A Proposed New Index for Clinical Evaluation of Interproximal Soft Tissues: The Interdental Pressure Index
The interdental pressure index (IPI) is introduced to specifically evaluate clinical interproximal-tissue conditions and assess the effect of interproximal hygiene stimulation. This index scores clinical responses of periodontal tissues to the apical pressure of a horizontally placed periodontal pro...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | International Journal of Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2014/345075 |
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| author | Checchi Luigi Montevecchi Marco Marucci Gianluca Checchi Vittorio |
| author_facet | Checchi Luigi Montevecchi Marco Marucci Gianluca Checchi Vittorio |
| author_sort | Checchi Luigi |
| collection | DOAJ |
| description | The interdental pressure index (IPI) is introduced to specifically evaluate clinical interproximal-tissue conditions and assess the effect of interproximal hygiene stimulation. This index scores clinical responses of periodontal tissues to the apical pressure of a horizontally placed periodontal probe. It is negative when gingival tissues are firm, bleeding-free, and slightly ischemic by the stimulation; otherwise it is positive. The clinical validation showed high intraoperator agreement (0.92; 95% CI: 0.82–0.96; P=0.0001) and excellent interoperator agreement (0.76; 95% CI: 0.14–1.38; P=0.02). High internal consistency with bleeding on probing (κ=0.88) and gingival index (Cronbach’s α=0.81) was obtained. Histological validation obtained high sensitivity (100%) and specificity (80%) for IPI+ toward inflammatory active form. The same results were recorded for IPI− toward chronic inactive form. IPI results as a simple and noninvasive method with low error probability and good reflection of histological condition that can be applied for oral hygiene motivation. Patient compliance to oral hygiene instructions is essential in periodontal therapy and IPI index can be a practical and intuitive tool to check and reinforce this important aspect. |
| format | Article |
| id | doaj-art-2ca0c10e737349f69af97b82b8c7b232 |
| institution | Kabale University |
| issn | 1687-8728 1687-8736 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Dentistry |
| spelling | doaj-art-2ca0c10e737349f69af97b82b8c7b2322025-02-03T06:11:21ZengWileyInternational Journal of Dentistry1687-87281687-87362014-01-01201410.1155/2014/345075345075A Proposed New Index for Clinical Evaluation of Interproximal Soft Tissues: The Interdental Pressure IndexChecchi Luigi0Montevecchi Marco1Marucci Gianluca2Checchi Vittorio3Department of Periodontology & Implantology, DIBINEM, Alma Mater Studiorum-University of Bologna, Via San Vitale 59, 40100 Bologna, ItalyDepartment of Periodontology & Implantology, DIBINEM, Alma Mater Studiorum-University of Bologna, Via San Vitale 59, 40100 Bologna, ItalySection of Pathology, Department of Haematology and Oncological Sciences, Bellaria Hospital, University of Bologna, Via Altura 3, 40100 Bologna, ItalyDepartment of Medical Sciences, University of Trieste, Piazza dell’Ospitale 1, 34100 Trieste, ItalyThe interdental pressure index (IPI) is introduced to specifically evaluate clinical interproximal-tissue conditions and assess the effect of interproximal hygiene stimulation. This index scores clinical responses of periodontal tissues to the apical pressure of a horizontally placed periodontal probe. It is negative when gingival tissues are firm, bleeding-free, and slightly ischemic by the stimulation; otherwise it is positive. The clinical validation showed high intraoperator agreement (0.92; 95% CI: 0.82–0.96; P=0.0001) and excellent interoperator agreement (0.76; 95% CI: 0.14–1.38; P=0.02). High internal consistency with bleeding on probing (κ=0.88) and gingival index (Cronbach’s α=0.81) was obtained. Histological validation obtained high sensitivity (100%) and specificity (80%) for IPI+ toward inflammatory active form. The same results were recorded for IPI− toward chronic inactive form. IPI results as a simple and noninvasive method with low error probability and good reflection of histological condition that can be applied for oral hygiene motivation. Patient compliance to oral hygiene instructions is essential in periodontal therapy and IPI index can be a practical and intuitive tool to check and reinforce this important aspect.http://dx.doi.org/10.1155/2014/345075 |
| spellingShingle | Checchi Luigi Montevecchi Marco Marucci Gianluca Checchi Vittorio A Proposed New Index for Clinical Evaluation of Interproximal Soft Tissues: The Interdental Pressure Index International Journal of Dentistry |
| title | A Proposed New Index for Clinical Evaluation of Interproximal Soft Tissues: The Interdental Pressure Index |
| title_full | A Proposed New Index for Clinical Evaluation of Interproximal Soft Tissues: The Interdental Pressure Index |
| title_fullStr | A Proposed New Index for Clinical Evaluation of Interproximal Soft Tissues: The Interdental Pressure Index |
| title_full_unstemmed | A Proposed New Index for Clinical Evaluation of Interproximal Soft Tissues: The Interdental Pressure Index |
| title_short | A Proposed New Index for Clinical Evaluation of Interproximal Soft Tissues: The Interdental Pressure Index |
| title_sort | proposed new index for clinical evaluation of interproximal soft tissues the interdental pressure index |
| url | http://dx.doi.org/10.1155/2014/345075 |
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