ArticleJournal of periodontology2024
Validity of individual self-report oral health measures in assessing periodontitis for causal research applications.
Article in Journal of periodontology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Diagnostic Accuracy of Self-Reported Questionnaires for Detecting Periodontitis Across Multiple Cultures and Geographic Locations: A Systematic Review and Meta-Analysis.Journal of clinical periodontology · 2025Pooled it
- Population-scale characterization of the oral microbiome and associations with metabolic health.Nature communications · 2026Article
- Prevalence and associated factors of dental implant use in adults and older adults according to self-report and clinical examination: population-based study, SB Brasil 2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Multi-cohort evaluation of "Don't know" responders to self-report oral health questions: Implications for etiologic research.Journal of periodontology · 2026Observational
- Validity of a self-reported questionnaire for periodontal status in a Thai population.Journal of periodontology · 2025Article
- Cross-Sectional Clinical Validation of the Periodontal Disease Self-Report Measure.Community dentistry and oral epidemiology · 2025Article
- Oral Health Literacy: Decision-Making and Reading Comprehension Skills as the Determinants of Self-Reported Oral Health.Frontiers in dentistry · 2025Article
- The Association Between Periodontal Disease and Cardiovascular Disease: Insights From Imaging, Observational, and Genetic Data.JACC. Advances · 2024Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundSelf-reported measures of periodontitis developed for use in population surveillance are increasingly used in causal research. Numerous studies evaluate the validity of these measures against clinical parameters of periodontitis, yet few include validation parameters outside of multivariable models. Individual item validity is necessary to adequately inform use of these measures in causal research.
methodsWe used data from the National Health and Nutrition Examination Survey 2011-2014 in which dentate participants completed full-mouth periodontal examinations (N = 6966). We evaluated six self-report questionnaire items related to periodontal disease status against periodontitis case definitions developed by the Centers for Disease Control and Prevention and American Academy of Periodontology (CDC-AAP). We estimated the sensitivity and specificity of individual items using severe and moderate-to-severe periodontitis classifications. We additionally combined items to evaluate the validity of joint measures.
resultsSensitivity was highest when measures were evaluated against severe periodontitis. Self-rated oral health of fair/poor demonstrated the highest sensitivity for severe (0.60) and moderate-to-severe periodontitis (0.48). Specificity was highest when evaluated against moderate-to-severe periodontitis, with self-reported history of tooth mobility as the most specific measure (0.87 for severe disease; 0.92 for moderate-to-severe) followed by a history of bone loss (0.88 for severe; 0.91 for moderate-to-severe). Combining questions generally improved specificity at the expense of sensitivity.
conclusionsOur findings related to item-specific validity and the associated clinical profiles facilitate needed considerations for the use of self-reported measures of periodontitis in causal research. Additionally, item-specific validity can be used to inform assessments of misclassification bias within such investigations.
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Registered trials
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