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Reliability assessment of the classification for facial peri- implant soft tissue dehiscence/deficiencies (PSTDs): A multi- center inter- rater agreement study of different skill- level practitioners
dc.contributor.authorBarootchi, Shayan
dc.contributor.authorMancini, Leonardo
dc.contributor.authorHeck, Teresa
dc.contributor.authorZucchelli, Giovanni
dc.contributor.authorStefanini, Martina
dc.contributor.authorKazarian, Emilia
dc.contributor.authorRasperini, Giulio
dc.contributor.authorWang, Hom-Lay
dc.contributor.authorTavelli, Lorenzo
dc.date.accessioned2022-09-26T16:04:17Z
dc.date.available2023-09-26 12:04:15en
dc.date.available2022-09-26T16:04:17Z
dc.date.issued2022-08
dc.identifier.citationBarootchi, Shayan; Mancini, Leonardo; Heck, Teresa; Zucchelli, Giovanni; Stefanini, Martina; Kazarian, Emilia; Rasperini, Giulio; Wang, Hom-Lay ; Tavelli, Lorenzo (2022). "Reliability assessment of the classification for facial peri- implant soft tissue dehiscence/deficiencies (PSTDs): A multi- center inter- rater agreement study of different skill- level practitioners." Journal of Periodontology 93(8): 1173-1182.
dc.identifier.issn0022-3492
dc.identifier.issn1943-3670
dc.identifier.urihttps://hdl.handle.net/2027.42/174823
dc.description.abstractBackgroundAlong with the popularity of dental implants, implant esthetic complications are also on the rise. Recently a classification was proposed to comprehensively evaluate these conditions, with the definition of peri- implant soft tissue dehiscence/deficiencies (PSTDs). The aim of this article was therefore to test the inter- examiner agreement when utilizing the established rubrics among 25 standardized cases and 34 clinicians of different skill levels.MethodsTwelve periodontal residents, 12 general dentists, and 10 periodontists participated in this study. All examiners were provided with photographs of 25 single PSTDs and asked to rate all cases based on the proposed classification at a single timepoint. Variance components analysis was conducted with multilevel regression fit in a Bayesian framework to obtain uncertainty intervals for fractional variance contributions and interclass correlation values (ICC) to assess the agreement in the rating of all cases, among all examiners, different skill- level practitioners, and to compare their responses relative to the judgment of a gold standard examiner.ResultsOverall, the results showed reproducible and consistent responses among the 34 examiners, and in each subgroup of skill- level, comparable to that of the gold examiner. Nevertheless, periodontists and residents were more likely to agree with the response of the gold standard examiner in their assessments of class and subclass of the PSTDs.ConclusionsThe proposed PSTD classification showed reproducible assessments among all examiners, and between examiners of the same skill- level. The response of the gold standard examiner was more in line with the assessment of the periodontists and periodontal residents.
dc.publisherWiley Periodicals, Inc.
dc.publisherSpringer
dc.subject.otherperiodontics
dc.subject.otherdental implants
dc.subject.otherdiagnosis
dc.subject.otheresthetics
dc.subject.otherevidence- based dentistry
dc.subject.othergingival recession
dc.titleReliability assessment of the classification for facial peri- implant soft tissue dehiscence/deficiencies (PSTDs): A multi- center inter- rater agreement study of different skill- level practitioners
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelDentistry
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/174823/1/jper10922.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/174823/2/jper10922_am.pdf
dc.identifier.doi10.1002/JPER.21-0606
dc.identifier.sourceJournal of Periodontology
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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