Costley Module 9 ch 22 Flashcards

1
Q

An Individual Assessment score can be used for ______, _____, and _______

A

education
motivation
evaluation

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2
Q

An example of an individual assessment score would be “———-“ that allows pt. to measure effects of personal daily care

A

Plaque-Free Score

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3
Q

A Clinical Trial compares an _______ group with a _______ group

A

experimental

control

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4
Q

What is Epidemiology

A

study of disease characteristics of populations

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5
Q

Epidemiological surveys provide information on?

A

Oral health and disease in populations

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6
Q

Examples of Clinical Trial Indices

A

PL I Plaque Index

PHP Patient Hygiene Performance

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7
Q

An example of an epidemiological survey

A

DMFT decayed, missing, filled teeth

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8
Q

An Indice/Index is?

A

An expression of clinical observations in numeric values

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9
Q

Numeric values for index scores are more _______ and less ____ than word descriptions

A

consistent

subjective

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10
Q

What are the 2 categories of Indices

A

Simple

Cumulative

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11
Q

What index measures the presence or absence of a condition?

A

Simple

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12
Q

A cumulative Index measures ______?

A

all evidence of a condition (past and present)

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13
Q

An example of a Cumulative Index?

A

DMFT

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14
Q

What are the 2 categories of simple and Cumulative Indices?

A

Irreversible

Reversible

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15
Q

Irreversible Indices measure conditions that?

A

Will Not Change (caries)

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16
Q

Reversible Indices measure conditions that?

A

Can be Changed (biofilm)

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17
Q

The purpose of the Plaque Index is to assess the _______ of _____ at the _____ level

A

thickness
biofilm
gingival

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18
Q

What areas do you examine in the Plaque Index

A

all four surfaces (M,D,F,L)

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19
Q

The only surface you look at during a Plaque Index is?

A

Cervical region

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20
Q

When performing a Plaque Index, if no biofilm is visible, what should you do?

A

Use probe/explorer to check area

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21
Q

How do you score Plaque Index for 1 tooth

A

add all 4 scores up and divide by 4

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22
Q

How do you score Plaque Index for Groups of teeth, Groups of people, or for the Individuals whole mouth?

A

add all surfaces together and divide by number of teeth viewing.

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23
Q
Plaque Index Range of Scores:
Excellent:
Good:
Fair:
Poor:
A

0

  1. 1-0.9
  2. 0-1.9
  3. 0-3.0
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24
Q
Plaque Index Scores
0
1
2
3
A

No biofilm
Only seen with disclosing tablet or explorer
moderate biofilm seen with naked eye
Abundance of soft matter in pocket and on tooth

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25
Q

What Record has the purpose of allowing the patient to visualize progress while learning biofilm control…

A

Plaque Control Record

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26
Q

What % of biofilm is ideal?

What % is suggested as a guideline in periodontal therapy?

A

0

<10

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27
Q

Calculation for Plaque Control Record

A

4/6 X # of teeth present

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28
Q

What Score is used to determine the biofilm-FREE surfaces

A

Plaque-Free Score

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29
Q

What teeth are included on a Plaque-Free Score? and How many surfaces are recorded?

A

All erupted

4

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30
Q

What do you record on the chart?

A
areas of biofilm (in red)
interdental bleeding (in circle)
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31
Q

How do you calculate the total number of biofilm-free surfaces?

A

Take surfaces with biofilm and subtract it from the total number of surfaces in the mouth.

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32
Q

Calculation for the Plaque-Free Score

A
# biofilm-free surfaces X 100
----------------------------------
# of available surfaces (4 X # of teeth present)
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33
Q

With a Plaque-Free Score we are looking for what % But what is in the good range?

A

100%

>85%

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34
Q

The Patient Hygiene Performance Index is used to asses?

A

biofilm and debris

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35
Q

What teeth are examined with the Patient Hygiene Performance Index

A

Facial of Maxillary R&L 1st Molars
Facial of Maxillary R central incisor
Facial of Mandibular L central incisor
Lingual of Mandibular R&L 1st Molars

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36
Q

The surfaces examined in the Patient Hygiene Performance Index are the same as the ones used for the _______ Index

A

Simplified Oral Hygiene

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37
Q

The tooth surfaces are divided into how many sections

A

5

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38
Q

How is the tooth divided vertically in Patient Hygiene Performance Indices

A

Mesial, Middle, Distal

39
Q

How is the tooth divided horizontally in Patient Hygiene Performance Indices

A

Gingival, Middle, Occlusal/Incisal

40
Q

How do you score a tooth in the Patient Hygiene Performance Indices

A

0 no film

1 debris present

41
Q

Calculation for the Patient Hygiene Performance Indices

A

# of teeth examined (6)

42
Q
Suggested Range for scores in the Patient Hygiene Performance Indices:
Excellent:
Good:
Fair:
Poor:
A

0

  1. 1-1.7
  2. 8-3.4
  3. 5-5.0
43
Q

The purpose of the Simplified Oral Hygiene Index is?

