PUFA - An index of clinical consequences of untreated dental caries
PUFA - An index of clinical consequences of untreated dental caries
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DOI：
10.1111/j.1600-0528.2009.00514.x
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发表时间：
2010-02-01
影响因子：
2.3
通讯作者：
van Palenstein Helderman, W.
中科院分区：
文献类型：
--
作者：
Monse, B.;Heinrich-Weltzien, R.;van Palenstein Helderman, W.
理由：龋齿是一个全球性的公共卫生问题，尤其是在儿童中。发展中国家的大多数龋齿仍未得到治疗。关于未经治疗的龋齿的临床后果，只有有限的数据，因为没有量化由未经治疗的龋齿引起的口腔状况的患病率和严重程度的措施。目的：提出一种新的指标来评价未经治疗的龋病的患病率和严重程度。在2006年菲律宾全国口腔健康调查中验证该指数。方法：采用PUFA指数记录严重蛀牙伴明显牙髓受累（P/ P）、牙片脱位引起的溃疡（U/ U）、瘘（F/ F）、脓肿（A/ A）的存在。结果：kappa值较好，表明该指标具有较高的信度。6岁和12岁儿童PUFA/ PUFA >的患病率分别为85%和56%。6岁和12岁儿童的平均受影响牙齿数（PUFA/ PUFA）分别为3.5和1.2。在6岁和12岁的儿童中，40%和41%的蛀牙发展为牙源性感染。结论：PUFA指数是经典龋病指数的补充，可为流行病学家和卫生保健计划人员提供相关信息。
Rationale:Dental caries is a global public health problem, especially in children. Most caries in developing countries remains untreated. Only limited data are available on the clinical consequences of untreated dental caries because there is no measure to quantify the prevalence and severity of oral conditions resulting from untreated dental caries.Objectives:To present a new index to evaluate the prevalence and severity of oral conditions resulting from untreated dental caries. To validate the index within the Philippines National Oral Health Survey, 2006.Methods:The PUFA index records the presence of severely decayed teeth with visible pulpal involvement (P/p), ulceration caused by dislocated tooth fragments (U/u), fistula (F/f) and abscess (A/a).Results:Good kappa values show the reliability of the index. The prevalence of PUFA/pufa > 0 was 85% and 56% for 6- and 12-year-olds, respectively. The mean number of teeth affected (PUFA/pufa) was 3.5 and 1.2 for 6- and 12-year-olds, respectively. In 6- and 12-year-olds, 40% and 41% of decayed teeth had progressed to odontogenic infections.Conclusion:The PUFA index complements classical caries indices with relevant information for epidemiologists and health care planners.