Ch. 21 Indices and Scoring Methods

Question 1

Indices and Scoring methods are used to

Answer 1

Determine and record oral health status of individuals and groups

Question 2

In clinic, an index (scoring system) for a pt can be used to:

Answer 2

Measure amount of oral disease for purpose of
-Evaluation
-Education
-Motivation

Question 3

Individual assessment score is used to

Answer 3

Help pt recognize oral problem

Motivate

Evaluate success of individual self care

Question 4

Clinical trial purpose

Answer 4

Determine baseline data

-affect of agent or procedure on prevention, progression or control of disease

Question 5

Epidemiologic survey

Answer 5

Study of disease characteristics of populations rather than individuals

Provide info of trends and patterns of oral health and disease in populations
-prevalence
-incidence
-baseline data of existing dental health status in pop.

Question 6

Community surveillance

Answer 6

Identify factors that affect oral health status of selected population

-assess comm needs
-plan community base health promotion and disease prevention programs
-compare effects and evaluate results

Question 7

Indices

Answer 7

Index is way of showing clinical observations in numbers

Standardized

Less subjective than word description of condition

Question 8

Simple index

Answer 8

Measures presence or absence of condition

Ex: Biofilm index-measures biofilm without evaluating its effect on gingiva

Question 9

Cumulative index

Answer 9

Measures all evidence of condition, past and present

Ex: DMFT for dental caries

Question 10

Irreversible index

Answer 10

Measure conditions that won’t change

Ex: measure dental caries experience

Question 11

Reversible index

Answer 11

Measure conditions that can be changed

Ex: indices that measure biofilm

Question 12

Selection criteria

Answer 12

(Useful and effective index)

-Simple to use and calculate
-Minimal equipment expense and time
-No pt discomfort
-Clear cut criteria, readily understandable
-free from subjective interpretation
-valid and reliable
-statistics from data collection

Question 13

Biofilm index

Historic name
Purpose
Areas
Evaluate tooth at what third
Score

Answer 13

Historically known as plaque index

Purpose: assess thickness of biofilm at gingival area

4 gingival areas: distal facial mesial and lingual for each tooth

Cervical third only

0 (no biofilm) to 3 (abundance) in pocket or on tooth)

Question 14

Scoring

Excellent
Good
Fair
Poor

Answer 14

0
0.1-0.9
1-1.9
2-3

Question 15

Biofilm Control Record (BCR)

Previous name
Purpose
Teeth recorded
Scoring

Answer 15

of surfaces with biofilm / Total # teeth present x # of surfaces (6)

Previous-Plaque Record Score

Record presence of biofilm on individual tooth surfaces to permit visualization while learning bf control

All teeth, 6 areas recorded
DF, F, MF, DL, L, ML