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PUFA – An index of clinical consequences of untreated dental caries

Monse, B., Heinrich‐Weltzien, R., Benzian, H., Holmgren, C., Van Palenstein Helderman, W.·2010·Community Dentistry and Oral Epidemiology

DOI 10.1111/j.1600-0528.2009.00514.x

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Abstract

Monse B, Heinrich‐Weltzien R, Benzian H, Holmgren C, van Palenstein Helderman W. PUFA – An index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol 2010; 38: 77–82. © 2009 John Wiley & Sons A/S Abstract – Rationale: Dental caries is a global public health problem, especially in children. Most caries in developing countries remains untreated. Only limited data are available on the clinical consequences of untreated dental caries because there is no measure to quantify the prevalence and severity of oral conditions resulting from untreated dental caries. Objectives: To present a new index to evaluate the prevalence and severity of oral conditions resulting from untreated dental caries. To validate the index within the Philippines National Oral Health Survey, 2006. Methods: The PUFA index records the presence of severely decayed teeth with visible pulpal involvement (P/p), ulceration caused by dislocated tooth fragments (U/u), fistula (F/f) and abscess (A/a). Results: Good kappa values show the reliability of the index. The prevalence of PUFA/pufa >0 was 85% and 56% for 6‐ and 12‐year‐olds, respectively. The mean number of teeth affected (PUFA/pufa) was 3.5 and 1.2 for 6‐ and 12‐year‐olds, respectively. In 6‐ and 12‐year‐olds, 40% and 41% of decayed teeth had progressed to odontogenic infections. Conclusion: The PUFA index complements classical caries indices with relevant information for epidemiologists and health care planners.

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Self-citation
National oral health survey on refugees in Germany 2016/2017: caries and subsequent complications
Al-Ani, A., Takriti, M., Schmoeckel, J., Alkilzy, M., & Splieth, C. H. (2020) · Clinical Oral Investigations · doi:10.1007/s00784-020-03563-3 · Cited by 23

Authors: Monse, B., Heinrich‐Weltzien, R., Benzian, H., Holmgren, C., & Van Palenstein Helderman, W.
Affiliations: Department of Education Cagayan de Oro (PH)
Friedrich Schiller University Jena (DE)
FDI World Dental Federation (CH)
Radboud University Medical Center (NL)
Corresponding author: Monse, B.
ORCID: Heinrich‐Weltzien, R.
Benzian, H.
Venue: Community Dentistry and Oral Epidemiology
Publisher: Wiley
Published: 2010-01-07
Volume: 38
Issue: 1
Pages: 77-82
ISSN: 0301-5661 (ISSN-L)
1600-0528
DOI: 10.1111/j.1600-0528.2009.00514.x
OpenAlex: W2117771649
Cited by: 452
References: 20
Citations by year: 2026: 35 · 2025: 38 · 2024: 33 · 2023: 26 · 2022: 36 · 2021: 41 · 2020: 41 · 2019: 40 · 2018: 35 · 2017: 25 · 2016: 21 · 2015: 20 · 2014: 21 · 2013: 17 · 2012: 14
FWCI: 8.05
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Community Dentistry And Oral Epidemiology (publishedVersion)
PubMed (publishedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Topics: Health Sciences › Dentistry › General Dentistry › Dental Health and Care Utilization
Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
Health Sciences › Dentistry › Oral Surgery › Endodontics and Root Canal Treatments
Keywords: PUFA index, untreated dental caries, odontogenic infection, dental abscess, dental fistula, pulpal involvement, caries prevalence, caries severity, children, index validation
MeSH terms: Child, Dental Caries, Dental Fistula, Dental Pulp Diseases, Dental Pulp Exposure, DMF Index, Humans, Mouth Mucosa, Periodontal Abscess, Philippines, Tongue, Tooth Diseases, Tooth, Deciduous, Prevalence, Oral Ulcer

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PUFA – An index of clinical consequences of untreated dental caries

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