ArticleJournal of clinical periodontology2015
Bias in estimating the cross-sectional smoking, alcohol, obesity and diabetes associations with moderate-severe periodontitis in the Atherosclerosis Risk in Communities study: comparison of full versus partial-mouth estimates.
Article in Journal of clinical periodontology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- The impact of periodontitis on physical fitness: a systematic review.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2026Pooled it
- Elevated Salivary Theobromine and Long-Term Improvement of Periodontal Health in Two Cohort Studies.Journal of clinical periodontology · 2026Article
- The Interplay Between Periodontitis, Caries and Dental Restorations in an Adult Population.Journal of clinical periodontology · 2026Article
- Periodontitis and Systemic Disease: The Impact of Covariate Selection.Journal of dental research · 2026Article
- Multiple Imputation for Partial Recording Periodontal Examination Protocols.JDR clinical and translational research · 2024Article
- Periodontitis prevalence and associated factors: a comparison of two examination protocols.Acta odontologica latinoamericana : AOL · 2022Article
- Bilateral Internal Carotid Arteries Occlusion: A Case Report.JNMA; journal of the Nepal Medical Association · 2022Article
- Accuracy and precision of using partial-mouth recordings to study the prevalence, extent and risk associations of untreated periodontitis.The Saudi dental journal · 2022Article
- Accuracy of Estimating Periodontitis and Its Risk Association Using Partial-Mouth Recordings for Surveillance Studies: A Systematic Review and Meta-Analysis.International journal of dentistry · 2022Article
- Trends in socioeconomic inequality of periodontal health status among Dutch adults: a repeated cross-sectional analysis over two decades.BMC oral health · 2021Article
- Is Continuous Eruption Related to Periodontal Changes? A 16-Year Follow-up.Journal of dental research · 2021Article
- Impact of Powered Toothbrush Use and Interdental Cleaning on Oral Health.Journal of dental research · 2021Article
- Periodontal disease, smoking, cardiovascular complications and mortality in type 1 diabetes.Journal of diabetes and its complications · 2019Article
- Exposure to Adverse Childhood Experiences and Oral Health Measures in Adulthood: Findings from the 2010 Behavioral Risk Factor Surveillance System.JDR clinical and translational research · 2019Article
- Association between severity of periodontitis and clinical activity in rheumatoid arthritis patients: a case-control study.Arthritis research & therapy · 2019Article
- Is there an occupational status gradient in the development of periodontal disease in Japanese workers? A 5-year prospective cohort study.Journal of epidemiology · 2017Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo assess whether partial-mouth protocols (PRPs) result in biased estimates of the associations between smoking, alcohol, obesity and diabetes with periodontitis.
methodsUsing a sample (n = 6129) of the 1996-1998 Atherosclerosis Risk in Communities study, we used measures of probing pocket depth and clinical attachment level to identify moderate-severe periodontitis. Adjusting for confounders, unconditional binary logistic regression estimated prevalence odds ratios (POR) and 95% confidence limits. Specifically, we compared POR for smoking, alcohol, obesity and diabetes with periodontitis derived from full-mouth to those derived from 4-PRPs (Ramfjörd, National Health and Nutrition Examination survey-III, modified-NHANES-IV and 42-site-Random-site selection-method). Finally, we conducted a simple sensitivity analysis of periodontitis misclassification by changing the case definition threshold for each PRP.
resultsIn comparison to full-mouth PORs, PRP PORs were biased in terms of magnitude and direction. Holding the full-mouth case definition at moderate-severe periodontitis and setting it at mild-moderate-severe for the PRPs did not consistently produce POR estimates that were either biased towards or away from the null in comparison to full-mouth estimates.
conclusionsPartial-mouth protocols result in misclassification of periodontitis and may bias epidemiologic measures of association. The magnitude and direction of this bias depends on choice of PRP and case definition threshold used.
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