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Chapter 4
Measuring Progress in Oral Health
54
Agriculture
7th Grade
11/25/2013

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Term
What are the determinants that influence oral health?
Definition
-Social
-Cultural
-Behavioral
-Environmental
-Biological
Term
What is the vision of healthy people 2020?
Definition
All people live long, healthy lives
Term
What does healthy people 2020 target?
Definition
reductions in disparities in adverse social & physical determinants
Term
Who is in charge of the National Oral Health Surveillance system?
Definition
CDC and Association of State and Territorial Dental Directors (ASTDD)
Term
What are the eight basic oral health indicators based on Healthy People 2020 that are tracked by NOHSS?
Definition
1. dental visits
2. teeth cleaning
3. complete tooth loss
4. fluoridation status
5. dental caries experience
6. untreated dental caries
7. dental sealants
8. cancer of the oral cavity and pharynx
Term
What do basic screenings include?
Definition
-tongue blade
-dental mirror
-light
Term
What do epidemiologic examinations entail?
Definition
-dental instruments
-light
Term
What are the ways of measuring disease?
Definition
-Count
-Proportion
-Rate
-Index
Term
What is count? When is it used?
Definition
-Simplest method
-Count # of cases
-Useful when # of new cases is low
Term
What is proportion? What does it give us?
Definition
-Number of cases divided by total in the group
-Gives percentage of people that are affected
Term
What is rate?
Definition
-Proportion that uses a standardized denominator
-Includes a time dimension
-Example…out of 1000 live births per year, 10 infants will have a cleft lip
Term
What is index?
Definition
-Abbreviated measurement of the amount or condition of oral disease in a population
-Uses a graduated scale with defined upper and lower limits
Term
When are indexs useful? What do they allow for?
Definition
-Useful when the disease varies in intensity
-Allows for comparisons among population groups that are classified by the same criteria and methods
Term
What are the attributes of a good index?
Definition
-Valid
-Reliable
-Clear, simple, objective
-Sensitive to shifts in disease
-Acceptable to participants involved
-Open to statistical analysis
Term
What is the measurement of dental caries for permanent dentition?
Definition
DMF(decayed, missing, filled index)
Term
DMFT
Definition
decayed missing filled teeth(counts total teeth with these conditions)
Term
DMFS
Definition
decayed missing filled surfaces(counts total surfaces with these conditions)
Term
When DMFT score is equal to or more than 1, the person is considered to...
Definition
have experienced dental caries
Term
When DMFT equals 0, the person is considered to be...
Definition
caries-free
Term
For DMF if a tooth is decayed and filled does it count twice? What does it count as?
Definition
no, only counts once as decayed because it needs to be fixed.
Term
Do congenitally missing teeth, trauma, or otho missing teeth count in DMF?
Definition
no, just teeth lost to caries
Term
Do composites placed for cosmetic reasons count in DMF?
Definition
no
Term
How is the RCI(root caries index) calculated?
Definition
(root surfaces decayed/filled)/(root surfaces with recession) X100
Term
How many root surfaces are measured on the RCI?
Definition
4, sub and supra measured separately
Term
RTCA
Definition
The Restorations and Tooth Conditions Assessment
Term
What is the RTCA used to measure?
Definition
-in the third National Health and Nutrition Examination Survey (NHANES III)
-Used to evaluate permanent teeth or tooth spaces of adults ages 18-74
Term
What are the caies indicies for primary teeth?
Definition
df, dmf
Term
What are the three categories to assess need and referral for dental care for the ASTDD Basic Screening Survey?
Definition
-none
-early
-urgent
Term
None
Definition
no obvious oral health problem
Term
Early
Definition
observable oral health problem; early dental care recommended
Term
urgent
Definition
signs or symptoms that include pain, infection swelling
Term
What is an example of a reversible index? Irreversible?
Definition
reversible- gingivitis
irreversible- periodontitis
Term
What does the Community Periodontal Index (CPI) measure?
Definition
-assesses periodontal health
-developed by the WHO
Term
How are the teeth divided in the CPI?
Definition
by sextants, worse number is recorded per tooth
Term
What kind of probe is used for the CPI? What is it like?
Definition
PSR probe with black band 3.5 mm-5.5 mm, like PSR
Term
Tooth retention
Definition
no tooth loss
Term
Complete tooth loss
Definition
No remaining teeth regardless of cause
Term
edentulousness or edentulism
Definition
lack of any natural teeth
Term
Dentate
Definition
at lest one natural tooth
Term
What is an individual with one natural tooth considered?
Definition
dentate
Term
What are the 3 ways to measure oral cancer?
Definition
1. CDC
2. NIH
3. F2F intrviews
Term
What organization has an index that measures aesthetic acceptability according to social norms?
Definition
WHO
Term
What does the NHANES index measure?
Definition
incisor trauma
Term
What are the categories of the Deans fluorosis index?
Definition
-normal
-questionable
-very mild
-mild
-moderate
-severe
Term
What is one's deans fluorosis index based on?
Definition
the severest form of 2 or more teeth
Term
Access to the oral health system consists of?
Definition
-Availability
-Accessibility
-Accommodation
-Affordability
-Acceptability
Term
What are the 6 domains that demonstrate the quality of life?
Definition
-Physical (energy, fatigue)
-Psychological (positive feelings)
-Level of independence (mobility)
-Social relationships (practical social support)
-Environment (access to health care)
-Personal beliefs/spirituality (meaning in life)
Term
Infrasructure consists of?
Definition
-Systems
-People
-Relationships
-Resources needed to carry out PH functions
Term
Capacity
Definition
Enables development of expertise, competence and the implementation of strategies
Term
Resources include what
Definition
-Personnel
-Financial capital
-Available time
Term
What are the 3 categories of the ASTDD basic screening survey?
Definition
-none
-early
-urgent
Term
none
Definition
no obvious oral health problems
Term
early
Definition
observable oral health problem, early dental care recommended
Term
Urgent
Definition
signs or symptoms that include pain, swelling, or infection
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