [Order article via Infotrieve]

Journal of Dental Research, Vol. 66, No. 5, 1044-1048 (1987)
DOI: 10.1177/00220345870660051101


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