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Early tooth loss after periodontal diagnosis : development and validation of a clinical decision model

datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorSantos, Francisco
dc.contributor.authorBeato, Frederico
dc.contributor.authorMachado, Vanessa
dc.contributor.authorProença, Luís
dc.contributor.authorMendes, José João
dc.contributor.authorBotelho, João
dc.date.accessioned2025-09-18T11:55:01Z
dc.date.available2025-09-18T11:55:01Z
dc.date.issued2021-02
dc.description.abstractThe aim of this study was to develop and validate a predictive early tooth loss multivariable model for periodontitis patients before periodontal treatment. A total of 544 patients seeking periodontal care at the university dental hospital were enrolled in the study. Teeth extracted after periodontal diagnosis and due to periodontal reasons were recorded. Clinical and sociodemographic variables were analyzed, considering the risk of short-term tooth loss. This study followed the transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD) guidelines for development and validation, with two cohorts considered as follows: 455 patients in the development phase and 99 in the validation phase. As a result, it was possible to compute a predictive model based on tooth type and clinical attachment loss. The model explained 25.3% of the total variability and correctly ranked 98.9% of the cases. The final reduced model area under the curve (AUC) was 0.809 (95% confidence interval (95% CI): 0.629–0.989) for the validation sample and 0.920 (95% CI: 0.891–0.950) for the development cohort. The established model presented adequate prediction potential of early tooth loss due to periodontitis. This model may have clinical and epidemiologic relevance towards the prediction of tooth loss burden.eng
dc.identifier.citationSantos F, Beato F, Machado V, Proença L, Mendes JJ, Botelho J. Early Tooth Loss after Periodontal Diagnosis: Development and Validation of a Clinical Decision Model. International Journal of Environmental Research and Public Health. 2021; 18(3):1363. https://doi.org/10.3390/ijerph18031363
dc.identifier.doi10.3390/ijerph18031363
dc.identifier.issn1660-4601
dc.identifier.urihttp://hdl.handle.net/10400.26/58718
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/ijerph18031363
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectperiodontal disease
dc.subjectperiodontitis
dc.subjectearly tooth loss
dc.subjectpredictive model
dc.subjectrisk factors
dc.subjectoral health
dc.subjectpublic health
dc.subjectepidemiology
dc.titleEarly tooth loss after periodontal diagnosis : development and validation of a clinical decision modeleng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue3
oaire.citation.startPage1363
oaire.citation.titleInternational Journal of Environmental Research and Public Health
oaire.citation.volume18
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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