Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
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Diagnostic accuracy of a combination of salivary hemoglobin levels, self-report questionnaires, and age in periodontitis screening

  • Maeng, You-Jin (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry) ;
  • Kim, Bo-Ra (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry) ;
  • Jung, Hoi-In (BK21 PLUS Project, Yonsei University College of Dentistry) ;
  • Jung, Ui-Won (Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry) ;
  • Kim, Hee Eun (Department of Dental Hygiene, Gachon University College of Health Science) ;
  • Kim, Baek-Il (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry)
  • Received : 2015.11.12
  • Accepted : 2015.12.24
  • Published : 2016.02.15
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Abstract

Purpose: This study evaluated the predictive performance of a combination of self-report questionnaires, salivary hemoglobin levels, and age as a non-invasive screening method for periodontitis. Methods: The periodontitis status of 202 adults was examined using salivary hemoglobin levels, responses to 10 questions on a self-report questionnaire, and the Community Periodontal Index (CPI). The ability of those two variables and the combination thereof with age to predict the presence of CPI scores of 3-4 and 4 was assessed using logistic regression and receiver operating characteristic (ROC) curve analysis. Results: CPI scores of 3-4 and 4 were present among 79.7% and 46.5% of the sample, respectively. The area under the ROC curves (AUROCs) of salivary hemoglobin levels for predicting prevalence of CPI scores of 3-4 and 4 were 0.63 and 0.67, respectively (with sensitivity values of 71% and 60% and specificity values of 56% and 72%, respectively). Two distinct sets of five questions were associated with CPI scores of 3-4 and 4, with AUROCs of 0.73 and 0.71, sensitivity values of 76% and 66%, and specificity values of 63% and 69%. The combined model incorporating both variables and age showed the best predictive performance, with AUROCs of 0.78 and 0.76, sensitivity values of 71% and 65%, and specificity values of 68% and 77% for CPI scores of 3-4 and 4, respectively. Conclusions: The combination of salivary hemoglobin levels and self-report questionnaires was shown to be a valuable screening method for detecting periodontitis.

Keywords

References

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