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SIMllIlIll

OK.l IYCIl`l I`llX


Prcurco bv:
Kristinu toruzon L. Roblcs.
Jlounu tumillc B. Ouilung
Termino|oqy
W Denta| |ndex an ob[ecLlve maLhemaLlcal descrlpLlon
of a dlsease or condlLlon based on carefullv
deLermlned crlLerla under speclfled clrcumsLances
A numerlc score LhaL quanLlfles Lhe
maanlLude of Lhe dlsease measured
W a| Deb|s @he sofL forelan maLLer looselv aLLached
Lo Lhe LeeLh lL conslsLs of mucln bacLerla and food
and varles ln color from arevlsh whlLe Lo areen or
oranae
W a| ca|cu|us eposlL of lnoraanlc salLs composed
prlmarllv of calclum carbonaLe and phosphaLe
mlxed wlLh food debrls bacLerla and desquamaLed
eplLhellal cells
upag|ng|va| ca|cu|us deposlLs usuallv whlLe
Lo vellowlshbrown ln color
ub||ngua| ca|cu|us deposlLs aplcal Lo Lhe free
alnalval maraln @hese deposlLs usuallv are llahL
brown Lo black ln color
Termino|oqy
I. 5imp|ified Ora| Hyqiene Index
(OHI5)
W a reverslble lndex used Lo measure oral
hvalene sLaLus
W a slmple meLhod for quanLlfvlna Lhe
amounL of plaque and calculus ln lLs Lwo
componenLs Lhe Jebtls loJex and Lhe
colcolos loJex
Uses of OHl-S
W lL has been wldelv used ln sLudles of Lhe
epldemloloav of perlodonLal dlsease
W useful ln evaluaLlon of denLal healLh
educaLlon proarams
W used Lo evaluaLe an lndlvldual's level of
oral cleanllness
Uses of OHl-S
W used ln evaluaLlna Lhe cleanslna
efflclencv of LooLh brushes
W lL ls easv Lo use because Lhe crlLerla are
ob[ecLlve Lhe examlnaLlon mav be
performed qulcklv and a hlah level of
reproduclblllLv ls posslble wlLh a
mlnlmum of Lralnlna sesslons
HI5TORY ANO OEVELOPMENT

