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    def Index

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    The document presents an overview of the deft index, a caries index for primary dentition, detailing its definition, calculation, and application. It explains the components of the index, criteria for identifying dental caries, and principles for recording the index. Additionally, it discusses modifications, advantages, and limitations of the deft index, particularly in the context of mixed dentition.

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    def Index

    Uploaded by

    bh4w98fwy7
    2 views15 pages
    The document presents an overview of the deft index, a caries index for primary dentition, detailing its definition, calculation, and application. It explains the components of the index, criteria for identifying dental caries, and principles for recording the index. Additionally, it discusses modifications, advantages, and limitations of the deft index, particularly in the context of mixed dentition.

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    The document presents an overview of the deft index, a caries index for primary dentition, detailing its definition, calculation, and application. It explains the components of the index, criteria for identifying dental caries, and principles for recording the index. Additionally, it discusses modifications, advantages, and limitations of the deft index, particularly in the context of mixed dentition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2 views15 pages

    def Index

    Uploaded by

    bh4w98fwy7
    The document presents an overview of the deft index, a caries index for primary dentition, detailing its definition, calculation, and application. It explains the components of the index, criteria for identifying dental caries, and principles for recording the index. Additionally, it discusses modifications, advantages, and limitations of the deft index, particularly in the context of mixed dentition.

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    def Index

    Presented by
    Sejal S Madane
    4th BDS
    Dept of PHD
    MRADC
    Contents
    Introduction
    Defination of indices
    Introduction of def index
    Procedure
    Instruments
    Criteria for identification of dental caries
    Principles and rules in recording def Index
    Calculation of def index
    Modifications of def index and advantages
    def index in mixed dentition
    References
    Introduction
    An index is a representation of clinical observations of numbers. It is used usually to
    describe the relative status of the individual or the population with respect to a
    particular condition/disease being measured.
    Indices using various criteria have been developed to compare the extent and severity
    of the diseases. These measurements aid in the overall assessment of the oral health
    status.
    Definition
    A numerical value describing the relative status of a population on a
    graduated scale with definite upper and lower limits which is designed to
    permit and facilitate comparison with other populations classified by the
    same criteria and methods -Russell.A.L
    Introduction
    Caries indices for Primary Dentition

    This is the caries index for deciduous teeth given by Gruebbel in 1944 for measuring
    dental caries experience in primary dentition.
    Caries indices used for primary dentition are deft index and defs equivalent to the
    DMFTand DMFS indices used for permanent dentition.
    Procedure
    The deft Index is applied only to primary dentition.
    -It is composed of three components,
    d-decayed deciduous teeth
    e-extracted deciduous teeth due to dental caries
    f -filled deciduous teeth
    Instruments used
    - Mouth mirror

    - Explorer
    The criteria for identification of dental caries

    The lesion is clinically visible and obvious .


    The explorer tip can penetrate deep into soft yielding material.
    There is discoloration or loss of translucency typical of demineralized
    enamel.
    The explorer tip in a pit or fissure catches or resists removal after
    moderate to firm pressure on intersection.
    Principles and rules in recording def Index

    1. A tooth is considered to be erupted when the occlusal surface or


    incisal edge is totally exposed.
    2. No tooth should be counted more than once.
    3. Decayed, missing and filled teeth should be recorded
    separately.
    4. Tooth lost or filled due to causes other than caries are
    not included.
    Calculation of deft Index
    For primary teeth, the maximum deft score for an individual could be 20
    (primary dentition consisting of 20 teeth)

    Colour coding for deft


    Decayed tooth Extracted tooth Filled tooth
    The surface examined are
    For posterior teeth: 5surfaces : facial, lingual, mesial distal, and occlusal
    For anterior teeth: 4 surfaces: facial, lingual, mesial, distal

    Calculation of defs Index


    The maximum score for defs should be 88.
    Total def score = d+ e + f
    Total defs score = ds +es+ fs(decayed surfaces +extracted
    surfaces + filled surfaces)

    Colour coding
    Same as deft
    Modifications of def Index
    dmft index: This index is used in children before ahe of exfoliation.
    df : Another method of choice adopted by WHO in their basic survey
    techniques.This can be applied to the whole tooth as the decayed - filled -
    tooth index or to the individual surfaces as the decayed - filled -surface
    index.
    Limitations
    deft values are not related to the number of teeth at risk.
    A defs examination takes longer .
    defs is more likely to produce inconsistencies in diagnosis .
    Advantages
    The defs Index is more sensitive and is usually the index of choice in a
    clinical trial of a caries - preventive agents.

    Mixed Dentition
    In a child with mixed dentition, both DMFT for permanent teeth and
    deft for deciduous teeth have to be applied and should not be
    added together.
    References
    S.S.Hiremath textbook of public health dentistry 3rd edition
    Article - A measurement of dental caries prevalence and treatment
    services for deciduous teeth by- Allen.O.Grubbel D.D.H , M.P.H. Dental
    division, state board of health, Jefferson City Mo.
    Soben Peter textbook of public health dentistry 7th edition
    THANK YOU

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