Clinical trial NCT06188884: Staging and Grading of Periodontitis: Five Years Later
Official title: 2018 Classification of Periodontitis Cases: Staging and Grading in Daily Dental Practice of Periodontists, Clinicians With Expertise in Periodontics and General Dental Practitioners
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Periodontal Diseases
Periodontitis
Keywords: periodontitis
classification
periodontal diseases
diagnosis
Lead sponsor: University of Roma La Sapienza
Sponsor class: OTHER
First posted: 2024-01-03
Enrollment: 500
Sex: ALL
Minimum age (years): 23
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Periodontists, Clinicians With Expertise in Periodontics General Dental Practitioners

Brief summary: The goal of this observational study is to investigate the ability of Periodontists, Clinicians with Expertise in Periodontics and General Dental Practitioners to diagnose periodontitis using the 2017 AAP / EFP World Workshop classification of periodontal diseases.

The purpose of this study is to conduct a online survey in order to:

1. investigate Italian dentists' knowledge on the new classification of periodontal diseases.
2. evaluate the reliability of the diagnosis between different examiners in classifying periodontitis;
3. evaluate the accuracy of the use of grading in the diagnosis of periodontitis;
4. evaluate diagnostic accuracy of staging application in classifying periodontitis.

Detailed description: Four well-documentated clincial cases will be presented to Italian dentists (Periodontists, Clinicians with Expertise in Periodontics and General Dental Practitioners) through online survey to obtain a Clinical application of the 2018 classification of periodontal diseases Each participant will be asked to diagnose periodontitis using staging and grading for each clinical case.

Each periodontal case will be documentated according a previous study (Marini et al. 2022) specifing:

Age; Systemic diseases (presence/absence); Cigarette consumption ( \<10 cig/day or \>10cig/day); Tooth mobility (presence/absence) Tooth migration (presence/absence) Number of tooth loss due periodontitis (0; \<4; \> 5) Gingival bleeding (presence/absence) Familiarity for periodontitis

Each periodontal case will be presented showing:

Intra-oral photographs; Full-mouth periapical radiographs; Periodontal chart

Eligibility criteria: Inclusion Criteria:

Periodontists, Clinicians With Expertise in Periodontics General Dental Practitioners

Primary outcomes:
measure: evaluate the reliability of the diagnosis between different examiners in classifying periodontitis;
timeFrame: at the moment of the diagnosis
measure: evaluate diagnostic accuracy of the use of staging in the diagnosis of periodontitis;
timeFrame: at the moment of the diagnosis
measure: evaluate diagnostic accuracy of the use of grading in the diagnosis of periodontitis;
timeFrame: at the moment of the diagnosis
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
References:
citation: Abrahamian L, Pascual-LaRocca A, Barallat L, Valles C, Herrera D, Sanz M, Nart J, Figuero E. Intra- and inter-examiner reliability in classifying periodontitis according to the 2018 classification of periodontal diseases. J Clin Periodontol. 2022 Aug;49(8):732-739. doi: 10.1111/jcpe.13618. Epub 2022 Jun 22.
citation: Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H, Herrera D, Kao RT, Kebschull M, Kinane DF, Kirkwood KL, Kocher T, Kornman KS, Kumar PS, Loos BG, Machtei E, Meng H, Mombelli A, Needleman I, Offenbacher S, Seymour GJ, Teles R, Tonetti MS. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S173-S182. doi: 10.1002/JPER.17-0721.
citation: Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018 Jun;89 Suppl 1:S159-S172. doi: 10.1002/JPER.18-0006.
citation: Marini L, Tonetti MS, Nibali L, Sforza NM, Landi L, Cavalcanti R, Rojas MA, Pilloni A. Implementation of a software application in staging and grading of periodontitis cases. Oral Dis. 2024 Mar;30(2):719-728. doi: 10.1111/odi.14370. Epub 2022 Sep 20.