{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T14:47:57Z","timestamp":1793717277875,"version":"4.6.1"},"reference-count":18,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2010,9,21]],"date-time":"2010-09-21T00:00:00Z","timestamp":1285027200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Dent Res"],"published-print":{"date-parts":[[2010,11]]},"abstract":"<jats:p>This study evaluates the accuracy of periodontitis prevalence determined by the National Health and Nutrition Examination Survey (NHANES) partial-mouth periodontal examination protocols. True periodontitis prevalence was determined in a new convenience sample of 454 adults \u2265 35 years old, by a full-mouth \u201cgold standard\u201d periodontal examination. This actual prevalence was compared with prevalence resulting from analysis of the data according to the protocols of NHANES III and NHANES 2001-2004, respectively. Both NHANES protocols substantially underestimated the prevalence of periodontitis by 50% or more, depending on the periodontitis case definition used, and thus performed below threshold levels for moderate-to-high levels of validity for surveillance. Adding measurements from lingual or interproximal sites to the NHANES 2001-2004 protocol did not improve the accuracy sufficiently to reach acceptable sensitivity thresholds. These findings suggest that NHANES protocols produce high levels of misclassification of periodontitis cases and thus have low validity for surveillance and research.<\/jats:p>","DOI":"10.1177\/0022034510377793","type":"journal-article","created":{"date-parts":[[2010,9,22]],"date-time":"2010-09-22T00:19:09Z","timestamp":1285114749000},"page":"1208-1213","source":"Crossref","is-referenced-by-count":212,"title":["Accuracy of NHANES Periodontal Examination Protocols"],"prefix":"10.1177","volume":"89","author":[{"given":"P.I.","family":"Eke","sequence":"first","affiliation":[{"name":"Division of Oral Health, National Center for Chronic Disease and Health Promotion, Centers for Disease Control and Prevention (CDC), Rhodes Bldg, Mail Stop F-10, Atlanta, GA 30341, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.O.","family":"Thornton-Evans","sequence":"additional","affiliation":[{"name":"Division of Oral Health, National Center for Chronic Disease and Health Promotion, Centers for Disease Control and Prevention (CDC), Rhodes Bldg, Mail Stop F-10, Atlanta, GA 30341, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Wei","sequence":"additional","affiliation":[{"name":"The Ginn Group\/Northrop Grumman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.S.","family":"Borgnakke","sequence":"additional","affiliation":[{"name":"University of Michigan School of Dentistry, Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.A.","family":"Dye","sequence":"additional","affiliation":[{"name":"National Center for Health Statistics, CDC, Hyattsville, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2010,9,21]]},"reference":[{"key":"bibr1-0022034510377793","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.2.253"},{"key":"bibr2-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2006.00252.x"},{"key":"bibr3-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2007.060210"},{"key":"bibr4-0022034510377793","first-page":"1","volume":"11","author":"Dye BA","year":"2007","journal-title":"Vital Health Statistics"},{"key":"bibr5-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2007.00310.x"},{"key":"bibr6-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2007.00076.x"},{"key":"bibr7-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2007.070134"},{"key":"bibr8-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080607"},{"key":"bibr9-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1177\/00220345870660051101"},{"key":"bibr10-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1177\/00220345910700101301"},{"key":"bibr11-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0757.2002.290102.x"},{"key":"bibr12-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1988.59.11.707"},{"key":"bibr13-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01243.x"},{"issue":"1","key":"bibr14-0022034510377793","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/BF01318790","volume":"46","author":"Nelson DE","year":"2001","journal-title":"Soz Praventivmed"},{"key":"bibr15-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2007.060264"},{"key":"bibr16-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1959.30.1.51"},{"key":"bibr17-0022034510377793","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2005.76.2.262"},{"key":"bibr18-0022034510377793","unstructured":"US Department of Health and Human Services (2000). Focus area 21 Oral health. In: Healthy people 2010. 2nd ed. Washington, DC: US Government Printing Office, pp. 21-43. http:\/\/www.healthypeople.gov\/Document\/pdf\/Volume2\/21Oral.pdf. 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