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External validation of periodontal screening using self-reports in dental settings

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorViana, João
dc.contributor.authorMachado, Vanessa
dc.contributor.authorLyra, Patrícia
dc.contributor.authorProença, Luís
dc.contributor.authorSu, Naichuan
dc.contributor.authorMendes, José João
dc.contributor.authorBotelho, João
dc.date.accessioned2026-05-07T15:00:06Z
dc.date.available2026-05-07T15:00:06Z
dc.date.issued2025-12
dc.description.abstractBackground/Objectives: This study aimed to externally validate the screening model for severe PD proposed by Verhulst in a Portuguese population, assessing its discriminative performance and clinical applicability. Methods: A cross-sectional study was conducted with 310 adults recruited from a university dental clinic in Portugal. The participants completed a validated self-reported oral health questionnaire (screening model) and underwent a full-mouth periodontal examination using the CPITN index, with severe PD defined as a score of 4. Model performance was evaluated for discrimination, calibration, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). Results: Of the 310 participants, 51% were diagnosed with severe PD. The Verhulst model showed an area under the curve (AUC) of 0.72 (95% CI: 0.67–0.77), with sensitivity and specificity of 0.709 (95% CI: 0.639–0.779) and 0.724 (95% CI: 0.651–0.796) and PPV and NPV of 0.727 (95% CI: 0.673–0.784) and 0.704 (95% CI: 0.651–0.764), respectively. Calibration was reasonable, with an observed-to-expected ratio of 1.10 (95% CI: 0.939–1.291). Conclusions: The model demonstrated acceptable external validity and could serve as a feasible screening tool for severe PD in Portuguese dental settings. Its integration may enhance early diagnosis and interdisciplinary care. Future studies should consider broader diagnostic criteria to refine accuracy.eng
dc.identifier.citationViana J, Machado V, Lyra P, Proença L, Su N, Mendes JJ, Botelho J. External Validation of Periodontal Screening Using Self-Reports in Dental Settings. Diagnostics. 2025; 15(23):3015. https://doi.org/10.3390/diagnostics15233015
dc.identifier.doi10.3390/diagnostics15233015
dc.identifier.issn2075-4418
dc.identifier.urihttp://hdl.handle.net/10400.26/63029
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/diagnostics15233015
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectperiodontitis
dc.subjectscreening model
dc.subjectself-reported questionnaire
dc.subjectprediction model
dc.subjectCPITN
dc.subjectoral health
dc.subjectmodel validation
dc.titleExternal validation of periodontal screening using self-reports in dental settingseng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue23
oaire.citation.startPage3015
oaire.citation.titleDiagnostics
oaire.citation.volume15
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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