TY - JOUR
T1 - ACES
T2 - A new framework for the application of the 2018 periodontal status classification scheme to epidemiological survey data
AU - Holtfreter, Birte
AU - Kuhr, Kathrin
AU - Borof, Katrin
AU - Tonetti, Maurizio S.
AU - Sanz, Mariano
AU - Kornman, Kenneth
AU - Jepsen, Søren
AU - Aarabi, Ghazal
AU - Völzke, Henry
AU - Kocher, Thomas
AU - Krois, Joachim
AU - Papapanou, Panos N.
N1 - Publisher Copyright:
© 2024 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.
PY - 2024/5
Y1 - 2024/5
N2 - Aim: To propose a framework for consistently applying the 2018 periodontal status classification scheme to epidemiological surveys (Application of the 2018 periodontal status Classification to Epidemiological Survey data, ACES). Proposed Framework: We specified data requirements and workflows for either completed or planned epidemiological surveys, utilizing commonly collected measures of periodontal status (clinical attachment levels [CAL], probing depths, bleeding on probing), as well as additional necessary variables for the implementation of the 2018 periodontal status classification (tooth loss due to periodontitis and complexity factors). Following detailed instructions and flowcharts, survey participants are classified as having periodontal health, gingivitis or periodontitis. Rates of edentulism must also be reported. In cases of periodontitis, instructions on how to compute the stage and extent are provided. Assessment of grade can be derived from CAL measurements (or from radiographic alveolar bone loss data) in relation to root length and the participant's age. Conclusions: ACES is a framework to be used in epidemiological studies of periodontal status that (i) have been completed, and in which stage and grade according to the 2018 classification are inferred retroactively, or (ii) are being planned. Consistent use of the proposed comprehensive approach will facilitate the comparability of periodontitis prevalence estimates across studies.
AB - Aim: To propose a framework for consistently applying the 2018 periodontal status classification scheme to epidemiological surveys (Application of the 2018 periodontal status Classification to Epidemiological Survey data, ACES). Proposed Framework: We specified data requirements and workflows for either completed or planned epidemiological surveys, utilizing commonly collected measures of periodontal status (clinical attachment levels [CAL], probing depths, bleeding on probing), as well as additional necessary variables for the implementation of the 2018 periodontal status classification (tooth loss due to periodontitis and complexity factors). Following detailed instructions and flowcharts, survey participants are classified as having periodontal health, gingivitis or periodontitis. Rates of edentulism must also be reported. In cases of periodontitis, instructions on how to compute the stage and extent are provided. Assessment of grade can be derived from CAL measurements (or from radiographic alveolar bone loss data) in relation to root length and the participant's age. Conclusions: ACES is a framework to be used in epidemiological studies of periodontal status that (i) have been completed, and in which stage and grade according to the 2018 classification are inferred retroactively, or (ii) are being planned. Consistent use of the proposed comprehensive approach will facilitate the comparability of periodontitis prevalence estimates across studies.
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U2 - 10.1111/jcpe.13965
DO - 10.1111/jcpe.13965
M3 - Article
C2 - 38385950
AN - SCOPUS:85186417961
SN - 0303-6979
VL - 51
SP - 512
EP - 521
JO - Journal of Clinical Periodontology
JF - Journal of Clinical Periodontology
IS - 5
ER -