Evidence map›Paper›PMID 39614877›Full record

ArticleClinical oral investigations2024

Diagnostic delays of periodontitis and associated factors: a cross-sectional study.

Omar A Al-Karadsheh, Siraj J Zabadi, Mahdi F Waleed, Khadijeh A Al-Abedalla, Najla S Kasabreh, Ahmad A Hamdan, Yazan M Hassona, Dimitris N Tatakis

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Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Omar A Al-KaradshehDepartment of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontology, School of Dentistry, The University of Jordan, Amman, Jordan. O.karadsheh@ju.edu.jo.ORCID 0000-0002-7040-7207
Siraj J ZabadiDepartment of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontology, School of Dentistry, The University of Jordan, Amman, Jordan.
Mahdi F WaleedDepartment of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontology, School of Dentistry, The University of Jordan, Amman, Jordan.
Khadijeh A Al-AbedallaDepartment of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontology, School of Dentistry, The University of Jordan, Amman, Jordan.
Najla S KasabrehDepartment of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontology, School of Dentistry, The University of Jordan, Amman, Jordan.
Ahmad A HamdanDepartment of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontology, School of Dentistry, The University of Jordan, Amman, Jordan.
Yazan M HassonaDepartment of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontology, School of Dentistry, The University of Jordan, Amman, Jordan.
Dimitris N TatakisDepartment of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontology, School of Dentistry, The University of Jordan, Amman, Jordan.ORCID 0000-0001-6327-3610

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to investigate total diagnostic delay (TDD) in periodontitis and identify the factors associated with it.

methodsIn this cross-sectional study, 145 newly examined and diagnosed periodontitis patients were recruited. A structured questionnaire was used to gather data on demographics, symptom onset, duration of diagnostic delay(s), and potential associated factors. Multiple regression analysis and the Mann‒Whitney U test were used to analyse the impact of various factors on the timing of diagnosis delay.

resultsTDD averaged 59.3 ± 70.2 months, with a median of 36 months. Patient delay accounted for 74.4% of the cases, which was attributed to misconceptions about symptoms and reliance on self-medication. Professional delay accounted for 25% of the cases, with a significantly longer median delay (36 months) than patient delay (24 months) (p < 0.05). Factors predicting longer TDD included older age, multiple dentist visits, and the presence of calculus. The use of home remedies was associated with a longer TDD, whereas smoking and gingival swelling were associated with a significantly shorter TDD (P < 0.05).

conclusionThis first-of-its-kind study identified significant diagnostic delays in periodontitis, one of the most common oral diseases, underscoring critical gaps in patient education and care. Age, frequency of dental visits, and misconceptions regarding calculus contribute to these delays. CLINICAL RELEVANCE: Delayed diagnosis of periodontitis has significant implications, leading to extensive oral damage and eventual tooth loss, which compromises oral function, aesthetics, and quality of life. Addressing these delays through comprehensive public health strategies and improving dental training in periodontology can significantly improve oral and systemic health outcomes, reduce economic burdens, and contribute to the overall well-being of the population.

Indexed as

Delayed DiagnosisPeriodontitisAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsSurveys and QuestionnairesDelayed diagnosisDentist's roleOral healthPatient delayPeriodontitisProfessional delayTime factors

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.