Probing depth in periodontal pockets: In vitro evaluation of contributions to variability due to probe type and operator skill

Abstract

Periodontal probing aims at detecting the presence, type and gravity of periodontal diseases influencing distance between gingival margin and connective ligament. Measurements in vivo are affected by substantial uncertainty, owing, for example, to probe features, anatomic variations and operator’s skill. Inadequate reproducibility in periodontal probing may lead to diagnostic mistakes and inappropriate therapeutic decisions. In vitro evaluation of reproducibility of measurements of periodontal pockets was aimed at while developing a Periodontal Calibration Box designed to calibrate periodontal probe operators, catering also for simulating contraction observed in vivo. Probe type and clinical experience of operators were found to affect substantially probing errors.

Keywords

Periodontal probe calibration device probe evaluation operator effect

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References

Newman

Takei

Carranza

. Carranza’s clinical periodontology. 10th ed. Los Angeles, CA: Elsevier, 2006, pp.550–582.

Gargiulo

Krajewski

Gargiulo

. Defining biologic width in crown lengthening. CDS Rev 1995; 88(5): 20–23.

Al Shayeb

Turner

Gillam

. Periodontal probing: a review. Prim Dent J 2014; 3(3): 25–29.

Parr

Pipe

Watts

. Periodontal maintenance therapy (ed Armitage

). 2nd ed. Berkeley, CA: Praxis, 1982.

Tomasi

Leyland

Wennstrom

. Factors influencing the outcome of non-surgical periodontal treatment: a multilevel approach. J Clin Periodontol 2007; 34(8): 682–690.

JCGM 200:2012. International vocabulary of metrology—basic and general concepts and associated terms (VIM). Sèvres: Joint Committee for Guides in Metrology, 2012.

JCGM 100:2008. Evaluation of measurement data—guide to the expression of uncertainty in measurement (GUM). Sèvres: Joint Committee for Guides in Metrology, 2008.

Tukey

. Exploratory data analysis. Reading, PA: Addison-Wesley, 1977, pp.32–39.

Müller

Genta

Barbato

. Reaming process improvement and control: an application of statistical engineering. CIRP J Manuf Sci Technol 2012; 5(3): 196–201.

10.

Chauvenet

. A manual of spherical and practical astronomy. Philadelphia, PA: J. B. Lippincott & Co., 1863, pp.474–566.

11.

Simonton

Williams

. A histologic study of the gum in pyorrhea. J Am Dent Assoc 1925; 12: 129–153.

12.

Agrawal

Sanikop

Patil

. New developments in tools for periodontal diagnosis. Int Dent J 2012; 62(2): 57–64.

13.

Silva-Boghossian

Amaral

Maia

. Manual and electronic probing of the periodontal attachment level in untreated periodontitis: a systematic review. J Dent 2008; 36(8): 651–657.

14.

Mayfield

Bratthall

Attstrom

. Periodontal probe precision using 4 different periodontal probes. J Clin Periodontol 1996; 23(2): 76–82.

15.

Armitage

. Manual periodontal probing in supportive periodontal treatment. Periodontol 2000 1996; 12: 33–39.

16.

Linch

Hinders

McCombs

. Clinical comparison of an ultrasonographic periodontal probe to manual and controlled-force probing. Measurement 2006; 39: 429–439.

17.

Andrade

Espinoza

Gomez

. Intra- and inter-examiner reproducibility of manual probing depth. Braz Oral Res 2012; 26(1): 57–63.

18.

Larsen

Barendregt

Slot

. Probing pressure, a highly undervalued unit of measure in periodontal probing: a systematic review on its effect on probing pocket depth. J Clin Periodontol 2009; 36(4): 315–322.

19.

Drucker

Prieto

Kao

. Periodontal probing calibration in an academic setting. J Dent Educ 2012; 76(11): 1466–1473.

20.

Samuel

Griffiths

Petrie

. In vitro accuracy and reproducibility of automated and conventional periodontal probes. J Clin Periodontol 1997; 24(5): 340–345.

21.

Buduneli

Ciotanar

. Plasminogen activators and plasminogen activator inhibitors in gingival crevicular fluid of cyclosporin A-treated patients. J Clin Periodontol 2004; 31(7): 556–561.