PMID- 29630720
OWN - NLM
STAT- MEDLINE
DCOM- 20191126
LR  - 20191126
IS  - 1943-3670 (Electronic)
IS  - 0022-3492 (Linking)
VI  - 89
IP  - 7
DP  - 2018 Jul
TI  - The root coverage esthetic score: Intra-examiner reliability among dental 
      students and dental faculty.
PG  - 833-839
LID - 10.1002/JPER.17-0556 [doi]
AB  - BACKGROUND: The root coverage esthetic score (RES) was published in 2009 as an 
      esthetic scoring system to measure visible final outcomes of root coverage 
      procedures performed on Miller I and II recession defects. The aim of this study 
      was to evaluate the intra-examiner, intra-group, and inter-examiner reliability 
      of the RES when used among periodontal faculty, post-graduate students in 
      periodontology, and pre-doctoral DMD students when using the RES at Tufts 
      University School of Dental Medicine (TUSDM). METHODS: Thirty-three participants 
      (12 second-year DMD students, 11 periodontal residents, and 10 faculty members) 
      were assembled to evaluate 25 baseline and 6-month post-treatment outcomes of 
      mucogingival surgeries using the RES. Each projection was shown for 30 seconds 
      during which the participants were asked to use the RES scoring system to 
      evaluate the surgical outcomes. The results were then recorded on a standardized 
      worksheet grid. To test intra-examiner reliability, seven of the 25 projections 
      were shown twice. Intra-examiner reliability and inter-examiner reliability were 
      assessed using intraclass correlation coefficient using a two-way mixed effect 
      model, and stratified by education level. RESULTS: Post-graduate (PG) residents 
      had the highest tendency to agree with each other with an interclass correlation 
      (ICC) of 0.53 (95% confidence interval [CI] 0.36 to 0.74). DMD students had an 
      ICC: 0.51 (95% CI: 0.33 to 0.75), and PG faculty members produced an ICC: 0.41 
      (95% CI: 0.24 to 0.64). There was no statistically significant difference in ICC 
      among the three groups of participants (Kruskal-Wallis test, P = 0.2440). When 
      the data for each RES element were then combined, the mean ICC for the total 
      inter-rater agreement for RES was 0.48 (95% CI: 0.32 to 0.71). This corresponds 
      to an overall moderate agreement among all participants using the RES to evaluate 
      the 25 surgical outcomes. The intra-examiner reliability within each of the three 
      groups was quite high. The highest mean ICC was produced by PG faculty (0.908). 
      The mean ICCs for PG residents was 0.867, and the mean ICC for DMD students was 
      0.855. The Kruskal-Wallis test (P = 0.46) failed to find any statistical 
      difference in intra-examiner reliability among the three groups of participants. 
      CONCLUSIONS: The RES is a "moderately" reliable scoring system for mucogingival 
      treatments in a dental school setting and can be used even by operators with 
      different levels of periodontal experience. This scoring system can be repeated 
      by the same examiner to obtain reliable results.
CI  - (c) 2018 American Academy of Periodontology.
FAU - Isaia, Federica
AU  - Isaia F
AD  - Department of Periodontology, Tufts University School of Dental Medicine, Boston, 
      MA.
FAU - Gyurko, Robert
AU  - Gyurko R
AD  - Department of Periodontology, Tufts University School of Dental Medicine, Boston, 
      MA.
FAU - Roomian, Tamar C
AU  - Roomian TC
AD  - Division of Biostatistics and Experimental Design, Tufts University School of 
      Dental Medicine, Boston, MA.
FAU - Hawley, Charles E
AU  - Hawley CE
AD  - Department of Periodontology, Tufts University School of Dental Medicine, Boston, 
      MA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Periodontol
JT  - Journal of periodontology
JID - 8000345
SB  - IM
MH  - Esthetics
MH  - Faculty, Dental
MH  - *Gingival Recession
MH  - Humans
MH  - Reproducibility of Results
MH  - Students, Dental
OTO - NOTNLM
OT  - dental esthetics
OT  - gingiva
OT  - gingival recession
OT  - oral surgical procedures
OT  - tooth root
EDAT- 2018/04/10 06:00
MHDA- 2019/11/27 06:00
CRDT- 2018/04/10 06:00
PHST- 2017/09/19 00:00 [received]
PHST- 2017/11/15 00:00 [revised]
PHST- 2017/12/26 00:00 [accepted]
PHST- 2018/04/10 06:00 [pubmed]
PHST- 2019/11/27 06:00 [medline]
PHST- 2018/04/10 06:00 [entrez]
AID - 10.1002/JPER.17-0556 [doi]
PST - ppublish
SO  - J Periodontol. 2018 Jul;89(7):833-839. doi: 10.1002/JPER.17-0556.