Methodological Quality of Prognostic Models for Periodontitis: A Systematic Review and Critical Appraisal
By Maryia Karaban, Debora R. Dias, Giuseppe Troiano, Sahar Baniameri, Ishan Ahuja, Divya Joseph, Matteo Serroni, Andrea Ravidà
Originally at onlinelibrary.wiley.com
Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.
Why it matters for dental
Periodontists and general dentists who base treatment planning or recall intervals on prognostic models now have evidence that most published models are methodologically weak; reliance on them could lead to under- or over-treatment and expose practices to compliance or liability risk.
Key points
- Systematic review in Journal of Clinical Periodontology evaluated all available prognostic models for periodontitis progression and tooth loss.
- Majority of models showed high risk of bias in predictor selection, missing data handling, and calibration, limiting real-world applicability.
- Clinicians should favor models that report discrimination (C-index) and calibration plots and validate them in their own patient populations before integrating into EHR decision support.
- DSOs and group practices developing standardized perio protocols can use this appraisal to audit which—if any—risk-stratification tools meet minimum quality thresholds.
Who should care
Read the original on Journal of Clinical Periodontology
Full reporting and any paywall content live on onlinelibrary.wiley.com. We summarize and score; we do not republish.
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