A

assess oral cleanliness

estimate surfaces with debris/calculus

44
Q

What are the 2 components of the Simplified Oral Hygiene Index

A

Debris Index

Calculus Index

45
Q

What surfaces are examined in the Simplified Oral Hygiene Index

A

Same as the Patient Hygiene Performance Index

46
Q

How is the tooth divided/scored in the Simplified Oral Hygiene Index

A

divided into 3rds

47
Q

You have to use a ______ to estimate surface area covered with debris/calculus

A

Explorer/Probe

48
Q

How do you score DI-S and CI-S and OHI-S

A

0-3

49
Q

Calculus is defined as a hard deposit of ______ composed primarily of _____and ______

A

inorganic salts
calcium carbonate
phosphate

50
Q

Calculations for DI-S/CI-S

A

number of teeth examined

51
Q

Calculation for OHI- S

A

DI-S + CI-S

52
Q
Rating for DI-S and CI-S Scores
Excellent:
Good:
Fair:
Poor:
A
  1. 1-0.6
  2. 7-1.8
  3. 9-3.0
53
Q
Rating for OHI-S Scores
Excellent:
Good:
Fair:
Poor:
A

0

  1. 1-1.2
  2. 3-3.0
  3. 1-6.0
54
Q

What is the purpose of the Periodontal Screening and Recording Index

A

assess state of periodontal health

55
Q

The Periodontal Screening and Recording Index is a modified form of the original _______ index

A

CPiTN

56
Q

In the Periodontal Screening and Recording Index, dentition is divided how?

A

into sextants

57
Q

What instrument do you use in the Periodontal Screening and Recording Index

A

WHO probe

58
Q

Periodontal Screening and Recording Index:

The working tip of the probe is what shape and how big.

A

ball shape

0.5mm

59
Q

Periodontal Screening and Recording Index: Each sextant receives ______ code/s

A

1 (deepest)

60
Q

How many codes are used to score a Periodontal Screening and Recording Index

A

5 and an *

61
Q

Periodontal Screening and Recording Index: codes of 3 and 4 what is needed?

A

A comprehensive periodontal exam

62
Q

What is the purpose of the community Periodontal Index

A

screen/monitor perio status of populations

63
Q

Community Periodontal Index:
How many teeth are examined at age 20 and older?
How many teeth are examined at age 7 to 19?

A

10

6

64
Q

How do you score the Community Periodontal Index:

0-4 readings = ?

A
0-3 mm loss of attachment
3.5-5.5 mm loss
6-8 mm loss
9-11 mm loss
12 mm + loss
65
Q

Community Periodontal Index:

Measures what?

A

Loss of attachment and CEJ level in relation to the special probe

66
Q

What is the purpose of the Sulcus Bleeding Index?

A

locate gingival sulcus bleeding and color change

67
Q

There are 4 gingival units scored in the Sulcus Bleeding Index? they are?

A

labial and lingual marginal

mesial and distal papillary

68
Q

The Gingival Bleeding Index is used to record the ______ or ______ of bleeding

A

presence

absence

69
Q

There are how many proximal areas to count while doing a Gingival Bleeding Index

A

30

70
Q

What instrument do you use when performing a Gingival Bleeding Index

A

Unwaxed floss

71
Q

What instrument is used in a Gingival Bleeding Index

A

Wooden triangular cleaner

72
Q

While performing a Gingival Bleeding Index you insert the wooden cleaner _____ times then wait ___ seconds to evaluate bleeding

A

4

15

73
Q

Calculation for a Gingival Bleeding Index

A

of bleeding areas
————————– X 100
Total # of areas (30)

74
Q

The purpose of the Gingival Index is used to assess ___________ of what teeth and what areas?

A

severity of gingivitis
single teeth or whole dentition
4 areas (M,D,F,L)

75
Q
Rating Scale for Gingival Index:
Excellent:
Good:
Fair:
Poor:
A

0

  1. 1-1.0
  2. 1-2.0
  3. 1-3.0
76
Q

Indices that measure dental caries experience are most useful when measuring?

A

prevalence of dental disease in groups not individuals

77
Q

The DMFT is based on how many teeth

A

28

78
Q

The DMFS is based on ______ surfaces

A

128

79
Q

DMFT/S indices use a _____ scale which means present or absent

A

dichotomous

80
Q

DMF stands for

A

Diseased (cavities)
Missing
Filled

81
Q

How do you calculate the % of teeth that need to be restored in the DMF

A

total for DMF

82
Q

DEFT/S deals with _____ dentition and stands for

A

Primary
Dental caries
extractions needed due to caries
no caries

83
Q

The Primary Dentition dmft/s calculates ____ teeth

A

12
8 primary molars and
4 primary canines

84
Q

ECC and S-ECC stand for

A

Early Childhood Caries

Severe- Early Childhood Caries

85
Q

ECC and S-ECC deals with children age ___

A

5 or younger

86
Q

ECC is defined as ___ teeth with decay, missing or filled surfaces

A

1

87
Q

There are up to _____ surfaces counted in a Root Caries Index. However, only surfaces with _____ are counted

A

4

visible recession

88
Q
Rating Scale for Root Caries Index
NO R
R-D
R-F
R-N
M
A
No recession
recession with decay (caries) present
recession with restored (filled) surface
recession with no caries/restorations
missing tooth
89
Q

Calculation for the Root Caries Index

A

R-D + R-F
————— X 100
R-D + R-F + R-N

90
Q

What is the purpose of Dean’s Fluorosis Index

A

measure prevalence and severity of dental fluorosis

91
Q

Dean’s Fluorosis Index looks at the ______ of all teeth

A

smooth surface enamel

92
Q

What Fluoride Index is more sensitive than Dean’s in identifying the mildest signs of fluorosis

A

TSIF

93
Q

TSIF data cites the percent of the population with each numerical score, rather than as mean scores for the entire group.

A

none