Yadalam Pradeep Kumar, Thirukkumaran Prathiksha Vedhavalli, Natarajan Prabhu Manickam, Ardila Carlos M
Department of Periodontics, Saveetha Dental College, SIMATS, Saveetha University, Chennai, India.
Saveetha Institute of Medical and Technical Science [SIMATS], Saveetha University, Chennai, India.
Front Oral Health. 2024 Sep 13;5:1462873. doi: 10.3389/froh.2024.1462873. eCollection 2024.
Untreated periodontitis significantly increases the risk of tooth loss, often delaying treatment due to asymptomatic phases. Recent studies have increasingly associated poor dental health with conditions such as rheumatoid arthritis, diabetes, obesity, pneumonia, cardiovascular disease, and renal illness. Despite these connections, limited research has investigated the relationship between appendicitis and periodontal disease. This study aims to predict appendicitis in patients with periodontal disease using biochemical and clinical parameters through the application of a light gradient boost tree classifier.
Data from 125 patient records at Saveetha Institute of Dental College and Medical College were pre-processed and analyzed. We utilized data preprocessing techniques, feature selection methods, and model development approaches to estimate the risk of appendicitis in patients with periodontitis. Both Random Forest and Light Gradient Boosting algorithms were evaluated for accuracy using confusion matrices to assess their predictive performance.
The Random Forest model achieved an accuracy of 94%, demonstrating robust predictive capability in this context. In contrast, the Light Gradient Boost algorithms achieved a significantly higher accuracy of 98%, underscoring their superior predictive efficiency. This substantial difference highlights the importance of algorithm selection and optimization in developing reliable predictive models. The higher accuracy of Light Gradient Boost algorithms suggests effective minimization of prediction errors and improved differentiation between appendicitis with periodontitis and healthy states. Our study identifies age, white blood cell count, and symptom duration as pivotal predictors for detecting concurrent periodontitis in acute appendicitis cases.
The newly developed prediction model introduces a novel and promising approach, providing valuable insights into distinguishing between periodontitis and acute appendicitis. These findings highlight the potential to improve diagnostic accuracy and support informed clinical decision-making in patients presenting with both conditions, offering new avenues for optimizing patient care strategies.
未经治疗的牙周炎会显著增加牙齿脱落的风险,由于无症状阶段,治疗往往会延迟。最近的研究越来越多地将口腔健康不佳与类风湿性关节炎、糖尿病、肥胖症、肺炎、心血管疾病和肾脏疾病等病症联系起来。尽管存在这些关联,但对阑尾炎与牙周病之间关系的研究却很有限。本研究旨在通过应用轻梯度提升树分类器,利用生化和临床参数预测牙周病患者患阑尾炎的风险。
对萨维塔牙科学院和医学院125份患者记录的数据进行预处理和分析。我们利用数据预处理技术、特征选择方法和模型开发方法来估计牙周炎患者患阑尾炎的风险。使用混淆矩阵评估随机森林和轻梯度提升算法的准确性,以评估它们的预测性能。
随机森林模型的准确率达到94%,在这种情况下显示出强大的预测能力。相比之下,轻梯度提升算法的准确率显著更高,达到了98%,突出了其卓越的预测效率。这一显著差异凸显了算法选择和优化在开发可靠预测模型中的重要性。轻梯度提升算法的更高准确率表明有效减少了预测误差,并改善了阑尾炎伴牙周炎与健康状态之间的区分。我们的研究确定年龄、白细胞计数和症状持续时间是检测急性阑尾炎病例中并发牙周炎的关键预测因素。
新开发的预测模型引入了一种新颖且有前景的方法,为区分牙周炎和急性阑尾炎提供了有价值的见解。这些发现凸显了提高诊断准确性的潜力,并支持对同时患有这两种疾病的患者进行明智的临床决策,为优化患者护理策略提供了新途径。