Abstract：
OBJECTIVES:To assess the accuracy of HIV/AIDS patients' self-diagnosis of common HIV-related oral opportunistic infections. METHODS:245 HIV/AIDS patients were interviewed regarding the current presence of oral candidiasis (OC), oral hairy leukoplakia (OHL), and oral ulcers prior to an oral examination by an oral medicine trained dentist examiner. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) are reported for the patient's oral lesion diagnosis compared to the dentist's diagnosis based on established presumptive clinical criteria as the gold standard. RESULTS:Self-diagnosis accuracy was greatest for pseudomembraneous OC (PPV 42.9%; NPV 93.5%), followed by oral ulcers (PPV 35.7%; NPV 98.3%) and OHL (PPV 23.5%; NPV 86.4%). Past experience with the lesion improved diagnostic accuracy, and bothersome symptoms accompanying the lesion had significant impact only for pseudomembraneous OC and oral ulcers. CONCLUSIONS:Moderate accuracy of patient self-assessment of oral lesions, with tendency to under rather than over report lesion presence, supports the use of patient self-assessment of these lesions to augment clinician diagnosis in clinical trials. Additionally, HIV/AIDS patients are unlikely to believe they have active OC that would lead to on-demand antifungal use, unless they have had prior experience with the lesion or it is at least moderately bothersome.
journal_name
Community Dent Oral Epidemioljournal_title
Community dentistry and oral epidemiologyauthors
Patton LLkeywords:
subject
Has Abstractpub_date
2001-02-01 00:00:00pages
23-9issue
1eissn
0301-5661issn
1600-0528journal_volume
29pub_type
杂志文章abstract：:A study was begun in order to describe the epidemiology of dental caries among children 9 and 12 years old in Finland and the Soviet Union. In addition, the effectiveness of caries prevention will be evaluated. The study is to be done in three towns in Finland and five towns in the Soviet Union. ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1983.tb01371.x
更新日期：1983-04-01 00:00:00
abstract：OBJECTIVES:To compare two methods of allocating general dentists to Canadian Armed Forces (CAF) dental detachments: a dentist-to-population ratio model and a needs-based model. METHODS:Data obtained from CAF sources were analysed to compare models. Times assigned to treatment plan procedures were used as a proxy for t...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12277
更新日期：2017-06-01 00:00:00
abstract：:In a municipality near Copenhagen, Denmark, where fortnightly fluoride rinses with 0.2% neutral sodium fluoride had been performed for more than a decade, 1306 children from kindergarten through 6th grade were stratified by school and grade and randomly distributed into two groups. One group continued the fluoride rin...
journal_title：Community dentistry and oral epidemiology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1600-0528.1992.tb01543.x
更新日期：1992-06-01 00:00:00
abstract：:608 12-yr-old children in Harare, and 556 in rural areas of Mashonaland and Central Province, Zimbabwe, were examined for dental caries in 1985. 27.6% of children in the urban area, and 20.9% in the rural, had caries (P less than 0.01). The mean DMFT in urban and rural areas was 0.57 (+/- 1.13) and 0.49 (+/- 1.42), re...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1989.tb01822.x
更新日期：1989-02-01 00:00:00
abstract：OBJECTIVE:To evaluate the retention and caries preventive effect of two glass ionomers used as fissure sealants: one resin modified glass ionomer (A) and one conventional glass-ionomer cement (B). SAMPLES AND METHODS:The permanent first molars of 100 children, 6-8 years of age at the start of the study, were sealed. M...
