Department of Periodontology, Faculty of Dentistry, Chulalongkorn University, 34 Henry Dunant Rd., Wangmai, Pathumwan, 10330, Bangkok, Thailand.
Center of Excellence in Periodontal Disease and Dental Implant, Chulalongkorn University, Bangkok, Thailand.
Clin Oral Investig. 2022 Dec;26(12):7021-7031. doi: 10.1007/s00784-022-04662-z. Epub 2022 Aug 9.
To evaluate the effectiveness of the simple flowcharts for practical periodontal diagnosis based on the 2018 new periodontal classification.
In this randomized two-period crossover trial, 152 participants assigned a periodontal diagnosis for 25 case scenarios using the flowcharts (test group) and using the consensus reports (control group). Self-confidence questionnaires were completed at the end of each period. Questionnaires about the perception of the flowcharts were completed at the end of the study. The accuracy of the diagnosis, the time used, and participants' confidence in assigning a diagnosis between using the flowcharts and using the consensus reports were compared.
The mixed model analysis indicated that using the flowcharts was associated with a significant increase in the accuracy of the periodontal diagnosis, compared with using the consensus reports (P = 0.008). After the subgroup analysis, a significant increase in the accuracy of the full diagnosis and the accuracy of periodontal health, gingivitis, and periodontitis identification was seen in only the dental students. The time used for making the diagnosis using flowcharts and using consensus reports was similar. The self-confidence scores significantly increased when using flowcharts for diagnosis.
The simple flowcharts are user-friendly tools that can aid clinicians in accurately assigning a periodontal diagnosis and improve clinicians' confidence in assigning a periodontal diagnosis using the new periodontal classification.
The flowcharts can be used for periodontal screening and assigning periodontal diagnosis using the new classification in routine practice.
评估基于 2018 年新牙周分类的实用牙周诊断简易流程图的有效性。
在这项随机两周期交叉试验中，152 名参与者使用流程图（试验组）和共识报告（对照组）对 25 个病例场景进行牙周诊断。在每个时期结束时完成自我信心问卷。在研究结束时完成关于流程图感知的问卷。比较了使用流程图和使用共识报告进行诊断时的诊断准确性、使用时间以及参与者对分配诊断的信心。
混合模型分析表明，与使用共识报告相比，使用流程图与牙周诊断准确性的显著提高相关（P=0.008）。经过亚组分析，仅在牙科学生中观察到全诊断和牙周健康、牙龈炎和牙周炎识别准确性的显著提高。使用流程图和使用共识报告进行诊断的时间相似。使用流程图进行诊断时，自我信心评分显著提高。
简单的流程图是用户友好的工具，可以帮助临床医生准确地进行牙周诊断，并提高临床医生使用新牙周分类进行牙周诊断的信心。
流程图可用于牙周筛查，并在常规实践中使用新分类进行牙周诊断。
