PUFA--an index of clinical consequences of untreated dental caries.

Abstract:

RATIONALE:Dental caries is a global public health problem, especially in children. Most caries in developing countries remains untreated. Only limited data are available on the clinical consequences of untreated dental caries because there is no measure to quantify the prevalence and severity of oral conditions resulting from untreated dental caries. OBJECTIVES:To present a new index to evaluate the prevalence and severity of oral conditions resulting from untreated dental caries. To validate the index within the Philippines National Oral Health Survey, 2006. METHODS:The PUFA index records the presence of severely decayed teeth with visible pulpal involvement (P/p), ulceration caused by dislocated tooth fragments (U/u), fistula (F/f) and abscess (A/a). RESULTS:Good kappa values show the reliability of the index. The prevalence of PUFA/pufa >0 was 85% and 56% for 6- and 12-year-olds, respectively. The mean number of teeth affected (PUFA/pufa) was 3.5 and 1.2 for 6- and 12-year-olds, respectively. In 6- and 12-year-olds, 40% and 41% of decayed teeth had progressed to odontogenic infections. CONCLUSION:The PUFA index complements classical caries indices with relevant information for epidemiologists and health care planners.

authors

Monse B,Heinrich-Weltzien R,Benzian H,Holmgren C,van Palenstein Helderman W

doi

10.1111/j.1600-0528.2009.00514.x

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

77-82

issue

1

eissn

0301-5661

issn

1600-0528

pii

COM514

journal_volume

38

pub_type

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