journal_title：Community dentistry and oral epidemiology
pub_type： 临床试验,杂志文章
doi：10.1034/j.1600-0528.2003.00113.x
更新日期：2003-10-01 00:00:00
abstract：OBJECTIVES:In Sweden, many patients with symptoms allegedly caused by their dental materials have exchanged their restorations, but the effects of the exchange have been insufficiently investigated. Therefore, the aim of the study was to describe the change in health over time for these patients and the hypothesis was ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.2005.00240.x
更新日期：2005-12-01 00:00:00
abstract：OBJECTIVES:The purpose of this study was to assess the caries status of 5-year-olds in a low caries area, and study associations between dental caries and parent-related factors: parents' education, national origin, oral health behaviours and attitudes. METHODS:The material consisted of 523 children and was a stratifi...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.2009.00502.x
更新日期：2010-02-01 00:00:00
abstract：:The aim was to describe and analyze changes in dental status in Sweden over a 6-yr period, and to establish a baseline for a subsequent investigation. Representative samples of the Swedish population in 1975, 1977, and 1981 were investigated by means of interviews. The participation rate varied between 81 and 86% and ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1991.tb00145.x
更新日期：1991-08-01 00:00:00
abstract：:Research in human subjects should be conducted only if the rights and welfare of the participants are protected. Prospective study subjects must be given adequate information about all aspects of a study so that they can make a rationally exercised decision about participation; coercive techniques to solicit participa...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1977.tb01009.x
更新日期：1977-11-01 00:00:00
abstract：:This paper reviews the methods used for the prevention of early childhood caries (ECC). The education of mothers or caregivers to promote healthy dietary habits in infants has been the main strategy used for the prevention of ECC. This review found that education has a modest impact on the development of ECC. While ed...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章,评审
doi：10.1111/j.1600-0528.1998.tb02094.x
更新日期：1998-01-01 00:00:00
abstract：:An innovative approach for the early detection of oral cancer and precancer within the context of the primary health care system has been field tested in Sri Lanka. The overall compliance in accepting this particular PHC approach for cancer screening, as estimated by arrival at a referral centre manned by consultant s...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1988.tb00575.x
更新日期：1988-12-01 00:00:00
abstract：:Future treatment needs for dental services are discussed in the perspective of the objective which the services are meant to fulfill. These are, broadly speaking, equal distribution of services and economic efficiency. Within the Nordic countries, the emphasis has been on equity, perhaps less on efficiency. Equity of ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章,评审
doi：10.1111/j.1600-0528.1997.tb00907.x
更新日期：1997-02-01 00:00:00
abstract：OBJECTIVES:We aimed to assess the impact of the presence of initial and other stages of dental caries on the impairment of oral health-related quality of life in preschool children (COHRQoL) through a cohort study. METHODS:During an epidemiological survey, 478 children (12-59 months old) were examined for dental carie...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12217
更新日期：2016-06-01 00:00:00
abstract：:A hypothesis was developed that the impact or importance of oral health problems may be reflected in a person's ability to remember these problems occurring in a given period spontaneously. That means that the recollection should occur on a nonspecific stimulant, i.e. a general question regarding recall of health prob...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1987.tb01740.x
更新日期：1987-12-01 00:00:00
abstract：:As part of a validating process, tests and indices for dysfunction of the temporomandibular joints and masticatory muscles were compared and correlated in 211 persons with an almost complete or complete natural dentition. Helkimo's Clinical Dysfunction Index (CDI), the Mandibular Dysfunction Symptoms (MDS) scale from ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1986.tb01085.x
更新日期：1986-12-01 00:00:00
abstract：:The oral health education (OHE) given in Finnish health centers is mostly implemented by dental assistants and hygienists. However, there is no exact information concerning the distribution of OHE work and the working methods among individual health educators. The aims of this study were to assess 1) the time used for...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1995.tb00213.x
更新日期：1995-04-01 00:00:00
abstract：:The process of not attending the dentist is a vicious cycle in which anxiety plays a crucial role. A research project concerning the disease and non-disease reasons for full mouth extraction provided an opportunity to describe the dental histories in terms of dental attendance pattern and related factors which resulte...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1987.tb01739.x
更新日期：1987-12-01 00:00:00
