It is routinely carried out in dentistry and allied specialties. This may be the most reasonable explanation for the operational characteristics observed. Following this, the periodontal parameters such as probing pocket depth, clinical attachment level, and russells periodontal index were evaluated using williams probe. Introduction the periodontal index pi was developed by russel a. Ccnumber 45 this weeks citation classicnovember 5, 1979. The periodontal status of the participants were analyzed and recorded which included oral hygiene indexsimplified ohis, gingival index, pocket depth, clinical attachment loss and russells periodontal index. A comparison of a modified periodontal scoring system with. This difference was found to be highly statistically significant periodontal index by a. The mouth is divided into six segments, and the highest score found for any one of the teeth in a segment is recorded as the. Periodontal index definition of periodontal index by. Seattle, washington based russells index began in 1984 when the.
It has also been reported that in some situations periodontal screening instruments may overestimate disease 6,8,14,15,16,17,18, landry rg, jean m. Patients diagnosed with chronic periodontitis were eligible for the study. Russell, from the national institute of dental and craniofacial. L oral indices are essentially set of values, usually numerical with maximum. Periodontal health of 125 participants with type2 diabetes mellitus was measured by the number of missing teeth, community periodontal index cpi, russells periodontal index and papillary bleeding index. Gregory departments of bacteriology and statistics, university of melbourne, australia summaryan analysis. The mean value of periodontal index russells periodontal index in the study group 3. The pbs was found to be the most reliable index both intra and interexaminer for measuring the gingival health status. Cutoff limit increased to 2 mm for reasons of examiner reliability. Correlation between obesity and periodontitis in middle. Epidemiology and indices of gingival and periodontal disease aapd. The reliability of several of the indices has been tested. Periodontal status amongst substance abusers in indian. Periodontal index russells periodontal index in the study group3.
Periodontal indices have evolved from the simple russells index to the current usage of measurement of clinical attachment level in. Comparison of periodontal status russells periodontal index in study and control group. The russells rule states that when in doubt assign the lesser score. Russell periodontal index an index that estimates the degree of periodontal disease present in the mouth by measuring both bone loss around the teeth and gingival inflammation. Periodontal epidemiological indices for children and adolescents. Rusells periodontal index developed by rusell ai in 1956. Insofar as the word clinical connotes therapy or treatment, a discussion of the. Periodontal index pi is out of place in a conference on. Periodontal indices have evolved from the simple russells index to the current usage of measurement of clinical attachment level in the recording of indices.
Only six selected teeth were scored and the analysis of the data showed no bias in the new method when compared with russells periodontal index. Each patients mouth was divided equally into two halves. View the article pdf and any associated supplements and figures for a period of 48 hours. A periodontal examination is a clinical examination of the periodontium. The same investigator performed all data collection and examinations. The unit of study in epidemiology is the population, and not the individual. Abstracts on this page have been chosen and edited by dr trevor watts. The russell periodontal index pi russell, 1956 was used for the global assessment of periodontal status and inflammatory changes in the supporting tissues of. A modified scoring system for the assessment of periodontal disease was compared with russells periodontal index on a group of 854 subjects. The study that used the total dental index and the study that. According to russell, 9 an index is a numerical value describing the relative.
Russell periodontal index rusel, an index that estimates the degree of periodontal disease present in the mouth by measuring both bone loss around the teeth and gingival inflammation. Russell designed and tested the periodontal index as an epidemiological tool in which all teeth were examined and scored using five welldistinguished. The periodontal disease index is a clinicians modification of russell s pi in dex for epidemiological surveys of perio dontal disease. Gingival index and russells periodontal index scores were collected for each subject. The use of dichotomous measurements and the genetic susceptibility index are the new additions to the periodontal indices. Russell insofar as the word clinical connotes therapy or treatment, a discussion of the periodontal index pi is out of place in a conference on clinical methods. It was developed over a period of ten years prior to publication during its gestation it was trimmed from a 30minute procedure requiring an extensive armamentarium to a oneminute inspection conducted mostly with a dental mirror. Periodontal and gingival parameters in young adults with acute. Simultaneously, sigurd ramfjord introduced the periodontal disease index, a tooth and sitespecific measurement tool.
