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Impact of clinical experience on the accuracy of probing depth measurements.
Seabra, Rodrigo Costa; Costa, Fernando Oliveira; Costa, José Eustáquio; Van Dyke, Thomas; Soares, Rodrigo Villamarim.
Afiliação
  • Seabra RC; Department of Oral Surgery and Pathology, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Quintessence Int ; 39(7): 559-65, 2008.
Article em En | MEDLINE | ID: mdl-19107263
OBJECTIVE: To evaluate the influence of examiner experience on the variability of periodontal probing depth measurements obtained by conventional manual probing. METHOD AND MATERIALS: Thirty subjects with a diagnosis of chronic periodontitis were evaluated by an experienced examiner using an electronic probe and randomly assigned to 3 groups. Examiners with different levels of experience (undergraduate students, postgraduate students, and associate professors) evaluated each group with a manual probe. Electronic and conventional probing were repeated 45 days after cause-related periodontal therapy. RESULTS: A total of 8,127 periodontal sites were evaluated at the baseline examination and reassessment. Agreement between methods was satisfactory at the baseline examination (kappa = 0.45; P < .001) and reassessment (kappa = 0.42; P < .001). The best agreement between electronic and manual probing at the baseline examination was obtained by the postgraduate students (kappa = 0.66) and at reassessment by the associate professors (kappa = 0.60). Undergraduate students obtained the lowest agreement values in both examinations (kappa = 0.42 and 0.11, respectively). CONCLUSION: Examiner experience has direct influence on the accuracy of measurements. Dental schools must evaluate if the methodology employed to teach the use of conventional manual probing is effectively qualifying their students for dental practice.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bolsa Periodontal / Competência Clínica Tipo de estudo: Clinical_trials / Diagnostic_studies / Guideline / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Quintessence Int Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bolsa Periodontal / Competência Clínica Tipo de estudo: Clinical_trials / Diagnostic_studies / Guideline / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Quintessence Int Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha