Evaluación de la reproducibilidad en el diagnóstico de enfermedad periodontal de acuerdo con los criterios de la clasificación (AAP y EFP) del 2017

Abstract

Introduction: Periodontal disease is a pathology that affects the tissues surrounding and supporting the teeth. The American Academy of Periodontology (AAP) in 2017 proposed a new classification, to diagnose: gingival health, gingivitis and periodontitis. For this reason, it is necessary to reach agreements among professionals at the time of diagnosis. Objective: The aim of this study was to evaluate the inter- and intra-operator reproducibility in the diagnosis of periodontal disease with the new classification. Materials and methods: Eleven participants (3 periodontists, 3 general dentists and 5 undergraduate students), using a gold standard, diagnosed 40 cases of patients attending the dental clinics of the Universidad Santo Tomás. A diagnostic technology evaluation was carried out where the participants were previously calibrated by means of training and finally a questionnaire was implemented where the participants indicated the diagnosis for each clinical case at 2 different times. Results: By means of a Kappa analysis for the general diagnosis, an almost perfect inter-operator reproducibility was obtained for periodontists, substantial for students and general dentists. In the intra-operator for students the lowest was substantial and the highest almost perfect, for general dentists it was moderate for the lowest and substantial for the highest and for periodontists almost perfect. Conclusions: The level of reproducibility was interoperator was highest among periodontists, followed by students and lowest in general dentists. Additionally, among all participants, agreement was higher when diagnosing more severe cases. The intra-operator agreement concluded that dentists and students are able to give a diagnosis.