Definição de casos de periodontite a partir do exame periodontal simplificado - Revisão de literatura

Abstract

The Periodontal Screening and Recording (PSR) examination was developed to facilitate screening for the detection of periodontal diseases. Its simplicity in execution has led researchers to use it in assessing periodontal status. The aim of this work was to conduct a systematic literature review of clinical studies defining cases of periodontitis based on the simplified periodontal examination. Articles were selected by searching the following bibliographic databases: PubMed (www.ncbi.nlm.nih.gov/pubmed); Lilacs (https://lilacs.bvsalud.org); Scopus (https://www.scopus.com/home.uri); and Medline (https://bvsms.saude.gov.br/minibanners/medline/) from 2010 to October 2023, using the keywords "periodontal screening and recording" and "PSR" individually and "PSR" in combination with "periodontitis." The bibliographic search was refined using inclusion criteria: publications in English and clinical studies in humans. After reviewing titles and abstracts, 45 studies were considered valid for this review. The identified studies were cohort, case-control, longitudinal, cross-sectional, exploratory descriptive studies that assessed periodontal conditions in patients with chronic kidney disease on dialysis, hospitalized patients, geriatric patients, phenylketonuria patients, diabetes mellitus patients, rheumatoid arthritis patients, smokers, pregnant women, and hypertensive individuals; associations with cytokine levels in saliva; effects of periodontal therapy; and the relationship between dietary choices and periodontal status. Most studies considered individuals with PSR scores of 3 and 4 in sextants as having periodontitis. Despite PSR not being a detailed periodontal examination that records probing depth and clinical attachment loss at six sites per tooth, it has been widely used in clinical research to assess periodontal conditions.