Validation of a self-report questionnaire for periodontitis in a Japanese population

Abstract We aimed to assess the validity of the self-report questionnaire for periodontitis in a Japanese population. A Japanese 9-item self-report questionnaire, developed by translating English-version questions that were used to detect periodontitis, was validated against full-mouth clinically-as...

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Main Authors: Masanori Iwasaki, Michihiko Usui, Wataru Ariyoshi, Keisuke Nakashima, Yoshie Nagai-Yoshioka, Maki Inoue, Kaoru Kobayashi, Wenche S. Borgnakke, George W. Taylor, Tatsuji Nishihara
Format: Article
Language:English
Published: Nature Portfolio 2021-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-93965-4
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author Masanori Iwasaki
Michihiko Usui
Wataru Ariyoshi
Keisuke Nakashima
Yoshie Nagai-Yoshioka
Maki Inoue
Kaoru Kobayashi
Wenche S. Borgnakke
George W. Taylor
Tatsuji Nishihara
author_facet Masanori Iwasaki
Michihiko Usui
Wataru Ariyoshi
Keisuke Nakashima
Yoshie Nagai-Yoshioka
Maki Inoue
Kaoru Kobayashi
Wenche S. Borgnakke
George W. Taylor
Tatsuji Nishihara
author_sort Masanori Iwasaki
collection DOAJ
description Abstract We aimed to assess the validity of the self-report questionnaire for periodontitis in a Japanese population. A Japanese 9-item self-report questionnaire, developed by translating English-version questions that were used to detect periodontitis, was validated against full-mouth clinically-assessed periodontitis in 949 Japanese adults (average age = 43.2 years). Multivariable logistic regression modeling was used to calculate the area under the receiver operating characteristic curve (AUC), wherein the periodontitis case definition of the Centers for Disease Control and Prevention/American Academy of Periodontology was considered the gold standard. Severe, moderate, and mild periodontitis were identified in 6.2%, 30.0%, and 6.7% of the study population, respectively. Self-reported oral health questions combined with socio-demographic and health-related variables had an AUC > 0.70 (range, 0.71–0.87) for any periodontitis category. Four oral health questions (“have gum disease,” “loose tooth,” “lost bone,” and “bleeding gums”) were selected in the parsimonious model for severe periodontitis. The periodontitis screening score generated by the responses to these four questions had an AUC, sensitivity, and specificity of 0.82, 73.1%, and 74.3%, respectively, where the cut-off was set at 2 points. In conclusion, a locally adapted version of the self-report questionnaire had an acceptable diagnostic capacity for the detection of periodontitis in this study population.
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spelling doaj.art-8111502d01144218a118edba026985f92022-12-21T23:38:45ZengNature PortfolioScientific Reports2045-23222021-07-0111111210.1038/s41598-021-93965-4Validation of a self-report questionnaire for periodontitis in a Japanese populationMasanori Iwasaki0Michihiko Usui1Wataru Ariyoshi2Keisuke Nakashima3Yoshie Nagai-Yoshioka4Maki Inoue5Kaoru Kobayashi6Wenche S. Borgnakke7George W. Taylor8Tatsuji Nishihara9Tokyo Metropolitan Institute of GerontologyDivision of Periodontology, Kyushu Dental UniversityDivision of Infections and Molecular Biology, Kyushu Dental UniversityDivision of Periodontology, Kyushu Dental UniversityDivision of Infections and Molecular Biology, Kyushu Dental UniversityDental Center for Regional Medical Survey, Kyushu Dental UniversityGraduate School of Dentistry, MSc Program, Kyushu Dental UniversityDepartment of Periodontics and Oral Medicine, University of Michigan School of DentistryDivision of Oral Epidemiology and Dental Public Health, Department of Preventive and Restorative Dental Sciences, UCSF School of DentistryDental Center for Regional Medical Survey, Kyushu Dental UniversityAbstract We aimed to assess the validity of the self-report questionnaire for periodontitis in a Japanese population. A Japanese 9-item self-report questionnaire, developed by translating English-version questions that were used to detect periodontitis, was validated against full-mouth clinically-assessed periodontitis in 949 Japanese adults (average age = 43.2 years). Multivariable logistic regression modeling was used to calculate the area under the receiver operating characteristic curve (AUC), wherein the periodontitis case definition of the Centers for Disease Control and Prevention/American Academy of Periodontology was considered the gold standard. Severe, moderate, and mild periodontitis were identified in 6.2%, 30.0%, and 6.7% of the study population, respectively. Self-reported oral health questions combined with socio-demographic and health-related variables had an AUC > 0.70 (range, 0.71–0.87) for any periodontitis category. Four oral health questions (“have gum disease,” “loose tooth,” “lost bone,” and “bleeding gums”) were selected in the parsimonious model for severe periodontitis. The periodontitis screening score generated by the responses to these four questions had an AUC, sensitivity, and specificity of 0.82, 73.1%, and 74.3%, respectively, where the cut-off was set at 2 points. In conclusion, a locally adapted version of the self-report questionnaire had an acceptable diagnostic capacity for the detection of periodontitis in this study population.https://doi.org/10.1038/s41598-021-93965-4
spellingShingle Masanori Iwasaki
Michihiko Usui
Wataru Ariyoshi
Keisuke Nakashima
Yoshie Nagai-Yoshioka
Maki Inoue
Kaoru Kobayashi
Wenche S. Borgnakke
George W. Taylor
Tatsuji Nishihara
Validation of a self-report questionnaire for periodontitis in a Japanese population
Scientific Reports
title Validation of a self-report questionnaire for periodontitis in a Japanese population
title_full Validation of a self-report questionnaire for periodontitis in a Japanese population
title_fullStr Validation of a self-report questionnaire for periodontitis in a Japanese population
title_full_unstemmed Validation of a self-report questionnaire for periodontitis in a Japanese population
title_short Validation of a self-report questionnaire for periodontitis in a Japanese population
title_sort validation of a self report questionnaire for periodontitis in a japanese population
url https://doi.org/10.1038/s41598-021-93965-4
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