Abstract
Background: Community-based periodontal examinations are not popular despite the high prevalence of periodontal disease among adults. This study examines the effectiveness of a novel salivary occult blood test (SOBT) as a screening method for periodontal status. Methods: Comprehensive health examinations were conducted in adult residents aged ≥40 years in Hisayama, Fukuoka, Japan; 1, 998 subjects, each with ≥20 teeth, were analyzed. A paper test strip was used to perform the SOBT and was followed by a periodontal examination. Results were ranked as negative or positive. Subjects with ≥15% of teeth with bleeding on probing (BOP) or ≥1 tooth with a probing depth (PD) ≥4 mm were defined as having a poor periodontal status. The relationship between the results of the SOBT and periodontal parameters and among other variables was examined. Results: The sensitivity and specificity of the SOBT in screening for poor periodontal status were 0.72 and 0.52, respectively. In a multivariate logistic regression analysis, the results of the SOBT were significantly associated with the proportion of teeth with BOP and the proportion of teeth with PD ≥4 mm, independent of age, sex, use of antihypertensive medication, use of antidiabetic medication or insulin therapy, and the number of decayed or filled teeth. Conclusion: The SOBT may offer a simple screening method for periodontal status when athorough periodontal examination is not possible, although it is not sufficiently specific to be a reasonable substitute for a periodontal examination.
| Original language | English |
|---|---|
| Pages (from-to) | 581-587 |
| Number of pages | 7 |
| Journal | Journal of periodontology |
| Volume | 82 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 1 2011 |
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All Science Journal Classification (ASJC) codes
- Periodontics
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Effectiveness of the salivary occult blood test as a screening method for periodontal status. / Shimazaki, Yoshihiro; Akifusa, Sumio; Takeshita, Toru; Shibata, Yukie; Doi, Yasufumi; Hata, Jun; Ninomiya, Toshiharu; Hirakawa, Yoichiro; Kiyohara, Yutaka; Yamashita, Yoshihisa.
In: Journal of periodontology, Vol. 82, No. 4, 01.04.2011, p. 581-587.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effectiveness of the salivary occult blood test as a screening method for periodontal status
AU - Shimazaki, Yoshihiro
AU - Akifusa, Sumio
AU - Takeshita, Toru
AU - Shibata, Yukie
AU - Doi, Yasufumi
AU - Hata, Jun
AU - Ninomiya, Toshiharu
AU - Hirakawa, Yoichiro
AU - Kiyohara, Yutaka
AU - Yamashita, Yoshihisa
PY - 2011/4/1
Y1 - 2011/4/1
N2 - Background: Community-based periodontal examinations are not popular despite the high prevalence of periodontal disease among adults. This study examines the effectiveness of a novel salivary occult blood test (SOBT) as a screening method for periodontal status. Methods: Comprehensive health examinations were conducted in adult residents aged ≥40 years in Hisayama, Fukuoka, Japan; 1, 998 subjects, each with ≥20 teeth, were analyzed. A paper test strip was used to perform the SOBT and was followed by a periodontal examination. Results were ranked as negative or positive. Subjects with ≥15% of teeth with bleeding on probing (BOP) or ≥1 tooth with a probing depth (PD) ≥4 mm were defined as having a poor periodontal status. The relationship between the results of the SOBT and periodontal parameters and among other variables was examined. Results: The sensitivity and specificity of the SOBT in screening for poor periodontal status were 0.72 and 0.52, respectively. In a multivariate logistic regression analysis, the results of the SOBT were significantly associated with the proportion of teeth with BOP and the proportion of teeth with PD ≥4 mm, independent of age, sex, use of antihypertensive medication, use of antidiabetic medication or insulin therapy, and the number of decayed or filled teeth. Conclusion: The SOBT may offer a simple screening method for periodontal status when athorough periodontal examination is not possible, although it is not sufficiently specific to be a reasonable substitute for a periodontal examination.
AB - Background: Community-based periodontal examinations are not popular despite the high prevalence of periodontal disease among adults. This study examines the effectiveness of a novel salivary occult blood test (SOBT) as a screening method for periodontal status. Methods: Comprehensive health examinations were conducted in adult residents aged ≥40 years in Hisayama, Fukuoka, Japan; 1, 998 subjects, each with ≥20 teeth, were analyzed. A paper test strip was used to perform the SOBT and was followed by a periodontal examination. Results were ranked as negative or positive. Subjects with ≥15% of teeth with bleeding on probing (BOP) or ≥1 tooth with a probing depth (PD) ≥4 mm were defined as having a poor periodontal status. The relationship between the results of the SOBT and periodontal parameters and among other variables was examined. Results: The sensitivity and specificity of the SOBT in screening for poor periodontal status were 0.72 and 0.52, respectively. In a multivariate logistic regression analysis, the results of the SOBT were significantly associated with the proportion of teeth with BOP and the proportion of teeth with PD ≥4 mm, independent of age, sex, use of antihypertensive medication, use of antidiabetic medication or insulin therapy, and the number of decayed or filled teeth. Conclusion: The SOBT may offer a simple screening method for periodontal status when athorough periodontal examination is not possible, although it is not sufficiently specific to be a reasonable substitute for a periodontal examination.
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UR - http://www.scopus.com/inward/citedby.url?scp=79955042198&partnerID=8YFLogxK
U2 - 10.1902/jop.2010.100304
DO - 10.1902/jop.2010.100304
M3 - Article
C2 - 21043793
AN - SCOPUS:79955042198
VL - 82
SP - 581
EP - 587
JO - Journal of Periodontology
JF - Journal of Periodontology
SN - 0022-3492
IS - 4
ER -