This document contains a WHO oral health assessment form used to record patient information and examine the oral health status of individuals. The form collects information on patient demographics, dentition status, oral hygiene, fluorosis, debris, calculus, need for care, dentofacial anomalies, occlusion, enamel defects, and general health.
Original Description:
this is used to assess oral health of children in india modified from WHO 1997.
This document contains a WHO oral health assessment form used to record patient information and examine the oral health status of individuals. The form collects information on patient demographics, dentition status, oral hygiene, fluorosis, debris, calculus, need for care, dentofacial anomalies, occlusion, enamel defects, and general health.
This document contains a WHO oral health assessment form used to record patient information and examine the oral health status of individuals. The form collects information on patient demographics, dentition status, oral hygiene, fluorosis, debris, calculus, need for care, dentofacial anomalies, occlusion, enamel defects, and general health.
Score +riteria ' No or slig1t c1ange in enamel transluscency after prolonged air drying (0s# 1 !irst 6isual c1ange in enamel (after prolonged air drying or restricted to (it1in t1e confines of a pit or fissure " Distinct 6isual c1anges in enamel , *ocali:ed enamel brea&do(n in opa;ue or discoloured enamel ((it1out 6isual signs# of dentinal in6ol6ement . 7underlying dar& s1ado( from dentin 0 Distinct ca6ity (it1 6isible dentin 2 8xtensi6e distinct ca6ity (it1 6isible dentin ( in6ol6ing more t1an 1alf of t1e surface# - ("4# U =s1arp edges of a u dislocated toot1 (it1 pulp in6ol6ement or root fragments 1a6e caused traumatic ulceration of t1e surrounding soft tissue F = pus releasing sinus f tract related to a toot1 (it1 pulp in6ol6ement is present A = pus containing a s(elling related to a toot1 (it1 pulp in6ol6ement is present P = opening of t1e pulp p c1amber is 6isible or (1en t1e coronal toot1 structures 1a6e been destroyed by t1e carious process and only t1e roots or root fragments are left ORAL HYGIENE STATUS (OHI S)
FLUOROSIS ' = Normal 1 = <uestionable " = =ery mild , = Mild . = Moderate 0 = Se6ere 4 = 8xcluded 5 = Not recorded
.2 ,1 ,2 40 31 30 DEBRIS INDEX SIMPLIFIED Sco!" #$%!$a ' No debris or stain present 1 Soft debris co6ering not more t1an one t1ird of t1e toot1 surface or presence of extrinsic stains (it1out ot1er debris regardless of surface area co6ered " Soft debris co6ering more t1an one t1ird but not more 00 01 20 12 11 "2 #AL#ULUS INDEX SIMPLIFIED Sco!" #$%!$a ' No calculus present 1 Supragingi6al calculus co6ering not more t1an t1ird of t1e exposed toot1 surface> " Supragingi6al calculus co6ering more t1an one t1ird but not more t1an t(o t1irds of t1e exposed toot1 surface or t1e presence of indi6idual flec&s of subgingi6al calculus around t1e cer6ical portion of t1e toot1 or bot1> +I -S score DI -S score .2 ,1 ,2 40 31 30 00 01 20 12 11 "2 NEED FOR IMMEDIATE #ARE *ife t1reatening condition ?a(s fracture )ain or infection @eferral to care ' = Absent 1 = )resent%referral FLUOROSIS DENTOFA#IAL ANOMALIES D8NAIAI$N Missing incisor canine and premolar teet1Bmaxillary and mandibularBenter number of teet1 S)A+8 +ro(ding in t1e incisal segments: spacing in t1e incisal segments Diastema in mm ' = No cro(ding ' = No spacing 1 =$ne segment cro(ding 1 = $ne segment spaced " =A(o segments cro(ding " = A(o segments spaced *argest anterior maxillary irregularity in mm *argest anterior mandibular irregularity in mm $++*7SI$N Anterior maxillary Anterior mandibular =ertical anterior Antero-posterior $6er9et in mm o6er9et in mm openbite in mm molar relation
' = Normal 1 = /alf cusp " = !ull cusp E&%!'% of (!f!c% 1" 11 "1 "" .2 ". 1. ,2 1" 11 "1 "" .2 ". 1. ,2 #ODES FOR THE DDE INDEX No)a* ' D!)aca%!( opac$%$!": (1ite%cream 1 yello(%bro(n " D$ffu"! opac$%$!"+ Diffuse - *ines , Diffuse - )atc1y . Diffuse - +onfluent 0 +onfluent%patc1y C stainingC loss of enamel 2 H,pop*a"$a+ )its 3 Missing 8namel 4 Any ot1er defects 5 E&%!'% of D!f!c% Normal ' D1%, 1 at least 1%, D "%, " at least "%, , ENAMEL HYPOPLASIA (DDE INDEX) ' = Normal 1 = <uestionable " = =ery mild , = Mild . = Moderate 0 = Se6ere 4 = 8xcluded 5 = Not recorded
GENERAL HEALTH PROFORMA Name: $)D No>: Age: Eender: Identification No>: Address: Diagnosis: F1et1er undergone c1emot1erapy%radiot1erapy% surgery G Date of c1emot1erapy% radiot1erapy%surgery: )ost Areatment $utcome: Medication presently ta&en: $ral 1ygiene measures: Aid of teet1 cleaning: Agent for teet1 cleaning !re;uency: F1et1er using flossG