Clinical attachment loss may serve as a more precise, suitable, and pragmatic grading instrument for periodontitis: A clinical and radiographic validation study
ObjectiveThe present study was aimed at assessing the sensitivity and accuracy of using clinical attachment loss (CAL) as a substitute tool for grading periodontitis, instead of the interdental bone loss (BL) percentage derived from two-dimensional radiographs. MethodsOne hundred patients diagnosed...
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| مؤلفون آخرون: | , , , |
| التنسيق: | article |
| منشور في: |
2024
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| الموضوعات: | |
| الوصول للمادة أونلاين: | http://dx.doi.org/10.1016/j.jtumed.2024.11.009 https://www.sciencedirect.com/science/article/pii/S1658361224001434 http://hdl.handle.net/10576/64685 |
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| _version_ | 1857415087457828864 |
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| author | Meer, Rayan M. |
| author2 | Elboraey, Mohamed O. Aboalrejal, Afaf N. Al-Maweri, Sadeq A. Alqutaibi, Ahmed Y. |
| author2_role | author author author author |
| author_facet | Meer, Rayan M. Elboraey, Mohamed O. Aboalrejal, Afaf N. Al-Maweri, Sadeq A. Alqutaibi, Ahmed Y. |
| author_role | author |
| dc.creator.none.fl_str_mv | Meer, Rayan M. Elboraey, Mohamed O. Aboalrejal, Afaf N. Al-Maweri, Sadeq A. Alqutaibi, Ahmed Y. |
| dc.date.none.fl_str_mv | 2024-12-31 2025-05-04T08:08:12Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://dx.doi.org/10.1016/j.jtumed.2024.11.009 16583612 https://www.sciencedirect.com/science/article/pii/S1658361224001434 http://hdl.handle.net/10576/64685 1100-1107 6 19 |
| dc.language.none.fl_str_mv | en |
| dc.publisher.none.fl_str_mv | Elsevier |
| dc.rights.none.fl_str_mv | http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Classification Clinical attachment loss (CAL) Grade Periodontitis Radiograph |
| dc.title.none.fl_str_mv | Clinical attachment loss may serve as a more precise, suitable, and pragmatic grading instrument for periodontitis: A clinical and radiographic validation study |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | ObjectiveThe present study was aimed at assessing the sensitivity and accuracy of using clinical attachment loss (CAL) as a substitute tool for grading periodontitis, instead of the interdental bone loss (BL) percentage derived from two-dimensional radiographs. MethodsOne hundred patients diagnosed with periodontitis were included in the study. Periodontitis was graded according to the American Academy of Periodontology (AAP) 2017 classification. In the first part of this validation study, the BL percentage was calculated from periapical and panoramic radiographs and compared with cone beam computed tomography (CBCT). CAL was measured and divided by root length, and was subsequently used as a substitute for BL in periodontitis grading. The agreement and percentage agreement among CAL grading, periapical radiographs, panoramic radiographs, and CBCT grading were assessed. ResultsBoth the periapical and panoramic radiographs showed a lack of agreement with CBCT grading, whereas CAL grading showed a moderately higher level of agreement (fair agreement) with CBCT grading. ConclusionThe accuracy of two-dimensional imaging-based BL assessment for grading periodontitis appears questionable. In contrast, the ratio of CAL to root length might be a more accurate, user-friendly, and practical tool for grading periodontitis. However, further well-designed studies remain necessary to confirm the present results. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | qu_6b1c7eeec9e0e6c78b641b444f9e6305 |
| identifier_str_mv | 16583612 1100-1107 6 19 |
| language_invalid_str_mv | en |
| network_acronym_str | qu |
| network_name_str | Qatar University repository |
| oai_identifier_str | oai:qspace.qu.edu.qa:10576/64685 |
| publishDate | 2024 |
