Costley Module 9 ch 22 Flashcards
An Individual Assessment score can be used for ______, _____, and _______
education
motivation
evaluation
An example of an individual assessment score would be “———-“ that allows pt. to measure effects of personal daily care
Plaque-Free Score
A Clinical Trial compares an _______ group with a _______ group
experimental
control
What is Epidemiology
study of disease characteristics of populations
Epidemiological surveys provide information on?
Oral health and disease in populations
Examples of Clinical Trial Indices
PL I Plaque Index
PHP Patient Hygiene Performance
An example of an epidemiological survey
DMFT decayed, missing, filled teeth
An Indice/Index is?
An expression of clinical observations in numeric values
Numeric values for index scores are more _______ and less ____ than word descriptions
consistent
subjective
What are the 2 categories of Indices
Simple
Cumulative
What index measures the presence or absence of a condition?
Simple
A cumulative Index measures ______?
all evidence of a condition (past and present)
An example of a Cumulative Index?
DMFT
What are the 2 categories of simple and Cumulative Indices?
Irreversible
Reversible
Irreversible Indices measure conditions that?
Will Not Change (caries)
Reversible Indices measure conditions that?
Can be Changed (biofilm)
The purpose of the Plaque Index is to assess the _______ of _____ at the _____ level
thickness
biofilm
gingival
What areas do you examine in the Plaque Index
all four surfaces (M,D,F,L)
The only surface you look at during a Plaque Index is?
Cervical region
When performing a Plaque Index, if no biofilm is visible, what should you do?
Use probe/explorer to check area
How do you score Plaque Index for 1 tooth
add all 4 scores up and divide by 4
How do you score Plaque Index for Groups of teeth, Groups of people, or for the Individuals whole mouth?
add all surfaces together and divide by number of teeth viewing.
Plaque Index Range of Scores: Excellent: Good: Fair: Poor:
0
- 1-0.9
- 0-1.9
- 0-3.0
Plaque Index Scores 0 1 2 3
No biofilm
Only seen with disclosing tablet or explorer
moderate biofilm seen with naked eye
Abundance of soft matter in pocket and on tooth
What Record has the purpose of allowing the patient to visualize progress while learning biofilm control…
Plaque Control Record
What % of biofilm is ideal?
What % is suggested as a guideline in periodontal therapy?
0
<10
Calculation for Plaque Control Record
4/6 X # of teeth present
What Score is used to determine the biofilm-FREE surfaces
Plaque-Free Score
What teeth are included on a Plaque-Free Score? and How many surfaces are recorded?
All erupted
4
What do you record on the chart?
areas of biofilm (in red) interdental bleeding (in circle)
How do you calculate the total number of biofilm-free surfaces?
Take surfaces with biofilm and subtract it from the total number of surfaces in the mouth.
Calculation for the Plaque-Free Score
# biofilm-free surfaces X 100 ---------------------------------- # of available surfaces (4 X # of teeth present)
With a Plaque-Free Score we are looking for what % But what is in the good range?
100%
>85%
The Patient Hygiene Performance Index is used to asses?
biofilm and debris
What teeth are examined with the Patient Hygiene Performance Index
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
The surfaces examined in the Patient Hygiene Performance Index are the same as the ones used for the _______ Index
Simplified Oral Hygiene
The tooth surfaces are divided into how many sections
5
How is the tooth divided vertically in Patient Hygiene Performance Indices
Mesial, Middle, Distal
How is the tooth divided horizontally in Patient Hygiene Performance Indices
Gingival, Middle, Occlusal/Incisal
How do you score a tooth in the Patient Hygiene Performance Indices
0 no film
1 debris present
Calculation for the Patient Hygiene Performance Indices
# of teeth examined (6)
Suggested Range for scores in the Patient Hygiene Performance Indices: Excellent: Good: Fair: Poor:
0
- 1-1.7
- 8-3.4
- 5-5.0
The purpose of the Simplified Oral Hygiene Index is?
