Effect of patient age awareness on diagnostic agreement of chronic or aggressive periodontitis between clinicians; a pilot study

Sarah Oshman, Edgard El Chaar, Yoonjung Nicole Lee, Steven Engebretson

Research output: Contribution to journalArticle

Abstract

Background: The aim of this pilot study was to test whether diagnostic agreement of aggressive and chronic periodontitis amongst Board Certified Periodontists, is influenced by knowledge of a patient's age. In 1999 at the International World Workshop age was removed as a diagnostic criteria for aggressive periodontitis. The impact of this change on the diagnostic reliability amongst clinicians has not yet been assessed. Methods: Nine periodontal case reports were twice presented to sixteen board certified periodontists, once with age withheld and again with patient age provided. Participants were instructed to choose a diagnosis of Chronic Periodontitis or Aggressive Periodontitis. Diagnostic agreement was calculated using the Fleiss Kappa test. Results: Including the patients' age in case report information increased diagnostic agreement (the kappa statistic) from 0.49 (moderate agreement) to 0.61 (substantial agreement). Conclusion: These results suggest that knowledge of a patients' age influenced clinical diagnosis, when distinguishing between aggressive periodontitis and chronic periodontitis, which may in turn impact treatment decision-making.

Original languageEnglish (US)
Article number27
JournalBMC Oral Health
Volume17
Issue number1
DOIs
StatePublished - Jul 25 2016

Keywords

  • Aggressive periodontitis
  • Chronic periodontitis
  • Periodontal diagnosis
  • Periodontal disease

ASJC Scopus subject areas

  • Dentistry(all)

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