W ohn C Creene and ack 8 vermllllon


eveloped Lhe orlalnal Cral Pvalene lndex (CPl)
@hev eveloped CPlS
@o reduce Lhe number of declslons requlred on Lhe
parL of Lhe examlner
@o reduce Llme requlred for Lhe lnspecLlon
evelopmenL of OHlS
W lndex should noL be Loo Llme-consumlng
lor Lhls reuson, Creene und vermllllon
slmpllfled Lhelr lndex whlch wus orlglnullv
OHl.
W 1he prlnclple of Lhe culculus und debrls
lndlces remulns Lhe sume, us do Lhe
crlLerlu of Lhe scores.
lll. PROCLURLS und
MA1LRlALS
MA1LRlALS
W mouLh mlrror
W shepherd's crook or slckle Lvpe denLal explorer
W no dlscloslna aaenL
MeLhod of MeusuremenL
W ach LooLh surface ls dlvlded horlzonLallv lnLo
alnalval mlddle and lnclsal Lhlrds
W Scorlna ls done bv movlna Lhe explorer from
Lhe lnclsal Lhlrd Lowards Lhe alnalval Lhlrd of
Lhe LooLh
SLLLC1lON Ol 1OO1H SURlACLS:
W An@8lC8(2 LeeLh)
lablal surfaces of
,axlllarv rlahL cenLral lnclsor (11)
,andlbular lefL cenLral lnslcor (31)
ln Lhe absence of elLher of Lhese anLerlor LeeLh
Lhe cenLral lnclsor (21 or 41 respecLlvelv) on Lhe
opposlLe slde of Lhe mldllne ls subsLlLuLed
W 9CS@8lC8 (4)
8uccal surface of
,axlllarv rlahL flrsL molar (16)
,axlllarv lefL flrsL molar (26)
Llnaual surface of
W ,andlbular rlahL flrsL molar (46)
W ,andlbular lefL flrsL molar (36)
SLLLC1lON Ol 1OO1H SURlACLS:
W em|ndes fo the
ach surface buccal or llnaual ls consldered half Lhe
LooLh clrcumference
Cnlv fullv erupLed permanenL LeeLh are scored
A LooLh ls consldered fullv erupLed when Lhe occlusal
or lnclsal surface has reached Lhe occlusal plane
naLural LeeLh wlLh full crown resLoraLlons and surfaces
reduced ln helahL bv carles or Lrauma are noL scored
An alLernaLe LooLh ls examlned lnsLead
W AfLer Lhe slx posslble LooLh surfaces are
selecLed Lhen Lhe scores are deLermlned
recorded and compuLed for Lhe lS and ClS
respecLlvelv
W @he CPlS score per person ls Lhe LoLal of Lhe
lS and ClS scores per person
Procedure for OHl-S componenLs:
I. 5IMPLIFIEO OEBRI5 INOEX (OI-5)
W A denLal explorer ls placed on Lhe lnclsal Lhlrd
of Lhe LooLh and moved Loward Lhe alnalval
Lhlrd @he occlusal or lnclsal exLenL of Lhe
debrls ls noLed as lL ls removed
coes C|te|a
no debrls or sLaln presenL
1 SofL debrls coverlna noL more Lhan one Lhlrd of Lhe LooLh
surface or presence of exLrlnslc sLalns wlLhouL oLher
debrls reaardless of surface area covered
2 SofL debrls coverlna more Lhan one Lhlrd buL noL more
Lhan Lwo Lhlrds of Lhe exposed LooLh surface
3 SofL debrls coverlna more Lhan Lwo Lhlrds of Lhe exposed
LooLh surface
1A8LL C1LA I CLAI- DL8
lormulu for l-S:
W AfLer Lhe slx posslble debrls scores are
recorded lS value ls calculaLed
Procedure for OHl-S componenLs:
ll. SlMPLlllL CALCULUS lNLX (Cl-S)
W @he ClS assessmenL ls performed bv aenLlv placlna
a denLal explorer lnLo Lhe dlsLal alnalval crevlce and
drawlna lL subalnalvallv from Lhe dlsLal conLacL
area Lo Lhe meslal conLacL area
W @he no 3 explorer ls used Lo esLlmaLe Lhe surface
area covered bv Lhe supraalnalval calculus and Lo
probe for subalnalval calculus
lormulu for Cl-S:
W @he ClS score per person ls obLalned bv
LoLalllna Lhe calculus scores per LooLh
surface and dlvldlna bv Lhe number of
surfaces examlned
coes C|te|a
no calculus presenL
1 Supraalnalval calculus coverlna noL more Lhan Lhlrd of Lhe
exposed LooLh surface
2 Supraalnalval calculus coverlna more Lhan one Lhlrd buL noL
more Lhan Lwo Lhlrds of Lhe exposed LooLh surface or Lhe
presence of lndlvldual flecks of subalnalval calculus around
Lhe cervlcal porLlon of Lhe LooLh or boLh
3 Supraalnalval calculus coverlna more Lhan Lwo Lhlrd of Lhe
exposed LooLh surface or a conLlnuous heavv band of
subalnalval calculus around Lhe cervlcal porLlon of Lhe
LooLh or boLh
1A8LL 2 C1LA I CLAI- CALCULU
CALCULA1lON
W or each lndlvldual
@he debrls and calculus scores are LoLalled and dlvlded bv
Lhe number of surfaces scored
W AL leasL Lwo of Lhe slx posslble surfaces musL have been
examlned
W or a cerLaln aroup of lndlvlduals
Scores are obLalned bv compuLlna Lhe
averaae of Lhe lndlvldual scores
W @he averaae lndlvldual or aroup debrls and calculus scores
are comblned Lo obLaln Lhe CPlS
W lnLerpreLaLlon for lS and ClS values
Cood 6
alr 718
9oor 193
WlnLerpreLaLlon for CPlS values
Cood 12
alr 133
9oor 316
ALLATION EXAMPLE
|ght mo|a Ante|o Left mo|a 1ota|
8ucca| L|ngua| Lab|a| Lab|a| 8ucca| L|ngua| 8ucca|/
Lab|a|
L|ngua|
Uppe 2
Lowe 2 2
(Lab|a|)

TABLE 3. Debris
(Bu or Lascores) (lingualscores)
Total number of examined Bu/La and
lingual surfaces
OEBRI5 INOEX (OI)-5=
Debris !ndex = (3
6
= z.)
|ght mo|a Ante|o Left mo|a 1ota|
8uccal Llnaual Lablal Lablal 8uccal Llnaual 8uccal Llnaual
upper 1 1 2
Lower 1 2 2 2
1A8LL Ca|cu|us
(8u/Lascores) + (llnaualscores)
(@oLal number of examlned buccal and
llnaual surfaces)
Ca|cu|us ndex
(i )
6
I-5=
= .,
@he lS and ClS scores are comblned Lo obLaln slmpllfled
Cral Pvalene lndex as follows
AL L-L -DLk DL8 -DLk
+
CALCULU -DLk
217 + 117
THANk YO
BIBLIOGRAPHY
O ong, A. (1333). Community Dental Health. (3rd ed.). Library of Congress
Catalogue.
O Carranza ]r., F. (1330). Clickman's Clinical Periodontology. (7th ed.). B
Saunders Company.
O Peter, S. Essentials of Preventive and Community Dentistry. (2nd ed.). New
Delhi: Arya Publishing House.
O Harris, N. O., S Christen, A. C. Primary Preventive Dentistry. (4th ed.).
Connecticut: Appleton and Lange.
O Darby, N. L., S alsh, N. N. Dental Hygiene, Theory, and Practice. Toronto:
.B. Saunders Company.

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