Abstract:
OBJECTIVES:Untreated dental caries is the most prevalent medical condition worldwide, with considerable variations in prevalence between regions and countries. The care index (CI) and the restorative index (RI) are generally used to make comparisons between and within countries of levels of care delivered. However, several methodological challenges can be identified that limit the interpretation and comparison of these indices. The objective of this manuscript was to evaluate these challenges and to provide solutions. METHODS:Five challenges were identified: (i) the comparability of CI and RI, (ii) the use of multiple definitions of CI and RI, (iii) CI and RI measured for surfaces or teeth, (iv) the skewness of F/D(M)F (restored teeth or surfaces as a fraction of the total number of decayed, (missing), and filled teeth or surfaces), and (v) the relationship between CI, RI and D(M)F. Time-series data were obtained - for people aged 25-44 years with low socioeconomic status - from four cross-sectional studies performed in 1995, 2002, 2007 and 2013 in the Netherlands, and those data were subjected to descriptive analyses. RESULTS:The analyses showed that the choice of index and definition had a major impact on the results, which varied in terms of absolute size and trends. Moreover, CI and RI are expressed as mean scores, but the distributions of F/DMF and F/DF were highly skewed. CI and RI may therefore mask groups of individuals who still need care. The proportion of individuals receiving most restorative care was much higher in the group with low levels of caries than in the groups with more caries. This implies that, when the need for care decreases over time, the restorative care indices can be expected to increase, even though there may be no improvement in the amount of care delivered. CONCLUSIONS:We argue that epidemiological studies of oral health in the future should clarify the definitions used to describe the care delivered and investigate subgroups of F/DMF or F/DF in categories based on the extent of caries. These figures could be used to monitor changes in treatment provision and to highlight inequalities in the provision of care.
journal_name
Community Dent Oral Epidemioljournal_title
Community dentistry and oral epidemiologyauthors
van Dommelen P,Schuller AAdoi
10.1111/cdoe.12238subject
Has Abstractpub_date
2016-10-01 00:00:00pages
485-92issue
5eissn
0301-5661issn
1600-0528journal_volume
44pub_type
杂志文章abstract::Recently qualified dentists from a dental school in Stockholm, Sweden (n = 259) and the dental school in Kuopio, Finland (n = 103) were sent a questionnaire designed to obtain information concerning the perceived relevance of their undergraduate education to the practice of dentistry. The response rate was 71% for Sto...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1988.tb00561.x
更新日期:1988-06-01 00:00:00
abstract:OBJECTIVES:To systematically review observational studies assessing the association between socioeconomic status (SES) and oral health-related quality of life (OHRQoL) in children, adolescents and adults. METHODS:Electronic searches were performed in the PubMed, Embase, Web of Science, LILACS and Scopus databases for ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12616
更新日期:2020-12-28 00:00:00
abstract:OBJECTIVES:The aim of this longitudinal study was to investigate causal pathways among as well as interrelationships between changes in dental fear and dental attendance in a nationally representative sample of adult Finns aged 19 years or older in 2000, with 11 years of follow-up. METHODS:Data from the Health 2000 an...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12458
更新日期:2019-08-01 00:00:00
abstract:OBJECTIVE:To investigate risk indicators associated with root caries among the Hong Kong older adults who attended long-term care facilities regularly. METHODS:Nonfrail older adults with at least six natural teeth from 10 long-term social or residential care facilities were examined. The clinical examinations were con...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12495
更新日期:2020-02-01 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::The study consisted of 674 consecutive examinations done on patients on their first visit the College of Dentistry, King Saud University, Riyadh, over a 1-yr period starting January 1983. Men outnumbered women and 69% of the patients were Saudi Arabian nationals. Oral cancer was seen in one non-Saudi, whereas the over...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1985.tb01915.x
更新日期:1985-08-01 00:00:00
abstract:OBJECTIVES:The first objective was to assess whether having had orthodontic treatment affected the levels of oral health-related quality of life impacts in Brazilian adolescents. A second objective was to assess the relationship between a normative clinical measure of orthodontic treatment need and two measures of oral...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1046/j.1600-0528.2003.00002.x
更新日期:2003-12-01 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::Interviews investigating factors influencing dental visiting were held with a nationally drawn (England + Wales) random sample of 690 16--20-year-olds. The results presented relate specifically to the last reported dental visit, the balance of self and professional dental care, knowledge and acceptability of charges f...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1980.tb01305.x
更新日期:1980-10-01 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:OBJECTIVES:To explore the impact of developmental defects of enamel (DDE) on young people, through their experiences of the condition and it's meaning to their everyday lives. METHODS:The theoretical framework chosen to guide the study was symbolic interactionism. Qualitative interviews with a purposive sample of peop...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2008.00453.x
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:To determine whether a Portuguese language version of the Child Perceptions Questionnaire for 11-14-year-olds (CPQ(11-14)) showed differential item functioning (DIF) when compared with the original English language version. METHODS:CPQ(11-14) data from a school-based Brazilian study (n = 138) was compared wi...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2009.00525.x
更新日期:2010-04-01 00:00:00