assess oral cleanliness
estimate surfaces with debris/calculus
What are the 2 components of the Simplified Oral Hygiene Index
Debris Index
Calculus Index
What surfaces are examined in the Simplified Oral Hygiene Index
Same as the Patient Hygiene Performance Index
How is the tooth divided/scored in the Simplified Oral Hygiene Index
divided into 3rds
You have to use a ______ to estimate surface area covered with debris/calculus
Explorer/Probe
How do you score DI-S and CI-S and OHI-S
0-3
Calculus is defined as a hard deposit of ______ composed primarily of _____and ______
inorganic salts
calcium carbonate
phosphate
Calculations for DI-S/CI-S
number of teeth examined
Calculation for OHI- S
DI-S + CI-S
Rating for DI-S and CI-S Scores Excellent: Good: Fair: Poor:
- 1-0.6
- 7-1.8
- 9-3.0
Rating for OHI-S Scores Excellent: Good: Fair: Poor:
0
- 1-1.2
- 3-3.0
- 1-6.0
What is the purpose of the Periodontal Screening and Recording Index
assess state of periodontal health
The Periodontal Screening and Recording Index is a modified form of the original _______ index
CPiTN
In the Periodontal Screening and Recording Index, dentition is divided how?
into sextants
What instrument do you use in the Periodontal Screening and Recording Index
WHO probe
Periodontal Screening and Recording Index:
The working tip of the probe is what shape and how big.
ball shape
0.5mm
Periodontal Screening and Recording Index: Each sextant receives ______ code/s
1 (deepest)
How many codes are used to score a Periodontal Screening and Recording Index
5 and an *
Periodontal Screening and Recording Index: codes of 3 and 4 what is needed?
A comprehensive periodontal exam
What is the purpose of the community Periodontal Index
screen/monitor perio status of populations
Community Periodontal Index:
How many teeth are examined at age 20 and older?
How many teeth are examined at age 7 to 19?
10
6
How do you score the Community Periodontal Index:
0-4 readings = ?
0-3 mm loss of attachment 3.5-5.5 mm loss 6-8 mm loss 9-11 mm loss 12 mm + loss
Community Periodontal Index:
Measures what?
Loss of attachment and CEJ level in relation to the special probe
What is the purpose of the Sulcus Bleeding Index?
locate gingival sulcus bleeding and color change
There are 4 gingival units scored in the Sulcus Bleeding Index? they are?
labial and lingual marginal
mesial and distal papillary
The Gingival Bleeding Index is used to record the ______ or ______ of bleeding
presence
absence
There are how many proximal areas to count while doing a Gingival Bleeding Index
30
What instrument do you use when performing a Gingival Bleeding Index
Unwaxed floss
What instrument is used in a Gingival Bleeding Index
Wooden triangular cleaner
While performing a Gingival Bleeding Index you insert the wooden cleaner _____ times then wait ___ seconds to evaluate bleeding
4
15
Calculation for a Gingival Bleeding Index
of bleeding areas
————————– X 100
Total # of areas (30)
The purpose of the Gingival Index is used to assess ___________ of what teeth and what areas?
severity of gingivitis
single teeth or whole dentition
4 areas (M,D,F,L)
Rating Scale for Gingival Index: Excellent: Good: Fair: Poor:
0
- 1-1.0
- 1-2.0
- 1-3.0
Indices that measure dental caries experience are most useful when measuring?
prevalence of dental disease in groups not individuals
The DMFT is based on how many teeth
28
The DMFS is based on ______ surfaces
128
DMFT/S indices use a _____ scale which means present or absent
dichotomous
DMF stands for
Diseased (cavities)
Missing
Filled
How do you calculate the % of teeth that need to be restored in the DMF
total for DMF
DEFT/S deals with _____ dentition and stands for
Primary
Dental caries
extractions needed due to caries
no caries
The Primary Dentition dmft/s calculates ____ teeth
12
8 primary molars and
4 primary canines
ECC and S-ECC stand for
Early Childhood Caries
Severe- Early Childhood Caries
ECC and S-ECC deals with children age ___
5 or younger
ECC is defined as ___ teeth with decay, missing or filled surfaces
1
There are up to _____ surfaces counted in a Root Caries Index. However, only surfaces with _____ are counted
4
visible recession
Rating Scale for Root Caries Index NO R R-D R-F R-N M
No recession recession with decay (caries) present recession with restored (filled) surface recession with no caries/restorations missing tooth
Calculation for the Root Caries Index
R-D + R-F
————— X 100
R-D + R-F + R-N
What is the purpose of Dean’s Fluorosis Index
measure prevalence and severity of dental fluorosis
Dean’s Fluorosis Index looks at the ______ of all teeth
smooth surface enamel
What Fluoride Index is more sensitive than Dean’s in identifying the mildest signs of fluorosis
TSIF
TSIF data cites the percent of the population with each numerical score, rather than as mean scores for the entire group.
none