PMID- 10847533
OWN - NLM
STAT- MEDLINE
DCOM- 20000928
LR  - 20220409
IS  - 0303-6979 (Print)
IS  - 0303-6979 (Linking)
VI  - 27
IP  - 5
DP  - 2000 May
TI  - Community periodontal index of treatment needs and prevalence of periodontal 
      conditions.
PG  - 308-12
AB  - BACKGROUND/AIMS: In 1977, the World Health Organization (WHO) proposed a new 
      index, the community periodontal index of treatment needs (CPITN) to evaluate the 
      periodontal treatment needs of populations. The aim of this study is to compare 
      different approaches of recording and presenting the CPITN. METHODS: A sample of 
      2110 subjects aged 35-44 years were examined between September 1994 and July 
      1995, throughout the province of Quebec, Canada. For each tooth (3rd molars 
      excluded), the presence of bleeding and calculus, the level of epithelial 
      attachment, and the depth of periodontal pockets were measured. Periodontal 
      pocket depths were measured from the edge of the free gingiva, at 2 sites 
      (mesiovestibular and vestibular), as well as all around the tooth. RESULTS: Only 
      8.5% of adults had at least one tooth with a 6 mm or deeper periodontal pocket 
      when probing on 2 sites, whereas if probing is done all around the tooth, this 
      percentage is 2.5x higher (21.4%). The partial recording of pocket depths (10 
      index teeth recommended by WHO, or 2 quadrants chosen at random) resulted in an 
      underestimation of the prevalence of subjects with at least one tooth with a 
      periodontal pocket (CPITN score 3 and 4). Among subjects with at least one tooth 
      with a 6 mm or deeper periodontal pocket, 12% were not detected with the 10 index 
      teeth recording, and 25% go undetected with the measure on 2 quadrants. Finally, 
      using the % of subjects with periodontal pockets overestimates the prevalence of 
      deep pockets compared with using sextants. Indeed, close to 30.0% of sextants 
      have no treatment needs, whereas only 5.2% of subjects are in this category. 
      Similarly, 7.7% of sextants have at least one tooth with a 6 mm or deeper 
      periodontal pocket, yet there are 3x more subjects in this category (21.4%).
FAU - Benigeri, M
AU  - Benigeri M
AD  - Department of Social and Preventive Medicine, University of Montreal, Quebec, 
      Canada.
FAU - Brodeur, J M
AU  - Brodeur JM
FAU - Payette, M
AU  - Payette M
FAU - Charbonneau, A
AU  - Charbonneau A
FAU - Ismail, A I
AU  - Ismail AI
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Clin Periodontol
JT  - Journal of clinical periodontology
JID - 0425123
SB  - IM
MH  - Adult
MH  - Epidemiologic Methods
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Periodontal Diseases/*epidemiology
MH  - *Periodontal Index
MH  - Periodontal Pocket/diagnosis/epidemiology
MH  - Prevalence
MH  - Quebec/epidemiology
MH  - Reproducibility of Results
EDAT- 2000/06/10 09:00
MHDA- 2000/09/30 11:01
CRDT- 2000/06/10 09:00
PHST- 2000/06/10 09:00 [pubmed]
PHST- 2000/09/30 11:01 [medline]
PHST- 2000/06/10 09:00 [entrez]
AID - 10.1034/j.1600-051x.2000.027005308.x [doi]
PST - ppublish
SO  - J Clin Periodontol. 2000 May;27(5):308-12. doi: 
      10.1034/j.1600-051x.2000.027005308.x.