Epidemiology of Dental caries Flashcards

1
Q

What is epidemiology?

A

the branch of medicine which deals with the incidence, distribution, and possible control of diseases and other factors relating to health.

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2
Q

What is prevalence?

A

percentage of population that have the disease divided by the population at risk

the disease which is there now

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3
Q

What is incidence?

A

number of new cases of a disease divided by he population at risk in a given time period

number of new cases over a period of time

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4
Q

What is incidence vs prevalence?

A

incidence is the number of new cases in a given time

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5
Q
A

A 2020 = (1780/39640) x 100
= 4.5%

B = (1826-1780) / 40,000

x100

= 1.15 per 1000

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6
Q

What are trends?

A

these are the changes of differences in the prevalence or incidence of disease with respect to time, location or socioeconomics

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7
Q

What are the 2 forms of epidemiology studies?

A

descriptive and analytical

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8
Q

What is a type of descriptive study?

A

cross-sectional studies

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9
Q

What is a descriptive study analysing?

A

who
where
when

one that is designed to describe the distribution of one or more variables, without regard to any causal or other hypothesis.

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10
Q

What is an analytical study?

A

one in which action will be taken on a cause system to improve the future performance of the system of interest.

cause and effects

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11
Q

What is a systemic review?

A

A systematic review is considered the most trusted form of evidence A systematic review is a scholarly synthesis of the evidence on a clearly presented topic using critical methods to identify, define and assess research on the topic.

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12
Q

What is the most important instrument to measure disease?

A

index

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13
Q

What is an index?

A

is an instrument that enables quantification of a disease or measurement of a state from established criteria

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14
Q

What is the index to measure dental caries?

A

DMFT/dmfT

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15
Q

What does DMF stand for?

A

decayed, missing or filled

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16
Q

When use upper/lower case for DMF?

A

upper case for permanent dentition

lower case for primary dentition

17
Q

In the DMFT system, when do you score a missing tooth 1?

A

if missing due to caries

18
Q

When is the mean DMFT calculated?

A

for communities

19
Q

What are the advantages of DMFT?

A

records current and previous disease

measures prevalence and severity of dental caries

provides standardisation and helps in comparability worldwide

20
Q

What are the disadvantages of DMFT?

A

assume missing and filled teeth were once carious

restorations could be placed for preventative reasons

inter-observed bias and variability

21
Q

What is the SiC index?

A

significant caries index

22
Q

Why look at the SiC index for a population?

A

individuals are sorted according to their DMFT values

calculated DMFT of caries risk group

23
Q

What is the high risk caries population?

A

top 1/3 of population

24
Q

What epidemiological survey for dental caries, looks at children?

A

national dental inspection programme 2003-present

25
Q

Describe the trends in this graph

A

Looks like rural areas like O&S have better % of children with no obvious decay whereas city centre like GGC & are below average

26
Q

What is SMID?

A

SCOTTISH INDEX FOR MULTIPLE DEGREDATION

27
Q

Describe the trend in this graph?

A

Overall greater number of children with no decay. Also gap between greatest and lowest SMID closing over time but with greater dep still a way to go

the least deprived areas have the least decay experience compared to most deprived