Osman, Muna A. Pallagud, Mary Eileen Louise C.

DBA

Another Index for measuring Periodontal Disease designed by Henry C. Sandler and Sigmund Stahl average percent of the teeth per person showing positive sign of periodontal disease

The

In order for the tooth to be classified as having periodontal disease, it must meet one or more of the following minimum criteria:

 Gingivitis

 Gingival

Hyperplasia

 Gingival

Necrosis

 Deepening

of the gingival sulcus of 3 mm

or more

 Displacement

of the tooth more than 1 mm in any direction.

 Radiographic

evidence of bone loss over 3 mm from the cemento-enamel junction

If the diagnosis is doubtful, it should be classified as negative. individual tooth present in the mouth is rated as to the existence or absence of periodontal disease. is no differentiation as to the character of the lesion, its chronicity, the degree of bone loss, or the prognosis.

Each

There

It is reasonably practical for the study of large populations.

 Determine

the status of periodontium based on the criteria given the number of teeth affected with periodontal disease

Identify

Divide

by the total number of teeth of the subject

Number of teeth affected by periodontal disease Total tooth population of an individual

 Huda , Amel and Afnan, 30, 45

and 40 years old respectively received a periodontal assessment made by Dr. Fouad to examine their periodontal status. The results are the following:

10 11 12 13 14 15 16

32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17

= Healthy tooth

PDR = Total number of teeth affected by periodontal disease ------------------------------------------------Total number of examined teeth

= Affected tooth

16 = 0.50 = 0.50 x 100 = 50% 32 50% of Hudas teeth are affected with Periodontal Disease. PDR =

PDR = Total number of teeth affected by periodontal disease ------------------------------------------------Total number of examined teeth

PDR= 22/22=1 x100 =

100%

100% or All of Amels teeth are affected with Periodontal Disease.

 PDR

= Total number of teeth affected by periodontal disease ------------------------------------------------Total number of examined teeth PDR=0/15 = 0 x 100 = 0 % The periodontal status of Afnan is 100% healthy.

Periodontal disease rate was developed by Henry C. Sandler and Sigmund Stahl in 1960 in their study to measure the prevalence of periodontal disease in a hospitalized population. The sample studied was drawn from patients who were hospitalized at the Veterans Administration Hospital, Brooklyn, New York.

The purpose of the study was to determine whether persons with confirmed diagnoses of specific diseases demonstrate a greater prevalence of periodontal disease than those who are in relatively good health

Results of the Study:

The

influence of generalized diseases upon periodontal health was not remarkable

Periodontal

disease was also higher, but not significantly, in patients with arteriosclerosis and GI disorders

 The

number of tooth present in the subject affects the increase or decrease of the periodontal disease rate

Sandler, H.C. & Stahl, S. (1960) Prevalence of Periodontal Disease in a Hospitalized Population. Journal of Dental Research 1960, 39: 439 DOI:10.1177/00220345600390030401 Dunning, J.M. & Leach, L.B. (1960,May-June) Gingival-bone count: A Method for Epidemiological Study of Periodontal Disease. Journal of Dental Research 1960, 39:506-13 Young, W., & Striffler, D. (1969) The Dentist, His Practice, and His Community. Philadelphia, London, Toronto: W. B. SAUNDERS COMPANY

Dunning, J.M. (1962) Principles of Dental Public Health. Campbridge, Massachusetts: Harvard University Press.
Goldman, H., & Cohen D.W. (1977) Introduction to Periodontics. Saint Louis: The C.V. Mosby Company