Epidemiology: Benefits and Indexes

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Questions and Answers

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What is an index?

Expression of clinical observation in numeric values.

Purpose of an index

To increase understanding of disease process, leading to better control and prevention methods; to identify populations at high and low risk.

Criteria for index selection

Should be simple to use and calculate, permit examination of many people in a short period, have clear criteria, be free from subjective interpretation, define clinical conditions objectively, be reproducible, amenable to statistical analysis, relate numerically to clinical stage, be sensitive, and not cause discomfort.

Classification of indices

Indices are classified based on direction (reversible or irreversible), and based on disease (diseased index, symptom index, treatment index). There are 3 types: reversible, irreversible and combined.

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What is a reversible index?

Used for conditions like gingivitis, where the effects are not permanent.

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What is an irreversible index?

Used for destructive conditions like periodontitis, where the changes are permanent.

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Study Notes

Benefits of Epidemiology

  • Epidemiology helps in identification of etiological factors
  • Epidemiology assists in the planning of oral health services
  • It supports curriculum planning
  • It aids in estimating manpower
  • It assists the evaluation of preventive programs

Index

  • An index expresses clinical observations in numeric values

Purpose of Index

  • The main purpose of an index in dental epidemiology is to increase understanding of disease processes
  • The index helps discover populations at high and low risk
  • Indexes can lead to methods of control and prevention

Criteria for Selection of Index

  • Indexes have a simple use and calculation
  • Indexes permit examination of many people in a short period
  • They have criteria which defines its components clearly and readily
  • Indexes are free from subjective interpretation
  • They define clinical condition objectively
  • Indexes are highly reproducible when used by one or more examiners
  • They are amenable to statistical analysis
  • Indexes strongly relate numerically to clinical stage of specific disease under investigation
  • They are equally sensitive throughout the scale
  • They do not cause discomfort to the patient

Classification of Indices

  • Based on direction, indices can be irreversible or reversible
  • Based on the disease, indices can be diseased, symptom, or treatment indexes

Types of Indices

  • There are three types of indices
  • Reversible indices are for gingivitis
  • Irreversible indices are for destructive conditions like periodontitis
  • Combined type indices are both reversible and irreversible

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