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Differential Diagnosis between Chronic versus Aggressive Periodontitis and Staging of Aggressive Periodontitis: A Cross-sectional Study
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 i...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5754981/ https://www.ncbi.nlm.nih.gov/pubmed/29326511 http://dx.doi.org/10.4103/ccd.ccd_623_17 |
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author | Ramachandra, Srinivas Sulugodu Gupta, Vivek Vijay Mehta, Dhoom Singh Gundavarapu, Kalyan C Luigi, Nibali |
author_facet | Ramachandra, Srinivas Sulugodu Gupta, Vivek Vijay Mehta, Dhoom Singh Gundavarapu, Kalyan C Luigi, Nibali |
author_sort | Ramachandra, Srinivas Sulugodu |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5754981 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-57549812018-01-11 Differential Diagnosis between Chronic versus Aggressive Periodontitis and Staging of Aggressive Periodontitis: A Cross-sectional Study Ramachandra, Srinivas Sulugodu Gupta, Vivek Vijay Mehta, Dhoom Singh Gundavarapu, Kalyan C Luigi, Nibali Contemp Clin Dent Original Article 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. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5754981/ /pubmed/29326511 http://dx.doi.org/10.4103/ccd.ccd_623_17 Text en Copyright: © 2017 Contemporary Clinical Dentistry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Ramachandra, Srinivas Sulugodu Gupta, Vivek Vijay Mehta, Dhoom Singh Gundavarapu, Kalyan C Luigi, Nibali Differential Diagnosis between Chronic versus Aggressive Periodontitis and Staging of Aggressive Periodontitis: A Cross-sectional Study |
title | Differential Diagnosis between Chronic versus Aggressive Periodontitis and Staging of Aggressive Periodontitis: A Cross-sectional Study |
title_full | Differential Diagnosis between Chronic versus Aggressive Periodontitis and Staging of Aggressive Periodontitis: A Cross-sectional Study |
title_fullStr | Differential Diagnosis between Chronic versus Aggressive Periodontitis and Staging of Aggressive Periodontitis: A Cross-sectional Study |
title_full_unstemmed | Differential Diagnosis between Chronic versus Aggressive Periodontitis and Staging of Aggressive Periodontitis: A Cross-sectional Study |
title_short | Differential Diagnosis between Chronic versus Aggressive Periodontitis and Staging of Aggressive Periodontitis: A Cross-sectional Study |
title_sort | differential diagnosis between chronic versus aggressive periodontitis and staging of aggressive periodontitis: a cross-sectional study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5754981/ https://www.ncbi.nlm.nih.gov/pubmed/29326511 http://dx.doi.org/10.4103/ccd.ccd_623_17 |
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