in clinical practic an idex or scoring system for a pt can be used for ____, _____ and _____
education
motivation
evaluation
what are 5 uses of infividual assessments?
help recognize problem
motivation
measure degree of oral hygien
eval home care succss
learning tool
what is the purpose of a clinical trial?
determine the effect of an agent or procedure on the prevention progression or control of disease
t/f an epidemiologic survey is designed for evaluation of the individual patients rather than groups of people
false. survey for groups of people
what is the purpose of an epidemiologic survey?
provide info on trends and patterns of oral helath and disease in populations
t/f a clinical trial is used to determine the prevalence and incidence of a partular condition occuring within a given population
false- epidemiologic survey used
the purpose of a _____ _____ is to collect data thru screenings, survey the commuunity population and recognize need and address it?
community surveillance
t/f a community surveillance is used to provide info to help plan community based helath promotion/disease prevention programs
true
a ____ is an expression of clinical observation in numberic values
index
what type of index measures presence or absence of a condition
simple index
what type of index is one that measures all the evidence of a condition past and present
cumulative index
what is the difference between an irreversible index and a reversible index
irreversible measures conditions that will not change (caries)
reversible measures conditions that can be changed (biofilm)
what are eight criteria for selecting an index?
simple to use and calculate
minimal equipement and expense
completed in short period of time
causes pt no discomfort
has clear cut understandable criteria
free from subjective interpretation
reproducible by same or different examiner
valid reliable statistically analyzed
t/f a index should be simple to use and calculate
true
t/f an index should be based on sujective interpretation
false needs to be free of subjective interpretation
what index has the purpose to assess the thickness of bioflim at the ginigval area
plaque index
how is the plaque index scored?
divide tooth in surfaces and score 0-3
what index has the purposeto record the presence of dental biofilm on inddividual tooth surfaces to permit the pt to visualize progress while learning bioflim control
plaque control record
how many areas of a tooth are recorded for the plaque control record?
four to six
what is the procedure for plaque control record?
apply dislosing agent or chewable tablet and have pt swish and rub solution over the tooth surfaces and examine
what is the purpose of the plaque free score?
to determine the location number and percentage of biofilm-free surfaces for individual motivation and instruction
t/f interdental bleadding can also be documented with the plaque free score
true true what new?
how many surfaces are recorded for the plaque free score and which surfaces?
four!
facial, lingual or palatal, mesial and distal
what is the goal for the plaque free score?
100% biofilm free baby!
what % on a plaque free score is poor?
61.5%
with the plaque free score you can use ______ _____ or _____
disclosing tablets
solution
% of bioflim ____ surfaces= number of biofilm-free srufaces X _____/ number of available surfaces
free
100
what index has the purpose to assess the extent o fbioflim and debris on surfaces
patient hygiene performance
what are the maxillary teeth examined for the PHP index?
3, 8 and 14
what are the mandibular teeth used in the PHP index?
19, 24 and 30
for the PHP index if the first molar is missing what tooth is used? what if the incisro is missing?
use second molar
use adjacent central incisor
what surfaces are examined for the PHP index?
max-facial surfaces
mna-lingual
how many sections is the tooth divided into for the PHP index?
5
what is the scoring range for the PHP index?
0-5
a person with a 3.66 PHP score has what type of hygiene performance?
POOR
what is the only index that looks at calc as well?
simplified oral hygiene index
what index purpose is to assess oral cleanlienss by estimating the tooth surface covered by debris and/or calculus
simplified oral hygiene index
what teeth are used in the simplified oral hygiene index?
3 14 19 30 8 24
t/f the lingual surfaces of the maxillary teeth are examined in the simplified oral hygiene index
Ffalllsssssee! The facial side (think where parotid gland more calc builds there so it is scored)
____ ____ is the soft foreign matter on the surfaces of the teeth that contsists of dental biofilm, materia alba and food debris
oral debris
what are the two components of the simplified oral hygiene index?
Debris
Calculus
what type of probe is used for the periodontal screening and recording index?
probe with ball on the end
what index is used to assess the state of periodontal helath of an individual patient
periodontal screenig and recording PSR
what is the function of the ball on the end of a probe (3)
aid in the detection of calculus, rough overhaging restoration and other tooth surface irregularities
what does the * in the PSR index mean for codes 3 or 4?
furcation involvement
possible mucogingival invollvement in the mandibular anterior sextant
what does the * in a code two of the PSR index mean?
notable clinical fearture such as minimal attached gingiva
with a code 3 or 4 of the PSR what treatment is needed
comprehensive periodontal exam
counseling
in a code 2 of the PSR index what treatment must be done?
overhanging restorations must be removed
restorations checked for recurrent dental caries
instruction in dental biofilm control (primary concern)
what index is used to screen and monitor the periodontal status of populations?
Community periodontal index
what index is used to measure bleeding in the sulcus? (I used all three words in the question this one should be tough)
sulcus bleeding index
what index is used to record the presence or absence of gingival inflammation determined by bleeding from interproximal gingival sulci?
gingival bleeding index
what is used in the gingival bleeding index?
unwaxed dental floss
what is used in the eastman interdental bleeding index?
stimudent (wedge)
which index is used to assess the severity of gingivitis based on color, consistency and bleeding on probing?
gingival index
_____ _____ experience data is most usefull when measuring the prevalence of dental disease in groups rather than individuals
dental caries
t/f dental caries experience data is most useful when measuring individuals.
FALSE most useful for groups
what index is used to determine the total dental caries experience past and present by recording either the number of affected teeth or tooth surfaces?
decayed, missing, and filled teeth (DMFT)
or " " " surfaces (DMFS)
how do you tell if the decayed missing and filled teeth is for primary or permanent teeth?
primary is in lower case df or def
permanent upper case DMFT
what index is used to determine total root caries experience for individuals and groups and provide a direct, simple method for recording and making comparisons
root caries index
how many surfaces are used for the root caries index?
four
t/f wit hroot caries index the teeth with multiple roots the most severe case is recorded and each surface is only counted once
true
what is the dean's fluorosis index used for?
measure the prevalence and severity of dental fluorosis
what surfaces are examined during the dean's fluorosis index
