RESTORATIVE ORAL HEALTH STATUS OUTCOME MEASURE

这份修改后的提案描述了估算方法的发展 人口对修复性和修复性治疗的需求 在流行病学调查期间收集的。这些需求代表着一种 所有牙科治疗和牙科支出的大部分都是 一个人群的“恢复性口腔健康状况”，目前还不能 估计准确，因为目前的方法是基于流行率 虽然大多数需要的治疗与疾病有关 牙齿“状况”，而不是坦率的疾病。客观标准 这种情况的描述和量化还没有开发出来，而且 与这些情况的出现相关的规范治疗需要 也不为人所知。 这些方法的发展是在四个独立的和 五年内各阶段相互重叠。在第一阶段，标准是 制定和完善对各种口腔疾病进行量化和/或分类 与疾病无关的状况。标准校准阶段 然后使用一个普通牙医小组来确定专业的 与这些疾病相关的明确的或规范的治疗需求。 该信息用作第三阶段的输入，在该阶段中，模型 为估计人群的修复和修复能力而开发的 疾病和非疾病条件下的规范治疗需求 在流行病学调查中确定的。该项目的最后阶段是 该模型的验证，其中该模型的估计与 向成人患者样本推荐并接受的实际治疗 在社区里。 对修复和修复治疗进行量化的结果能力 流行病学调查中的人群需求在以下几个方面很重要 敬重。首先，能够引出非传染性疾病的流行病学。 疾病状况是大多数牙科疾病的决定因素 治疗应促进这些疾病的预防方法的发展 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。他们的发展 代表着更大的以人口为基础的演变进程的第一步 评估整体口腔健康状况。这些评估还代表了 可量化的基于患者的结果，提供评估机会 诊断、预防和治疗方案的有效性和 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.