School of public health and school of dentistry, university of michigan. Contrary to russells periodontal index, the periodontal disease index was essentially a clinical tool that used a periodontal probe 66, with marks hhs public access author manuscript periodontol 2000. The most well known index of the series is the russell 2000 which track us smallcap stocks and is made up of the bottom 2,000 stocks in the russell 3000 index. Emphasis is placed on recording of the attachment level of the periodontal tis. According to russell, 9 an index is a numerical value describing the relative status of the population on a scale with a definitive upper and lower level. Use the link below to share a fulltext version of this article with your friends and colleagues. Evaluation of periodontal and hematological findings in. Russells periodontal index, marginal bone loss and plaque index at baseline were positively and significantly correlated to the longitudinal tooth loss, whilst age, the number of missing teeth in 1970 and the number of school years showed a significant negative correlation to number of teeth lost between 1970 and 1990. Periodontal disease was registered by means of russells periodontal index and debris and calculus by greene and vermillions oral hygiene index. The criteria employed in the modified system were the same as those described by russell. Epidemiology and indices of gingival and periodontal disease. Periodontal disease should be measured using loss of attachment, not pocket depth. Collection of saliva participants were asked to refrain from drinking or ea ting half an hour before collection of saliva sample.
Russell chose the scoring values as 0,1,2,4,6,8 in order to relate the stage of the disease in an epidemiological survey to the clinical conditions observed. Suffixes used to indicate diagnostic and surgical procedures 23 terms. One study used bone loss, and the other three used selfreported periodontal disease. A periodontal examination is a clinical examination of the periodontium gums. The first attempts to measure periodontal diseases at the population level were made in the late 1950s, using russells periodontal index, an innovative recording system that scored the presence and severity of both gingival bleeding and pocket depth 6871, also known as composite indices. Both the index proposed by russell and the index proposed by ramfjord have criteria based on gingival inflammation as well as loss of periodontal attachment. By using indices which have been carefully defined, comparisons can be made between different population groups. The pdi index is primarily concerned with an accurate assessment of the periodontal status of the individual per son. Probing is restricted to the mesialfaeial line angle of each tooth. The risk factors for old men and women to develop hypertension were 90%, among those who survived to ages 65 to 89 years.
Russell 1960 defined a periodontal index as a number describing the relative status of a population on a graduated scale with definite upper and lower limits. Periodontal indices have evolved from the simple russells index to the current usage of measurement of clinical attachment level in the. Another possibility is to distinguish between gingival inflammation and periodontal disease and record gingivitis and loss of attachment separately. Information on sociodemographic factors, oral hygiene behavior, duration and compliance to self management of diabetes, levels of. The authors stated, the main obstacle in comparison of our results and other studies is highlighted by the variety of protocols and lack of consistency in the use of periodontal indices. Recording and surveillance systems for periodontal diseases. Three studies used russells periodontal index rpi, which is a nonprobing index. Periodontal indices article about periodontal indices by.
Periodontal indices have evolved from the simple russell s index to the current usage of measurement of clinical attachment level in. Gingival periodontal index gpi, oleary the gpi was developed to screen the need for periodontal treatment. Pi developed by russell, 9 are based on gingival in flammation and loss of periodontal attachment table. Community periodontal index of treatment needs and prevalence of periodontal conditions. Community periodontal index of treatment needs a modification of ptns by the who 1982. Many different techniques are used around the world. To assess obesity, indicators such as body mass index, waist.
Russells periodontal index pi realising the lack of valid indices for determining the prevalence and epidemiological characteristics of periodontal diseases, russell developed the. American academy of periodontology standardized format for drug references following is a list of drugs generic and trade name that you may be using in your test items. Salivary and gingival crevicular fluid histatin in. The relationship between russells periodontal index and. The periodontal index was devised for this purpose. Russell periodontal index 1956 a composite index does not measure cal grades all pockets.