abstract::There is a pressing need for a reliable, low-cost method of assessing the gingival and periodontal status of large population groups. Existing indexes, despite their value in dental public health, are still too subject to examiner variability for use by uncalibrated examiners. This study describes an evaluation of a q...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1978.tb01169.x
更新日期:1978-11-01 00:00:00
abstract::The aim of this study was to determine the degree of fluorosis in the primary dentition and the accompanying caries patterns in groups of preschool-children in high and low fluoride areas. Among 331 coloured children, aged 1-5 years, living in an area with water F concentrations ranging from 2.2 to 4.1 parts/10(6), 82...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1982.tb00376.x
更新日期:1982-08-01 00:00:00
abstract:UNLABELLED:Professional burnout, a long-term consequence of occupational stress, is considered to be a factor that explains a substantial proportion of incapacity for work. Burnout is defined as emotional exhaustion, depersonalization, and diminished personal accomplishment. AIMS:To investigate levels of burnout among...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1999.tb01999.x
更新日期:1999-04-01 00:00:00
abstract::All 55-yr-old citizens (n = 1012) of Oulu (a middle-sized Finnish town) were invited to a clinical examination; 780 agreed to participate. The associations of lifestyle with decayed tooth surfaces and the number of teeth were studied in the 533 dentate subjects. Measures of lifestyle included dietary habits, a smoking...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1994.tb02055.x
更新日期:1994-10-01 00:00:00
abstract::The DMFT Index, degree of fluorosis (DEGF), and enamel fluoride concentration (F) were determined in 88 children living in a high- and 79 children living in a low-fluoride area in South Africa. The following interrelationships between these parameters were found: in both areas there was a significant negative correlat...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1977.tb01618.x
更新日期:1977-01-01 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
abstract:OBJECTIVES:To assess the hierarchical associations between children's school performance and condition-specific (CS) oral health-related quality of life (OHRQoL), school absence, oral status, sociodemographic and economic status (SDES) and social capital; and to investigate the associations between CS OHRQoL and relate...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12361
更新日期:2018-06-01 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:OBJECTIVES:The aim of this study was to collate data on national policies for the use of fluoride in the seven European countries participating in the FLINT project. METHODS:Policies on the use of fluoride were obtained for each of the study areas. Data collected included the presence of water fluoridation and regulat...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2004.00142.x
更新日期:2004-04-01 00:00:00
abstract::Etiological models that predominantly emphasize current adult life styles, such as smoking, diet and lack of exercise have recently been seriously challenged by a growing body of evidence that disturbed early growth and development, childhood infection, poor nutrition, and social and psychosocial disadvantage across t...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2007.00332.x
更新日期:2007-08-01 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::In dentistry comparative studies of diffusion of disease preventive innovations are rare and usually atheoretical. For these reasons the present study was designed 1) to determine whether or not normal distribution assumptions applied to decisions to adopt caries preventive fluoride programs in a public dental service...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1988.tb00544.x
更新日期:1988-02-01 00:00:00
abstract:OBJECTIVES:To evaluate how oral and general health-risk behaviours cluster among Brazilian adolescents. METHODS:The study comprised a total of 109 104 adolescents (52.2% female) participating in the Brazilian National School-based Student Health Survey (PeNSE). Seventeen behaviours (including diet; oral and hand hygie...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12354
更新日期:2018-04-01 00:00:00
abstract::A Dutch version of the Dental Visit Satisfaction Scale has been developed. The DVSS consists of 10 items, measuring three aspects of patient satisfaction with the dentist. Item and scale characteristics of the Dutch version and the English version compared rather well. Likewise, the factor structure of the Dutch and t...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1992.tb00697.x
更新日期:1992-12-01 00:00:00
abstract::The relationship between signs and symptoms of mandibular dysfunction was studied in 285 17-yr-old adolescents living in the municipality of Skellefteå, Sweden. Of the sample 62% had either some sign or symptom of dysfunction, and there was a positive correlation (P less than 0.05) between the two indices used. Neithe...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1986.tb01540.x
更新日期:1986-08-01 00:00:00
abstract:OBJECTIVES:Childhood socio-economic status (SES) has long been associated with later-life oral health, suggesting that childhood is a sensitive period for oral health. Far less attention has been given to the long-term impact of childhood trauma, abuse, and smoking on later-life oral health. This study fills the gap in...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12463
更新日期:2019-08-01 00:00:00
abstract::Individualizing and extending recall intervals for children have been recommended in Norway to target resources efficiently. Recall intervals were changed for children aged 3-18 years in Drammen from 1991. Clinical time spent by dentists and dental hygienists, dental health status and length of recall intervals were r...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1995.tb00189.x
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to evaluate the association between the prevalence of cavitated dental caries and oral health literacy (OHL), family characteristics and sociodemographic factors in early adolescence. METHODS:A cross-sectional study was conducted with 740 twelve-year-old students. The students' gua...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12520
更新日期:2020-06-01 00:00:00