application of the community oral health indicator by non-dental personnel and its contribution to oral healthcare应用社区口腔健康指示器non-dental人员及其贡献的口腔保健.pdf
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Application of the Community Oral Health Indicator by
Non-Dental Personnel and Its Contribution to Oral
Healthcare
1 1,2
Maria Vieira de Lima Saintrain *, Anya Pimentel Gomes Fernandes Vieira
´ ´
1 School of Dentistry and Public Health Master Program, University of Fortaleza (UNIFOR), Fortaleza, Ceara, Brazil, 2 Oswaldo Cruz Foundation, Fortaleza, Ceara, Brazil
Abstract
Obj ective: To validate the Community Oral Health Indicator-COHI by non-dental personnel.
Methods: Risk assessment is an essential component in the decision-making process. Therefore, the COHI, an instrument to
evaluate population oral health situation in a simple manner, was created. Community Health Agents (CHA) were trained to
use the COHI (variables as number of teeth, presence of cavities, residual dental roots, oral lesions, etc.), while dentists for
the COHI and DMFT. 60 individuals were examined, by CHA and DS, with these indicators in order to validate the use of
COHI by non-dental personnel.
Results: Dental and soft tissues problems were well spread among those individuals. People with and without soft tissue
damage, as well as with and without use and/or need for prostheses were found in the sample, proving it to be a
heterogeneous population for the evaluated factors and representing the real population. The results of examinations
performed by dentists using the COHI and DMF-T/dmf-t presented strong agreement when comparing the two instruments.
When COHI and DMFT were compared, the results showed a concordance of 0.86 for the number of present teeth, and 0.85
for the number of residual roots. Likewise,
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