Main Article Content

Authors

Introduction: Indexes of oral hygiene and dental plaque measurements have been developed since the 1960s in assessing an individual's oral hygiene, and to evaluate the effectiveness of programs to promote oral health and to measure the effectiveness of therapeutic methods. The Dental School at Universidad del Valle and the Pacífico Siglo XXI research team have developed an oral hygiene index for community use and evaluate its sensitivity and specificity versus three other indexes used in studies worldwide.

Methodology: A group of seven students in their fifth year of dentistry were standardized for the registration of pattern indexes (gold standard), the O´Leary index, detritus index by Greene & Vermillion index, Silness & Löe index, and the oral hygiene index for community use (CPI) achieving a match with Kappa values from 0.83, 0.81, 0.71, 0.94, and 0.86, respectively. A total of 83 fifth grade, primary school children were examined with parental consent; the data was recorded and taken to a database that was processed with a SSPS version 17 program.

Results: The plaque rate in the children evaluated was 80%. No significant differences were found between the gold standard, the O´leary index, and the oral hygiene index for community use. The sensitivity of the indices evaluated was: 96.8 (95% CI 95.5-97.9) for the O'Leary index; 95.1 (95% CI 92.5-97.4) for the CPI; 75.2 (95% CI: 73.1-77.1) Greene & Vermillion detritus index, and 69.5 (95% CI 66-73) for the Silness & Löe index. The average specificity of 75 had no significant differences among the indexes.

Conclusions: The Silness & Löe and Greene & Vermillion indexes are less sensitive with significant differences in relation to the O´Leary index and the plaque community index.

Petersen PE. The Word Oral Health Report 2003: Continuousimprovement of oral health in the 21st century. The approachof the WHO Global Oral Health Programme. Comm Dent OralEpidemiol. 2003; 31 (Suppl 1): 3-23.2.Ministerio de Salud. III Estudio Nacional de Salud Bucal(ENSAB III). Bogotá: Ministerio de Salud; 1999.3.Platt CET, Machado ME. Uso de los diferentes agentesquímicos para el control de la placa bacteriana comocoadyuvantes en la prevención de las enfermedades gingivales.Rev Odous Cient. 2004; 5: 5-9.4.Carranza F,Newman N. Periodontología clínica. 8a ed. Méxi-co: Mc Graw Hill-Interamericana; 1997.5.Stowell EC, Taylor JB, Wainwright WW. Ion penetrationthrough the teeth as influenced by an electrostatic field. J DentRes. 1961; 40: 739-40.6.De la Rosa MR, Guerra JZ, Johnston DA, Radike AW. Plaquegrowth and removal with daily tooth brushing. J Periodontol.1979; 50: 661-4.7.Greene JC, Vermillion JR. The oral hygiene index: a methodfor classifying oral hygiene status. J Am Dent Assoc. 1960; 61:29-35.8.Loe H. The gingival index, the plaque index and the retentionindex systems. J Periodontol. 1967; 38 (Suppl): 610-6.9.O ́Leary T, Drake R, Naylor J. The plaque control record. JPeriodontal. 1972; 43: 38-9.10. Corchuelo J, Trillos Z. Sensibilidad de un nuevo indicador deplaca dental de uso comunitario para el monitoreo de progra-mas dirigidos a grupos del Plan de Atención Básica y del POS.Manizales: Asociación Colombiana de Facultades de Odonto-logía (ACFO); 1996. p. 102-6.11. Castro MA, Cabrera D, Castro MI. Evaluación de tecnologíasdiagnósticas: conceptos básicos en un estudio con muestreotransversal. Rev Colomb Obstet Ginecol. 2007; 58: 45-52.12. Beck JR, Shultz EK. The use of relative operating characteristic(ROC) curves in test performance evaluation. Arch PatholLab Med. 1986; 110: 13-20.13. Corchuelo J. Aplicación de estrategias para el monitoreo ycontrol de placa bacteriana en escolares del Valle del Cauca.Cali: Artes Gráficas del Valle Editores; 2004. p. 1-98.14. Lavstcdt S,Modccr T, Welander E. Plaque and gingivitis in agroup of Swedish schoolchildren with special reference totoothbrushing habits. Acta Odontol Scand. Downloaded frominformahealthcare.com by HINARI on 04/19/1015. Corchuelo J. Informe final proyecto prioridad salud oralIdentificación Línea Base Salud Oral. Cali: Secretaría deSalud Departamental del Valle del Cauca; 2009.16. Escobar JC, Eslava GA. Descripción y análisis de las condi-ciones de higiene oral y gingival en jóvenes de 7 a 17 años consíndrome de Down y retardo mental moderado institucio-nalizados y creación de un programa preventivo. CES Odont.1997; 10: 1-8.

Colombia MédicaVol. 42 Nº 4, 2011 (Octubre-Diciembre)17. Ramfjord S. Indices for prevalence and incidence of periodontaldisease. J Periodontol. 1959; 30:51-9.18. Parafitt GJ. A five year longitudinal study of the gingivalcondition of a group of children in England. J Periodontol.1957; 26: 26-32.19. Russell AL. A system of classification and scoring forprevalence surveys of periodontal disease. J Dental Res. 1956;35: 350-9.20. Guilford JP, Fruchter B. Fundamental statistics in psychologyand education. 5th ed. New York: McGraw-Hill; 1973

Corchuelo, J. (2024). Sensitivity and specificity of an index of oral hygiene community use in relation to three indexes commonly used in measuring dental plaque. Colombia Medica, 42(4), 448–457. https://doi.org/10.25100/cm.v42i4.945 (Original work published November 24, 2011)

Downloads

Download data is not yet available.