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Cited by 493Oral microbiology and periodontitis researchDental Health and Care UtilizationPeriodontal Regeneration and Treatments

The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.

A systematic review of definitions of periodontitis and methods that have been used to identify this disease

Savage, Amir, Eaton, Kenneth A., Moles, David R., Needleman, Ian·2009·Journal Of Clinical Periodontology
DOI 10.1111/j.1600-051x.2009.01408.x
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Abstract

OBJECTIVE: To perform a systematic review and critical analysis of the definitions of periodontitis and the methods which have been used to identify and measure this disease. MATERIAL AND METHODS: Relevant publications were identified after searching MEDLINE, EMBASE, SCISEARCH and LILACS electronic databases. Screening of titles and abstracts and data extraction was conducted independently by two reviewers. To be included in the review, studies were required to define periodontitis and to indicate how it was measured. Studies that related purely to gingivitis, and/or intervention studies, and/or studies where prevalence or severity of periodontitis was not a principal outcome were excluded. RESULTS: From a total of 34,72 titles and abstracts, 104 potentially relevant full text papers were identified. Of these, 15 met the criteria for inclusion in the final stage of the review. The survey revealed heterogeneity between the studies in the measurement tools used, particularly the types of probes and the sites and areas of the mouth that were assessed. There was also heterogeneity in the use of clinical attachment loss (CAL) and pocket probing depth (PPD) as criteria for periodontitis. In the 15 studies, the threshold for a diagnosis of periodontitis when CAL was the criterion ranged from 2 to > or =6 mm and when PPD was used, from 3 to > or =6 mm. CONCLUSIONS: This review has confirmed previous work which has suggested that epidemiological studies of periodontal diseases are complicated by the diversity of methodologies and definitions used. The studies that were reviewed utilized a minimum diagnostic threshold defining periodontitis, at a given site in terms of CAL of 2 mm and PPD of 3 mm.

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Metadata

Authors
Savage, A., Eaton, K. A., Moles, D. R., & Needleman, I.
Affiliations
University College London (GB)
Corresponding author
Eaton, Kenneth A.
ORCID
Venue
Journal Of Clinical Periodontology
Publisher
Wiley
Published
2009-05-18
Volume
36
Issue
6
Pages
458-467
ISSN
  • 0303-6979 (ISSN-L)
  • 1600-051X
DOI
10.1111/j.1600-051x.2009.01408.x
OpenAlex
W2158345683
Cited by
493
References
51
Citations by year
2026: 8 · 2025: 23 · 2024: 17 · 2023: 33 · 2022: 30 · 2021: 31 · 2020: 34 · 2019: 34 · 2018: 33 · 2017: 37 · 2016: 40 · 2015: 28 · 2014: 39 · 2013: 28 · 2012: 36
FWCI
4.40
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal Of Clinical Periodontology (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Topics
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Dentistry › General Dentistry › Dental Health and Care Utilization
  • Health Sciences › Dentistry › Periodontics › Periodontal Regeneration and Treatments
Keywords
periodontitis, periodontitis diagnosis, clinical attachment loss, probing depth, diagnostic thresholds, periodontal probe
MeSH terms
Humans, Periodontal Index, Periodontal Pocket, Periodontitis, Research Design, Periodontal Attachment Loss

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