Bareja Harshita, Bansal Monika, Naveen Kumar P G
Unit of Periodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
2/4 Spring Grove, Handerson, Auckland, New Zealand.
J Family Med Prim Care. 2021 Feb;10(2):692-698. doi: 10.4103/jfmpc.jfmpc_1994_20. Epub 2021 Feb 27.
Conventional probes (CPs) have been considered acceptable as diagnostic tools to measure probing pocket depth (PPD) and clinical attachment level (CAL) but are affected by multiple variables. Electronic probes (EPs) provide controlled force, digital readout and data storage in computers. The objectives were to compare the reproducibility in the measurement of PPD and CAL by CP and the newly introduced CEJ handpiece of EP and intra-examiner and inter-examiner errors done in two phases.
Selected 720 periodontal sites in 1 molar of 30 persons with chronic periodontitis ≤4 mm and >4 mm pockets were analysed by two trained investigators in two phases at 2 hours difference by CP and CEJ handpiece of EP. Standard deviation, mean difference, correlation coefficient, value and student 't' test were done to analyse data.
The intra- examiner and inter-examiner analyses revealed that Pearson's correlation coefficient was above 0.080 and 0.722 in the ≤4 mm and >4 mm pockets, respectively. Mean difference was not statistically significant in both groups except in the intra- examiner findings in the 2 phase. Interprobe analysis depicted a standard error of mean of <0.03 in ≤4 mm pockets, whereas it varied from 0.047-0.056 in >4 mm pockets.
In conclusion, EP is advantageous for research purposes by providing automatic recording and long-term maintenance of data storage without the need of an assistant and patient education and motivation, whereas CP appears to be more useful in routine periodontal examination.
传统探针(CPs)被认为是测量探诊深度(PPD)和临床附着水平(CAL)的可接受的诊断工具,但会受到多种变量的影响。电子探针(EPs)可提供可控的力、数字读数并能在计算机中存储数据。目的是比较CP与新引入的EP的CEJ探头在测量PPD和CAL时的重复性,以及在两个阶段中检查者内和检查者间的误差。
选取30名慢性牙周炎患者,其1颗磨牙上有≤4mm和>4mm的牙周袋,共720个牙周部位,由两名经过培训的研究人员分两个阶段,间隔2小时,分别使用CP和EP的CEJ探头进行分析。采用标准差、平均差异、相关系数、 值和学生t检验对数据进行分析。
检查者内和检查者间分析显示,在≤4mm和>4mm的牙周袋中,Pearson相关系数分别高于0.080和高于至0.722。除了第二阶段的检查者内结果外,两组的平均差异均无统计学意义。探针间分析显示,≤4mm牙周袋的平均标准误差<0.03,而>4mm牙周袋的平均标准误差在0.047 - 0.056之间。
总之,EP有利于研究目的,因为它能自动记录并长期保存数据,无需助手以及对患者进行教育和激励,而CP在常规牙周检查中似乎更有用。