Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018)
The identification of the associative relationships between ischemic stroke (IS) and risk factors such as advanced age and periodontitis is essential to design real screening protocols and to address them using primary and secondary preventive policies. This study primarily aimed to evaluate the dia...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/3/520 |
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| author | Cristina Andrada Costea Ruxandra Christodorescu Andrada Soancă Alexandra Roman Iulia Cristina Micu Ștefan Ioan Stratul Darian Rusu Dora Maria Popescu Aurel Popa-Wagner Adriana Elena Bulboacă |
| author_facet | Cristina Andrada Costea Ruxandra Christodorescu Andrada Soancă Alexandra Roman Iulia Cristina Micu Ștefan Ioan Stratul Darian Rusu Dora Maria Popescu Aurel Popa-Wagner Adriana Elena Bulboacă |
| author_sort | Cristina Andrada Costea |
| collection | DOAJ |
| description | The identification of the associative relationships between ischemic stroke (IS) and risk factors such as advanced age and periodontitis is essential to design real screening protocols and to address them using primary and secondary preventive policies. This study primarily aimed to evaluate the diagnostic performance of the 2018 European Federation of Periodontology/American Academy of Periodontology (EFP/AAP) case definition in detecting periodontitis against the 2012 Centers for Disease Control and Prevention/American Academy of Periodontology (CDC/AAP) case definition in a group of IS patients. Secondarily, we report the periodontal status of IS patients and the associative relationship with respect to some risk factors. Patients with their first IS were assessed based on demographic data, medical, oral risk factors and periodontal parameters. The two case definitions were applied to identify the periodontitis burden. The agreement between the two case definition systems, as well as the misclassification ratio, were calculated. A total of 141 patients were included. According to the 2012 CDC/AAP and the 2018 EFP/AAP case definitions, a frequency of periodontitis of 98.5% and 97.8% based on two modalities of inclusion of cases in the severity groups, sensitivity values of 98.54% or 100%, and specificity values of 25% or 14.7% were calculated. Thus, the new case definition system has a higher capacity to detect periodontitis, especially the well-established forms. |
| first_indexed | 2024-03-09T23:42:35Z |
| format | Article |
| id | doaj.art-18c45882215e439797ab6cff8ba4e640 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T23:42:35Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-18c45882215e439797ab6cff8ba4e6402023-11-23T16:49:44ZengMDPI AGJournal of Clinical Medicine2077-03832022-01-0111352010.3390/jcm11030520Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018)Cristina Andrada Costea0Ruxandra Christodorescu1Andrada Soancă2Alexandra Roman3Iulia Cristina Micu4Ștefan Ioan Stratul5Darian Rusu6Dora Maria Popescu7Aurel Popa-Wagner8Adriana Elena Bulboacă9Department of Periodontology, Faculty of Dental Medicine, Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca, Victor Babeş St., No. 15, 400012 Cluj-Napoca, RomaniaInstitute of Cardiovascular Diseases Research Center, Victor Babeș University of Medicine and Pharmacy Timisoara, Bulevardul Revoluției, No. 12, 300024 Timisoara, RomaniaDepartment of Periodontology, Faculty of Dental Medicine, Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca, Victor Babeş St., No. 15, 400012 Cluj-Napoca, RomaniaDepartment of Periodontology, Faculty of Dental Medicine, Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca, Victor Babeş St., No. 15, 400012 Cluj-Napoca, RomaniaDepartment of Periodontology, Faculty of Dental Medicine, Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca, Victor Babeş St., No. 15, 400012 Cluj-Napoca, RomaniaDepartment of Periodontology, Anton Sculean Research Center of Periodontal and Peri-implant Diseases, Faculty of Dental Medicine, Victor Babeș University of Medicine and Pharmacy Timisoara, Bulevardul Revoluției din 1989, No. 9, 300230 Timisoara, RomaniaDepartment of Periodontology, Anton Sculean Research Center of Periodontal and Peri-implant Diseases, Faculty of Dental Medicine, Victor Babeș University of Medicine and Pharmacy Timisoara, Bulevardul Revoluției din 1989, No. 9, 300230 Timisoara, RomaniaDepartment of Periodontology, Faculty of Dental Medicine, University of Medicine and Pharmacy, Petru Rareș St., No. 2, 200349 Craiova, RomaniaChair of Vascular Neurology and Dementia Center, University of Medicine, Essen, Hufeland St., No. 55, 45122 Essen, GermanyDepartment of Pathophysiology, Iuliu Hațieganu University of Medicine and Pharmacy, Victor Babeș St., No. 2–4, 400012 Cluj-Napoca, RomaniaThe identification of the associative relationships between ischemic stroke (IS) and risk factors such as advanced age and periodontitis is essential to design real screening protocols and to address them using primary and secondary preventive policies. This study primarily aimed to evaluate the diagnostic performance of the 2018 European Federation of Periodontology/American Academy of Periodontology (EFP/AAP) case definition in detecting periodontitis against the 2012 Centers for Disease Control and Prevention/American Academy of Periodontology (CDC/AAP) case definition in a group of IS patients. Secondarily, we report the periodontal status of IS patients and the associative relationship with respect to some risk factors. Patients with their first IS were assessed based on demographic data, medical, oral risk factors and periodontal parameters. The two case definitions were applied to identify the periodontitis burden. The agreement between the two case definition systems, as well as the misclassification ratio, were calculated. A total of 141 patients were included. According to the 2012 CDC/AAP and the 2018 EFP/AAP case definitions, a frequency of periodontitis of 98.5% and 97.8% based on two modalities of inclusion of cases in the severity groups, sensitivity values of 98.54% or 100%, and specificity values of 25% or 14.7% were calculated. Thus, the new case definition system has a higher capacity to detect periodontitis, especially the well-established forms.https://www.mdpi.com/2077-0383/11/3/520strokecomorbiditiesperiodontal diagnosisperiodontitiscase definition |
| spellingShingle | Cristina Andrada Costea Ruxandra Christodorescu Andrada Soancă Alexandra Roman Iulia Cristina Micu Ștefan Ioan Stratul Darian Rusu Dora Maria Popescu Aurel Popa-Wagner Adriana Elena Bulboacă Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018) Journal of Clinical Medicine stroke comorbidities periodontal diagnosis periodontitis case definition |
| title | Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018) |
| title_full | Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018) |
| title_fullStr | Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018) |
| title_full_unstemmed | Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018) |
| title_short | Periodontitis in Ischemic Stroke Patients: Case Definition Challenges of the New Classification Scheme (2018) |
| title_sort | periodontitis in ischemic stroke patients case definition challenges of the new classification scheme 2018 |
| topic | stroke comorbidities periodontal diagnosis periodontitis case definition |
| url | https://www.mdpi.com/2077-0383/11/3/520 |
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