How Intraday Index Changes Influence Periodontal Assessment: A Preliminary Study
It is reputed that periodontal indices remain unchanged over a 24-hour period, with great clinical significance. This preliminary study analyzes daily index changes. In 56 selected patients, full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS), periodontal screening and recording (PSR) i...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | International Journal of Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2017/7912158 |
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| author | Carlo Bertoldi Andrea Forabosco Michele Lalla Luigi Generali Davide Zaffe Pierpaolo Cortellini |
| author_facet | Carlo Bertoldi Andrea Forabosco Michele Lalla Luigi Generali Davide Zaffe Pierpaolo Cortellini |
| author_sort | Carlo Bertoldi |
| collection | DOAJ |
| description | It is reputed that periodontal indices remain unchanged over a 24-hour period, with great clinical significance. This preliminary study analyzes daily index changes. In 56 selected patients, full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS), periodontal screening and recording (PSR) indices, and periodontal risk assessment (PRA) were recorded at baseline and three times per day (check-I: 08.30, check-II: 11.30, and check-III: 14.30), after appropriate cause-related therapy. Correlation between variables was statistically analyzed by Stata. All periodontal indices improved at the examination phase. Statistical differences were detected for FMPS comparing all thrice daily checks. Statistical differences were detected for FMBS and PRA comparing check-III with check-I and check-II. PSR showed no significant changes. The worst baseline indices produced the widest daily fluctuation at the examination phase. Significant variation of indices is directly related to clinical severity of periodontal conditions at baseline. Patients affected by severe periodontal disease may show significantly greater index changes. As indices are routinely recorded only once per day, the index daily variation has clinical significance. This greatly affects therapeutic strategy as correct periodontal assessment requires multiple evaluations at standardized times, particularly when baseline conditions are severe. |
| format | Article |
| id | doaj-art-96c762e5bc554c75ad6459c3d1e4eaef |
| institution | Kabale University |
| issn | 1687-8728 1687-8736 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Dentistry |
| spelling | doaj-art-96c762e5bc554c75ad6459c3d1e4eaef2025-08-20T03:37:28ZengWileyInternational Journal of Dentistry1687-87281687-87362017-01-01201710.1155/2017/79121587912158How Intraday Index Changes Influence Periodontal Assessment: A Preliminary StudyCarlo Bertoldi0Andrea Forabosco1Michele Lalla2Luigi Generali3Davide Zaffe4Pierpaolo Cortellini5Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Economics Marco Biagi, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, ItalyEuropean Research Group on Periodontology (ERGO Perio), Bern, SwitzerlandIt is reputed that periodontal indices remain unchanged over a 24-hour period, with great clinical significance. This preliminary study analyzes daily index changes. In 56 selected patients, full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS), periodontal screening and recording (PSR) indices, and periodontal risk assessment (PRA) were recorded at baseline and three times per day (check-I: 08.30, check-II: 11.30, and check-III: 14.30), after appropriate cause-related therapy. Correlation between variables was statistically analyzed by Stata. All periodontal indices improved at the examination phase. Statistical differences were detected for FMPS comparing all thrice daily checks. Statistical differences were detected for FMBS and PRA comparing check-III with check-I and check-II. PSR showed no significant changes. The worst baseline indices produced the widest daily fluctuation at the examination phase. Significant variation of indices is directly related to clinical severity of periodontal conditions at baseline. Patients affected by severe periodontal disease may show significantly greater index changes. As indices are routinely recorded only once per day, the index daily variation has clinical significance. This greatly affects therapeutic strategy as correct periodontal assessment requires multiple evaluations at standardized times, particularly when baseline conditions are severe.http://dx.doi.org/10.1155/2017/7912158 |
| spellingShingle | Carlo Bertoldi Andrea Forabosco Michele Lalla Luigi Generali Davide Zaffe Pierpaolo Cortellini How Intraday Index Changes Influence Periodontal Assessment: A Preliminary Study International Journal of Dentistry |
| title | How Intraday Index Changes Influence Periodontal Assessment: A Preliminary Study |
| title_full | How Intraday Index Changes Influence Periodontal Assessment: A Preliminary Study |
| title_fullStr | How Intraday Index Changes Influence Periodontal Assessment: A Preliminary Study |
| title_full_unstemmed | How Intraday Index Changes Influence Periodontal Assessment: A Preliminary Study |
| title_short | How Intraday Index Changes Influence Periodontal Assessment: A Preliminary Study |
| title_sort | how intraday index changes influence periodontal assessment a preliminary study |
| url | http://dx.doi.org/10.1155/2017/7912158 |
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