RESTORATIVE ORAL HEALTH STATUS OUTCOME MEASURE

本修正提案描述了估算方法的发展 利用数据分析人口对修复和口腔修复治疗的需求 在流行病学调查中收集。 这些需求代表了 大多数牙科治疗和牙科支出都是一种表达， 人口的“恢复性口腔健康状态”，目前不能 因为目前的方法是基于患病率， 疾病，而大多数所需的治疗与 牙齿的“状况”，而不是坦率的疾病。 的客观标准 描述和量化这些条件尚未开发， 与这些疾病的存在相关的规范治疗需求 也不知道。 这些方法的发展发生在四个独立的， 在五年内重叠阶段。 在第一阶段，标准是 开发和完善，量化和/或分类各种口头 与疾病无关的条件。 标准校准阶段 然后用一个普通牙医小组来鉴定 与这些疾病相关的明确或规范的治疗需求。 该信息用作第三阶段的输入，在第三阶段中， 用于评估人口的修复和口腔修复 疾病和非疾病状况的规范治疗需求 在流行病学调查中确定。 该项目的最后阶段是 验证该模型，其中将模型的估计值与 推荐给成年患者样本并由其接受的实际治疗 在社区 由此产生的量化修复和口腔修复治疗的能力 从流行病学调查中了解人群的需求在几个方面很重要， 个方面 首先，能够了解非感染者的流行病学 疾病状况是大多数所有牙科疾病的决定因素， 治疗应促进这些疾病的预防方法的开发 条件 更重要的是，对治疗需求的估计是 恢复性口腔健康状况的指标。 其发展 代表了以人口为基础的 评估整体口腔健康状况。 这些评估也代表了 可量化的基于患者的结局， 诊断、预防和治疗方案的有效性， 系统.

This amended proposal describes the development of methods to estimate population needs for restorative and prosthodontic treatment using data collected during epidemiologic surveys. These needs, which represent a majority of all dental treatment and dental expenditures are an expression of a populations' "restorative oral health status," currently cannot be estimated accurately because present methods are based on the prevalence of disease, while the majority of needed treatment is associated with dental "conditions" rather than frank disease. Objective criteria for describing and quantifying such conditions have not been developed and the normative treatment needs associated with the presence of these conditions also are not known. The development of these methods occurs in four independent and overlapping phases over five years. In the first phase, criteria are developed and refined that quantify and/or categorize a variety of oral conditions not associated with disease. The criteria calibration phase then uses a panel of general dentists to identify the professionally defined, or normative treatment needs associated with these conditions. This information serves as input for the third phase, in which a model is developed for estimating a population's restorative and prosthodontic normative treatment needs from disease and non-disease conditions determined in epidemiologic surveys. The final phase of the project is a validation of this model, wherein the model's estimates are compared to actual treatment recommended to and received by a sample of adult patients in the community. The resultant ability to quantify restorative and prosthodontic treatment needs of a population from epidemiologic surveys is important in several respects. First, the ability to elicit the epidemiology of the non- disease conditions that are determinants of the majority of all dental treatment should facilitate development of prevention methods for these conditions. More importantly, the estimates of treatment needs are indicators of restorative oral health status. Their development represents a first step in the larger process of evolving population-based assessments of overall oral health status. The assessments also represent quantifiable patient-based outcomes that offer the opportunity to evaluate the effectiveness of diagnostic, preventive and treatment protocols and systems.