| publisher.none.fl_str_mv | Elsevier |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| spelling | Clinical attachment loss may serve as a more precise, suitable, and pragmatic grading instrument for periodontitis: A clinical and radiographic validation studyMeer, Rayan M.Elboraey, Mohamed O.Aboalrejal, Afaf N.Al-Maweri, Sadeq A.Alqutaibi, Ahmed Y.ClassificationClinical attachment loss (CAL)GradePeriodontitisRadiographObjectiveThe present study was aimed at assessing the sensitivity and accuracy of using clinical attachment loss (CAL) as a substitute tool for grading periodontitis, instead of the interdental bone loss (BL) percentage derived from two-dimensional radiographs. MethodsOne hundred patients diagnosed with periodontitis were included in the study. Periodontitis was graded according to the American Academy of Periodontology (AAP) 2017 classification. In the first part of this validation study, the BL percentage was calculated from periapical and panoramic radiographs and compared with cone beam computed tomography (CBCT). CAL was measured and divided by root length, and was subsequently used as a substitute for BL in periodontitis grading. The agreement and percentage agreement among CAL grading, periapical radiographs, panoramic radiographs, and CBCT grading were assessed. ResultsBoth the periapical and panoramic radiographs showed a lack of agreement with CBCT grading, whereas CAL grading showed a moderately higher level of agreement (fair agreement) with CBCT grading. ConclusionThe accuracy of two-dimensional imaging-based BL assessment for grading periodontitis appears questionable. In contrast, the ratio of CAL to root length might be a more accurate, user-friendly, and practical tool for grading periodontitis. However, further well-designed studies remain necessary to confirm the present results.أهداف البحث تهدف هذه الدراسة الحالية لتقييم حساسية ودقة استخدام فقدان الارتباط السريري كوسيلة بديلة لتصنيف درجة التهاب دواعم السن، مقارنة بنسبة فقدان العظم بين السني المستمدة من الصور الشعاعية ثنائية البعد. طرق البحث شملت الدراسة الحالية 100 مريض تم تشخيصهم بالتهاب دواعم السن. تم تصنيف التهاب دواعم السن وفقا لتصنيف الجمعية الامريكية لامراض دواعم السن لعام ٢٠١٧. في الجزء الاول من دراسة التحقق هذه، تم حساب نسبة فقدان العظم من الصور الشعاعية حول الذروية والبانورامية ومقارنتها بالتصوير المقطعي المحوسب المخروطي الحزمة. تم قياس فقدان الارتباط السريري وقسمته على طول الجذر لاستخدامه كبديل عن فقدان العظم في تصنيف درجة التهاب دواعم السن. تم تقييم التوافق ونسبة التوافق بين تصنيف فقدان الارتباط السريري والصور الشعاعية حول الذروية والصور البانورامية وتصنيف التصوير المقطعي المحوسب المخروطي الحزمة النتائج بينت كل من الصور الشعاعية حول الذروية والبانورامية عدم توافق مع تصنيف التصوير المقطعي المحوسب المخروطي الحزمة. في المقابل، بين تصنيف فقدان الارتباط السريري مستوى توافق معتدل (توافق مقبول) مع تصنيف التصوير المقطعي المحوسب المخروطي الحزمة. الاستنتاج تبدو دقة تقييم فقدان العظم المعتمد على الصور ثنائية البعد لتصنيف درجة التهاب دواعم السن موضع تساؤل. في المقابل، قد يكون قياس فقدان الارتباط السريري لطول الجذر وسيلة دقيقة وسهلة الاستخدام وعملية لتصنيف درجة التهاب دواعم السن. مع ذلك، لا تزال هناك حاجة لدراسات مصممة جيدا لتؤكد النتائج الحالية.Elsevier2025-05-04T08:08:12Z2024-12-31Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/j.jtumed.2024.11.00916583612https://www.sciencedirect.com/science/article/pii/S1658361224001434http://hdl.handle.net/10576/646851100-1107619enhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:qspace.qu.edu.qa:10576/646852025-05-06T05:17:00Z |
| spellingShingle | Clinical attachment loss may serve as a more precise, suitable, and pragmatic grading instrument for periodontitis: A clinical and radiographic validation study Meer, Rayan M. Classification Clinical attachment loss (CAL) Grade Periodontitis Radiograph |
| status_str | publishedVersion |
| title | Clinical attachment loss may serve as a more precise, suitable, and pragmatic grading instrument for periodontitis: A clinical and radiographic validation study |
| title_full | Clinical attachment loss may serve as a more precise, suitable, and pragmatic grading instrument for periodontitis: A clinical and radiographic validation study |
| title_fullStr | Clinical attachment loss may serve as a more precise, suitable, and pragmatic grading instrument for periodontitis: A clinical and radiographic validation study |
| title_full_unstemmed | Clinical attachment loss may serve as a more precise, suitable, and pragmatic grading instrument for periodontitis: A clinical and radiographic validation study |
| title_short | Clinical attachment loss may serve as a more precise, suitable, and pragmatic grading instrument for periodontitis: A clinical and radiographic validation study |
| title_sort | Clinical attachment loss may serve as a more precise, suitable, and pragmatic grading instrument for periodontitis: A clinical and radiographic validation study |
| topic | Classification Clinical attachment loss (CAL) Grade Periodontitis Radiograph |
| url | http://dx.doi.org/10.1016/j.jtumed.2024.11.009 https://www.sciencedirect.com/science/article/pii/S1658361224001434 http://hdl.handle.net/10576/64685 |