Evidence map›Paper›PMID 27620653›Full record

ArticleJournal of periodontology2017

Derivation and Validation of the Periodontal and Tooth Profile Classification System for Patient Stratification.

Thiago Morelli, Kevin L Moss, James Beck, John S Preisser, Di Wu, Kimon Divaris, Steven Offenbacher

Open access · greenAbstract readMulticenter StudyValidation Study
In one paragraph

Article in Journal of periodontology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Observational
  5. Article
  6. Article
  7. Article
  8. Inflammasome targeting for periodontitis prevention is sex dependent.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  11. Association of Dental Infections with Intracranial Atherosclerotic Stenosis.Cerebrovascular diseases (Basel, Switzerland) · 2024
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  12. Subtypes of early childhood caries predict future caries experience.Community dentistry and oral epidemiology · 2023
    Article
  13. Antepartum periodontitis treatment and risk of offspring screening positive for autism spectrum disorder.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Thiago MorelliDepartment of Periodontology, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Kevin L MossDepartment of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill.
James BeckCenter for Oral and Systemic Diseases, School of Dentistry, University of North Carolina at Chapel Hill.
John S PreisserDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill.
Di WuDepartment of Periodontology, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Kimon DivarisDepartment of Pediatric Dentistry, School of Dentistry, University of North Carolina at Chapel Hill.
Steven OffenbacherDepartment of Periodontology, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC.
University of North Carolina at Chapel Hill · USUniversity of North Carolina System · US

Funding

North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
Training Program for the Next Generation of Oral Health Researchers (NextGen)T90DE021986 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI EVERETT, ERIC T. · 2011 to 2017
$2.3M
Role of IL-37 Genetic Variants in Modulating Innate Immune Resp to Periodontal PaR01DE023836 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BARROS, SILVANA PEREIRA · 2014 to 2018
$1.9M
Training Program for the Next Generation of Oral Health Researches (NextGen)R90DE022527 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI EVERETT, ERIC T. · 2011 to 2016
$672k
GENOME-WIDE ASSOCIATION STUDY OF PERIODONTAL DISEASER01DE021418 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI OFFENBACHER, STEVEN · 2011 to 2012
$658k
IL29 and IL28B Variants Associated with Periodontal Disease PathogenesisK23DE025093 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORELLI, THIAGO · 2015 to 2017
$324k
NCATS NIH HHS UL1 TR001111NIDCR NIH HHS K23 DE025093NIDCR NIH HHS R01 DE021418NIDCR NIH HHS R01 DE023836NIDCR NIH HHS R90 DE022527NIDCR NIH HHS T90 DE021986
6 · The paper itself

Abstract

backgroundThe goal of this study is to use bioinformatics tools to explore identification and definition of distinct periodontal and tooth profile classes (PPCs/TPCs) among a cohort of individuals by using detailed clinical measures at the tooth level, including both periodontal measurements and tooth loss.

methodsFull-mouth clinical periodontal measurements (seven clinical parameters) from 6,793 individuals from the Dental Atherosclerosis Risk in Communities Study (DARIC) were used to identify PPC. A custom latent class analysis (LCA) procedure was developed to identify clinically distinct PPCs and TPCs. Three validation cohorts were used: NHANES (2009 to 2010 and 2011 to 2012) and the Piedmont Study population (7,785 individuals).

resultsThe LCA method identified seven distinct periodontal profile classes (PPCs A to G) and seven distinct tooth profile classes (TPCs A to G) ranging from health to severe periodontal disease status. The method enabled identification of classes with common clinical manifestations that are hidden under the current periodontal classification schemas. Class assignment was robust with small misclassification error in the presence of missing data. The PPC algorithm was applied and confirmed in three distinct cohorts.

conclusionsThe findings suggest PPC and TPC using LCA can provide robust periodontal clinical definitions that reflect disease patterns in the population at an individual and tooth level. These classifications can potentially be used for patient stratification and thus provide tools for integrating multiple datasets to assess risk for periodontitis progression and tooth loss in dental patients.

Indexed as

Severity of Illness IndexAgedDemographyFemaleHumansMaleMiddle AgedNutrition SurveysPeriodontal DiseasesPhenotypeTooth LossUnited StatesClassificationdiagnosisepidemiologygingivitisperiodontitisprognosis

Identifiers

PMID27620653
PMCPMC5288277
OpenAlexW2520086700

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.