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Early Tooth Loss after Periodontal Diagnosis: Development and Validation of a Clinical Decision Model

Author

Listed:
  • Francisco Santos

    (Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal
    These authors contributed equally to this work.)

  • Frederico Beato

    (Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal
    These authors contributed equally to this work.)

  • Vanessa Machado

    (Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal
    Department of Periodontology, CRU, CiiEM, Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal
    Evidence-Based Hub, CRU, CiiEM, Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal)

  • Luís Proença

    (Evidence-Based Hub, CRU, CiiEM, Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal
    Quantitative Methods for Health Research (MQIS), CiiEM, Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal)

  • José João Mendes

    (Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal
    Evidence-Based Hub, CRU, CiiEM, Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal)

  • João Botelho

    (Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal
    Department of Periodontology, CRU, CiiEM, Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal
    Evidence-Based Hub, CRU, CiiEM, Egas Moniz—Cooperativa de Ensino Superior, CRL, 2829-511 Almada, Portugal)

Abstract

The aim of this study was to develop and validate a predictive early tooth loss multivariable model for periodontitis patients before periodontal treatment. A total of 544 patients seeking periodontal care at the university dental hospital were enrolled in the study. Teeth extracted after periodontal diagnosis and due to periodontal reasons were recorded. Clinical and sociodemographic variables were analyzed, considering the risk of short-term tooth loss. This study followed the transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD) guidelines for development and validation, with two cohorts considered as follows: 455 patients in the development phase and 99 in the validation phase. As a result, it was possible to compute a predictive model based on tooth type and clinical attachment loss. The model explained 25.3% of the total variability and correctly ranked 98.9% of the cases. The final reduced model area under the curve (AUC) was 0.809 (95% confidence interval (95% CI): 0.629–0.989) for the validation sample and 0.920 (95% CI: 0.891–0.950) for the development cohort. The established model presented adequate prediction potential of early tooth loss due to periodontitis. This model may have clinical and epidemiologic relevance towards the prediction of tooth loss burden.

Suggested Citation

  • Francisco Santos & Frederico Beato & Vanessa Machado & Luís Proença & José João Mendes & João Botelho, 2021. "Early Tooth Loss after Periodontal Diagnosis: Development and Validation of a Clinical Decision Model," IJERPH, MDPI, vol. 18(3), pages 1-9, February.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1363-:d:492037
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