title: Assessment of the calibration of periodontal diagnosis and treatment planning among dental students at three dental schools.
abstract: Calibration in diagnosis and treatment planning is difficult to achieve due to variations that exist in clinical interpretation. To determine if dental faculty members are consistent in teaching how to diagnose and treat periodontal disease, variations among dental students can be evaluated. A previous study reported high variability in diagnoses and treatment plans of periodontal cases at Indiana University School of Dentistry. This study aimed to build on that one by extending the research to two additional schools: Marquette University School of Dentistry and West Virginia University School of Dentistry. Diagnosis and treatment planning by 40 third- and fourth-year dental students were assessed at each of the schools. Students were asked to select the diagnosis and treatment plans on a questionnaire pertaining to 11 cases. Their responses were compared using chi-square tests, and multirater kappa statistics were used to assess agreement between classes and between schools. Logistic regression models were used to evaluate the effects of school, class year, prior experience, and GPA/class rank on correct responses. One case had a statistically significant difference in responses between third- and fourth-year dental students. Kappas for school agreement and class agreement were low. The students from Indiana University had higher diagnosis and treatment agreements than the Marquette University students, and the Marquette students fared better than the West Virginia University students. This study can help restructure future periodontal courses for a better understanding of periodontal diagnosis and treatment planning.
authors.affiliation: Dr. Lane is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry; Dr. Luepke is Chair, Department of Surgical Sciences, Marquette University School of Dentistry; Dr. Chaves is Chair, Department of Periodontics, University of Oklahoma School of Dentistry; Dr. Maupome is Professor, Department of Preventive and Community Dentistry, Indiana University School of Dentistry; Mr. Eckert is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Dr. Blanchard is Director of Graduate Periodontics, Indiana University School of Dentistry; and Dr. John is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry.
authors.forename: Brittany A
authors.initials: BA
authors.lastname: Lane
authors.affiliation: Dr. Lane is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry; Dr. Luepke is Chair, Department of Surgical Sciences, Marquette University School of Dentistry; Dr. Chaves is Chair, Department of Periodontics, University of Oklahoma School of Dentistry; Dr. Maupome is Professor, Department of Preventive and Community Dentistry, Indiana University School of Dentistry; Mr. Eckert is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Dr. Blanchard is Director of Graduate Periodontics, Indiana University School of Dentistry; and Dr. John is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry.
authors.forename: Paul
authors.initials: P
authors.lastname: Luepke
authors.affiliation: Dr. Lane is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry; Dr. Luepke is Chair, Department of Surgical Sciences, Marquette University School of Dentistry; Dr. Chaves is Chair, Department of Periodontics, University of Oklahoma School of Dentistry; Dr. Maupome is Professor, Department of Preventive and Community Dentistry, Indiana University School of Dentistry; Mr. Eckert is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Dr. Blanchard is Director of Graduate Periodontics, Indiana University School of Dentistry; and Dr. John is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry.
authors.forename: Eros
authors.initials: E
authors.lastname: Chaves
authors.affiliation: Dr. Lane is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry; Dr. Luepke is Chair, Department of Surgical Sciences, Marquette University School of Dentistry; Dr. Chaves is Chair, Department of Periodontics, University of Oklahoma School of Dentistry; Dr. Maupome is Professor, Department of Preventive and Community Dentistry, Indiana University School of Dentistry; Mr. Eckert is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Dr. Blanchard is Director of Graduate Periodontics, Indiana University School of Dentistry; and Dr. John is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Maupome
authors.affiliation: Dr. Lane is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry; Dr. Luepke is Chair, Department of Surgical Sciences, Marquette University School of Dentistry; Dr. Chaves is Chair, Department of Periodontics, University of Oklahoma School of Dentistry; Dr. Maupome is Professor, Department of Preventive and Community Dentistry, Indiana University School of Dentistry; Mr. Eckert is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Dr. Blanchard is Director of Graduate Periodontics, Indiana University School of Dentistry; and Dr. John is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry.
authors.forename: George J
authors.initials: GJ
authors.lastname: Eckert
authors.affiliation: Dr. Lane is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry; Dr. Luepke is Chair, Department of Surgical Sciences, Marquette University School of Dentistry; Dr. Chaves is Chair, Department of Periodontics, University of Oklahoma School of Dentistry; Dr. Maupome is Professor, Department of Preventive and Community Dentistry, Indiana University School of Dentistry; Mr. Eckert is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Dr. Blanchard is Director of Graduate Periodontics, Indiana University School of Dentistry; and Dr. John is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry.
authors.forename: Steven
authors.initials: S
authors.lastname: Blanchard
authors.affiliation: Dr. Lane is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry; Dr. Luepke is Chair, Department of Surgical Sciences, Marquette University School of Dentistry; Dr. Chaves is Chair, Department of Periodontics, University of Oklahoma School of Dentistry; Dr. Maupome is Professor, Department of Preventive and Community Dentistry, Indiana University School of Dentistry; Mr. Eckert is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Dr. Blanchard is Director of Graduate Periodontics, Indiana University School of Dentistry; and Dr. John is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry. vjohn@iu.edu.
authors.forename: Vanchit
authors.initials: V
authors.lastname: John
mesh_terms: D002138:Calibration; D032921:Consensus; D003657:Decision Making; D003777:Dental Prophylaxis; D012534:Dental Scaling; D004497:Education, Dental; D004521:Educational Measurement / Q000379:methods; D005891:Gingivitis / Q000175:diagnosis / Q000628:therapy; D005892:Gingivitis, Necrotizing Ulcerative / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D010347:Patient Care Planning; D010510:Periodontal Diseases / Q000175:diagnosis* / Q000628:therapy; D010517:Periodontics / Q000193:education*; D016745:Root Planing; D013335:Students, Dental
keywords: dental education; diagnosis; periodontal disease; periodontics; treatment plan