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Updated: Oct 5, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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Oral health status for primary dentition - A pilot study
Janvi Manish Gandhi1, Deepa Gurunathan1, Srisakthi Doraikannan2
1Department of Pediatric and Preventive Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India.
Summary
A new oral health index for children integrates past caries experience, current hygiene, and future caries risk. This comprehensive tool simplifies assessment and planning for preventive dental strategies in children.
Area of Science:
- Pediatric Dentistry
- Dental Public Health
- Epidemiology
Background:
- Assessing children's oral health requires specific indices for accurate evaluation.
- Existing methods may not comprehensively cover caries experience, hygiene, and future risk.
- A unified index can streamline preventive strategy planning.
Purpose of the Study:
- To develop and validate a comprehensive oral health index for children aged 3-5 years.
- To integrate oral hygiene index (OHI), deft index, and white spot lesions (WSL) assessment.
- To evaluate the efficiency of OHI recording methods (tooth-wise vs. segment-wise).
Main Methods:
- A study involving 200 children (100 male, 100 female) aged 3-5 years with primary dentition.
- Recording of OHI (tooth-wise and segment-wise), deft index, and WSL classification.
- Utilizing Receiver Operating Characteristics (ROC) curve analysis to assess OHI recording accuracy.
Main Results:
- All three indices were successfully recorded for all 200 subjects.
- ROC curve analysis confirmed that OHI for primary dentition is accurately recordable either tooth-wise or segment-wise.
- Specific index teeth and surfaces were identified for primary dentition OHI recording.
Conclusions:
- The developed index offers a holistic assessment of children's oral health, encompassing past, present, and future caries indicators.
- This cumulative index facilitates quicker evaluation in epidemiological studies and public dental health programs.
- It provides a comprehensive yet efficient method for assessing oral health status in young children.
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