abstract：OBJECTIVES:To investigate differences between Pardos (mixed) and Blacks with their White counterparts in the use of public dental service among a sample of Brazilian adults taking into consideration the role of individual and contextual characteristics. METHODS:A total of 6196 adults aged 35-44 years were sampled from...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12533
更新日期：2020-08-01 00:00:00
abstract：:The demand for dental care was assessed among 3000 dental patients visiting an out-patient clinic in Sri Lanka. 46% of the patients sought treatment for complaints related to advanced stages of dental caries whilst 18% requested treatment for early stages of decay. 20% had complaints related to periodontal disease of ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1985.tb01678.x
更新日期：1985-04-01 00:00:00
abstract：OBJECTIVES:To investigate ethnic-specific deprivation gradients in early childhood dental caries experience considering different domains of deprivation. METHODS:We used cross-sectional near whole population-level data on 318 321 four-year-olds attending the "B4 School check," a national health and development check i...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12364
更新日期：2018-06-01 00:00:00
abstract：OBJECTIVE:The goal of this analysis was to describe income-related inequality in untreated caries among children in the United States over time. METHODS:The analysis focuses on children ages 2-12 years in three nationally representative U.S. surveys: the National Health and Nutrition Examination Survey (NHANES) 1971-1...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12174
更新日期：2015-12-01 00:00:00
abstract：:This survey attempted to determine the status of oral cleanliness and gingival health in 150 dental students and 101 faculty members in a dental school. Without advance notice, plaque deposits were scored, using the Plaque Index System, and gingival health was determined using the criteria of the Gingival Index System...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1977.tb01647.x
更新日期：1977-09-01 00:00:00
abstract：:During the last decade, many studies in Europe and North America have evaluated oral conditions and dental needs in the elderly. Similar information does not exist in Brazil. The aim of this study was to determine the prevalence of oral health and disease in elderly persons living in an institution in the city of Pira...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1991.tb00136.x
更新日期：1991-06-01 00:00:00
abstract：UNLABELLED:With the decrease in dental caries prevalence, public health should place emphasis on other dental diseases. Dental trauma is an irreversible pathology which after occurrence is characterized by life-long debilitating effects. OBJECTIVES:To measure the prevalence of trauma in anterior permanent teeth among ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.2005.00202.x
更新日期：2005-06-01 00:00:00
abstract：OBJECTIVE:To investigate the risk indicators for root caries in institutionalized elders. METHODS:Nonfrail elders living in 21 residential elderly homes who had at least 5 teeth with exposed roots were examined in this cross-sectional study. The dental examinations were conducted by one trained dentist in the elderly ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12104
更新日期：2014-10-01 00:00:00
abstract：:This paper discusses the impossible result of an increase in the number of teeth present in a quasi-longitudinal study of an adult population. In 1983 and 1994, random samples were drawn from birth cohorts 1939-48 and 1930-38. The paradoxical result that adults acquired new teeth in the quasi-longitudinal study gave r...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1998.tb01951.x
更新日期：1998-06-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to investigate the influence of the age of the subject on inter-examiner reliability of the clinical signs of temporomandibular disorder (TMD). METHODS:Forty-three elderly (ES) and 44 younger adults (YS) were selected. The female/male distribution was almost the same in the two grou...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.2006.00250.x
更新日期：2006-02-01 00:00:00
abstract：:By providing dental health care, dentists dedicate themselves to the preservation and/or improvement of oral health in their patients. By adequately carrying out this care providers' role, dentists will gain recognition, esteem and respect from both patients and colleagues. This analysis aims to assess the patient and...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.0301-5661.2004.00132.x
更新日期：2004-04-01 00:00:00
abstract：:The need for proper oral hygiene requires large amounts of time and manpower, and relapse is still common. This paper describes a self instructional manual and self inspection plaque index that was tested in a periodontal recall population. The program was tested on 18 periodontal recall patients over a period of 6 we...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1983.tb01380.x
更新日期：1983-06-01 00:00:00
abstract：:At the annual congresses of the Norwegian Dental Association in 1986 and 1987 surveys were conducted to assess the significance of potential sources of mercury exposure. Morning urine samples and questionnaires were collected from 672 participants in 1986 and 273 participants in 1987. The mean values of the urinary me...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1990.tb00040.x
更新日期：1990-06-01 00:00:00
