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Validity of Two Methods for Assessing Oral Health Status of Populations

dc.contributor.authorBeltrán, Eugenio D.en_US
dc.contributor.authorMalvitz, Dolores M.en_US
dc.contributor.authorEklund, Stephen A.en_US
dc.date.accessioned2010-04-01T15:40:27Z
dc.date.available2010-04-01T15:40:27Z
dc.date.issued1997-12en_US
dc.identifier.citationBeltrÁn, Eugenio D.; Malvitz, Dolores M.; Eklund, Stephen A. (1997). "Validity of Two Methods for Assessing Oral Health Status of Populations." Journal of Public Health Dentistry 57(4): 206-214. <http://hdl.handle.net/2027.42/66163>en_US
dc.identifier.issn0022-4006en_US
dc.identifier.issn1752-7325en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/66163
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=9558624&dopt=citationen_US
dc.description.abstractObjective : This investigation assessed two methods for estimating epidemiologic indicators of oral health status among children: (1) a visual-only screening, performed independently by a dental hygienist and a registered nurse; and (2) a parent- or guardian-completed questionnaire. The indicators included dichotomous variables measuring dental caries and treatment needs, presence of sealants, injuries to the anterior teeth, and dental fluorosis. Methods : Following training and calibration, data were collected over an eight-day period in April 1994 among 632 elementary schoolchildren (aged 5 to 12 years) in Monticello, Georgia. Both screening and questionnaire findings were compared pairwise with results from visual-tactile examinations done by a dentist. Validity, represented by sensitivity, specificity, and predictive values, was assessed for screening results from the dental hygienist, the nurse, and the parent-completed questionnaire. Results : Validity was high for screening for caries and treatment needs (>90% for sensitivity, specificity, and predictive values in a sample having 30% to 40% prevalence). Less valid data — mainly an effect of false negatives — were obtained for fluorosis, injuries, and presence of sealants. No significant difference in validity was observed between the nurse and the dental hygienist. One-third of respondents to the questionnaire did not know if their children needed fillings (a proxy for untreated decay) or had received sealants; only knowledge of restorations was comparable to results from screening. Intraexaminer reliability for the two screeners ranged from 85 to 100 for percent agreement and 0.70 to 0.93 for kappa scores. Conclusions : Screening by dental hygienists or nurses can provide valid data for surveillance of dental caries and treatment needs. Training for visual assessment of fluorosis and injuries must be improved to diminish the proportion of false negatives. A parent-completed questionnaire is less effective than visual screening for evaluating oral health status in children.en_US
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dc.format.extent3110 bytes
dc.format.mimetypeapplication/pdf
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dc.publisherBlackwell Publishing Ltden_US
dc.rights1997 by the American Association of Public Health Dentistryen_US
dc.subject.otherValidityen_US
dc.subject.otherReliabilityen_US
dc.subject.otherVisual-tactile Examinationen_US
dc.subject.otherScreeningsen_US
dc.subject.otherQuestionnaireen_US
dc.subject.otherOral Health Assessmenten_US
dc.subject.otherSurveillanceen_US
dc.titleValidity of Two Methods for Assessing Oral Health Status of Populationsen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelDentistryen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumDr. BeltrÁn, Division of Oral Health, Centers for Disease Control and Prevention, NCCDPHP, 4770 Buford Highway, MS F-10, Chamblee, GA 30341. E-mail: edb4@cdc.gov . Dr. Malvitz is chief, Surveillance, Investigations, and Research Branch, Division of Oral Health, CDC. Dr. Eklund is associate professor, School of Public Health, University of Michigan, Ann Arbor.en_US
dc.identifier.pmid9558624en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/66163/1/j.1752-7325.1997.tb02977.x.pdf
dc.identifier.doi10.1111/j.1752-7325.1997.tb02977.xen_US
dc.identifier.sourceJournal of Public Health Dentistryen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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