Tot.pptx

drg. Puspito Ratih Hardhani, MDSc., Sp.Perio

Index  Russel A L  a numerical value, describing the

relative status of a population, on a graduated scale with definite upper and lower limits, designed to permit and facilitate comparison with other population clasified by same criteria and methods

Ideal of index  Clarity, simplicity, objectivity  Validity

 Reliability  Quantifiability  Sensitivity

 acceptability

OHI, OHI S

Plak Indeks

Gingival indeks

DMFT, deft

Inflamasi Gingiva

Indeks gingiva (Loe and Silness, 1963)

Scientific studies

PBI (Papilla Bleeding Index) Saxer dan Muhleman, 1975

Deposit Bakteri

OHI , Greene and vermillion (1960)

Debris indeks Kalkulus indeks

 Menilai kebersihan mulut individu /

kelompok  Kuantitatif  Epidemiologi dental, evaluasi program kesehatan  1964  OHI-S

OHI • Gigi diperiksa 12 • Bukal-lingual • Gigi erupsi sempurna

OHI-S • • • • •

Gigi diperiksa 6 Gigi erupsi sempurna Salah satu permukaan 4 gigi tetap posterior, 2 gigi anterior (11 dan 31) Min 2 gigi indeks tiap individu

OHI S Greene and vermillion  16,11,26,31 sebelah labial  36 dan 46 lingual

 Grade 1  mencapai 1/3  Grade 2  1/3-2/3  Grade 3  >2/3

Skor Debris KODE KRITERIA 0 Tidak ada debris atau stein 1 Debris lunak menutupi tidak lebih dari 1/3 permukaan gigi atau adanya stein ekstrinsik tanpa debris pada daerah tersebut. 2 Debris lunak menutupi lebih dari 1/3 tapi kurang dari 2/3 permukaan gigi 3 Debris lunak menutupi lebih dari 2/3 permukaan gigi

Skor Kalkulus KODE KRITERIA 0 Tidak ada kalkulus 1 Kalkulus supragingiva menutupi tidak lebih dari 1/3 permukaan gigi yang terkena 2 Kalkulus supra gingival menutupi lebih dari 1/3 tetapi tidak lebih dari 2/3 permukaan gigi yang terkena. Adanya kalkulus subgingiva berupa flek di sekeliling gigi. 3 Kalkulus supragingiva menutupi lebih dari 2/3 permukaan gigi yang terkena. Adanya kalkulus subgingiva berupa pita yang tidak terputus di sekeliling leher gigi.

Skor 0 - 1,2 dikategorikan baik, 1,3 - 3,0 kategori sedang dan 3,1 - 6 kategori buruk

Plak indeks Loe and Silness

0 - 1 dikategorikan baik, 1,1 - 1,2 sedang, dan 2,1 - 3 buruk.

Indeks plak O’Leary

CPITN

DMFT  Used more than 70 years  DMF index and is an arithmetic index of the

cumulative caries attack in a population  the number of decayed teeth with untreated carious lesions (D)  the number of teeth which have been extracted and are therefore missing (M)  the number of filled teeth (F)

 3rd molar can include or not (optional)  Not include  unerupted teeth, supernumerary,

congenital missing teeth, primary teeth retained in permanent dentition, extracted other than caries, teeth restored because of trauma  28 or 32

 No tooth should be recorded more than once  2nd caries  decay

 Full eruption  Each componet separately, DMFT= total

D+M+F

Advantages  Caries experience  Prevaelnce of individual & community

 Estimate oral health status

Uses  The number of persons affected by caries  Requiring treatment

 Teeth have been treated  Evaluate dental health program  Determine preventif activity

 Dental resources and financial support

DMFS Index applied to tooth surfaces Posterior  5, anterior  4  128 or 148

Limitation of DMFT  Teeth lost because another reason  Not related to the number of risk

 Can not be used for root caries

Primary dentition  deft or defs index  d= decayed, e= indicate for extraction, f-

permanent filling  Mixed dentition  separate

Latihan  Pasien wanita, 23 tahun dengan kondisi 18,38 partial

erupt. 16,25 amalgam karies sekunder, 11 white spot, 36 staining, 34,35 karies di servikal. Hitung DMF indeksnya

Daftar pustaka  Sriyono, Pengantar Ilmu Kedokteran Gigi Pencegahan,

UGM  Rateitschak, Wolf, Hassel., Color Atlas of Periodontology