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A SCREENING EXAMINATION FOR DETECTION OF GINGIVAL AND PERIODONTAL BREAKDOWN AND LOCAL IRRITANTS
SCHOOL OF AEROSPACE MEDICINE BROOKS AFB TX
Methods of detecting gingival and periodontal breakdown and periodontal irritants were studied 1 With a comprehensive periodontal examination used as a criterion, three screening examinations for the detection of periodontal disorders were evaluated. Two systems, the mesial and the mesial plus distal proved 94.1 and 98.0 accurate. 2 By use of the mesial screening system, inter- and intra-examiner consistency between examinations on the same individual was considered. 3 Agreement of the periodontists on scoring disease was checked. 4 General dentists were trained in the use of the mesial screening system and the system for scoring local irritants. After 3 hours of training, six dentists independently assessed 20 subjects on two occasions. With the chief investigators score used as the criterion, the participating dentists failed to detect advanced gingival or periodontal disease in only 3 of 78 subjects. When failures to refer and wrong referrals were combined, errors by dentist ranged from 10 to 30.
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