Scientific Papers
PreViser Papers
Assessing periodontal disease risk: A comparison of clinicians’ assessment versus a computerized tool. Persson, G.R., et al. Journal of the American Dental Association 2003; Vol. 134: 575-582.
The accuracy of subjective risk assessment, even when performed by periodontal experts, has been examined and compared to the validated PreViser technology. The results of this study were reported in the May 2003 issue of JADA.
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Validity and accuracy of a risk calculator in predicting periodontal disease. Page, R., et al. Journal of the American Dental Association 2002; Vol. 133: 569-576.
Successful application of the wellness model depends on an accurate and valid assessment of disease risk, as well as institution of risk reduction as an integral part of prevention and treatment. A computer based risk assessment tool has been developed. Use of the risk assessment tool over time may result in more uniform and accurate periodontal clinical decision making, improved oral health, reduction in the need for complex therapy, reduction in health care costs and a hastening of the transition from a repair model to a wellness model of care.
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Longitudinal validation of a risk calculator for periodontal disease. Page, R. et al. Journal of Clinical Periodontology 2003; 30: 819-827
Risk scores calculated using the PRC and information gathered during a standard periodontal examination predict future periodontal status with a high level of
accuracy and validity.
Use of the risk assessment tool over time may be expected to result in more uniform and accurate periodontal clinical decision-making, improved oral health, reduction in the need for complex therapy and reduction in health-care cost.
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The Oral Health Information Suite (OHIS): Its Use in the Management of Periodontal Disease. Page, R., Martin, J., and Loeb, C. Journal of Dental Education 2005;
69 (5): 495-619.
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Scientific Papers of General Interest
"On the Prevention of Caries and Periodontal Disease."
Results of a 15-year longitudinal study by P. Axelsson, J. Lindhe and B. Nyström.
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"Risk assessment and management of periodontal disease." Douglass, C. Journal of American Dental Association, 2006; 137: 27S-32S.
"The inclusion of a risk assessment tool in routine practice would add only a small amount of time to patient visits."
"Among the general public, use of a risk assessment instrument may help identify the 20 percent of patients in need of intervention to prevent or minimize development of more advanced periodontal disease."
"The practice of risk assessment allows dental care professionals the opportunity to improve dental and medical outcomes in the general population and in specific population groups by focusing on early identification and proactive targeted interventions."
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"Periodontal Page - A Risk Calculator for Periodontal Disease"and "Health Care Trends - Toward Evidence-Based Periodontal Therapy." Douglass, C. The Colgate Oral Care Report 2004; Vol. 14, Issue 2.
"Page and co-workers have created the Periodontal Risk Calculator (PRC), which uses a computer program to integrate information gathered during a routine oral examination to estimate a patient's risk of developing periodontal disease. The program requires the following patient information: age, smoking history, diabetes diagnosis, history of periodontal surgery, pocket depths, bleeding on probing, restorations below the gingival margin, root calculus, radiographic bone height, furcation involvements, and vertical bone lesions. An increased periodontal risk score at baseline correlated strongly with increased periodontal disease at years 3, 9 and 15. PRC risk scores are accurate predictors of future periodontal deterioration."
"Because the PRC has made such a great contribution to evidence-based dentistry, dentists and dental hygienists should become familiar with it and use it routinely. We now have a science-based method for holding back advanced treatment from certain patients, and for strongly recommending surgical and other advanced care for others who are equivocal. The PRC has established a higher standard of practice for the management of periodontal disease."
To view the two articles above, or for a list of Colgate Oral Care Report articles and professional continuing education, go to http://www.colgateprofessional.com/
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