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In this study, periodontal disease classifications of patients with periodontitis were performed using a mobile application and conventional methods. A total of 122 patients with periodontitis who presented to the Periodontology Clinic of the Faculty of Dentistry at Bolu Abant İzzet Baysal University were included in the study. The classification of periodontitis was carried out according to the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions and the EFP S3-level clinical practice guideline.
In the study, periodontal classification of 122 patients with periodontitis was performed using a mobile application (Peribrain) by a student, a clinical student (manual), and a clinician (manual). In the mobile application, the following parameters were assessed: age, presence of diabetes, smoking status, deepest periodontal pocket depth, interproximal attachment loss, tooth loss, furcation defects, bite collapse, tooth migration, radiographic interproximal bone loss (%), and vertical bone loss.
For classification, plaque index, gingival index, bleeding on probing, gingival recession, and clinical attachment level were measured in the patients. The results of the three groups were compared with each other.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| İntern group: Fifth-year dental studentswho performed for classification. | Periobrain: Fifth-year dental students using Periobrain for classification. |
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| Faculty member: Assistant professor who performed the classification. |
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| Periobrain: Fifth-year dental students using Periobrain for classification. | Faculty member: Assistant professor who performed the classification. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Classification | Other | Periodontal classifications performed manually and using a mobile application were compared. |
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| Measure | Description | Time Frame |
|---|---|---|
| Periodontal classification | Determination of the stage and grade of periodontitis according to the latest classification. | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| periodontal pocket depth (PPD) | Periodontal pocket depth measured in millimeters using a Williams periodontal probe. The distance from the gingival margin to the bottom of the periodontal pocket was recorded at each site. | Baseline |
| Bleeding on probing (BOP) |
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Inclusion Criteria:
Exclusion Criteria:
Individuals who had received periodontal treatment within the past six months
Individuals currently using antibiotics
Individuals with uncontrolled systemic diseases
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Patients with periodontitis were included in the study.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bolu Abant İzzet Baysal University | Bolu | 14030 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010510 | Periodontal Diseases |
| D004194 | Disease |
| D010518 | Periodontitis |
| ID | Term |
|---|---|
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Bleeding on probing assessed using a periodontal probe. After gently inserting the probe into the gingival sulcus and moving it laterally along the pocket wall, bleeding was recorded as present (+) or absent (-).pocket and gently moved laterally along the pocket wall. + is maximum and - is minimum. + indicates a worse outcome. |
| Baseline |
| Plaque index (PI) | Oral hygiene status assessed using the Plaque Index, which measures dental plaque accumulation adjacent to the gingival margin. Scores range from 0 (no plaque) to 3 (abundant plaque), with higher scores indicating poorer oral hygiene. | Baseline |
| Gingival index (GI) | Gingival inflammation assessed using the Löe and Silness Gingival Index. Each site was scored on a 0-3 scale, where 0 = normal gingiva and 3 = severe inflammation with edema, redness, and spontaneous bleeding. Higher scores indicate worsening gingival inflammation. | Baseline |
| Clinical attachment level (CAL) | Clinical attachment level measured in millimeters using a periodontal probe. CAL was calculated as the distance from the cementoenamel junction to the bottom of the periodontal pocket and used to assess periodontal tissue support loss. | Baseline |
| Gingival recession (GR) | Gingival recession is the apical migration of the gingival margin away from the cemento-enamel junction (CEJ), resulting in the exposure of the root surface of a tooth. | Baseline |