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PUFA – An index of clinical consequences of untreated dental caries
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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“Carious lesions, if left untreated, may lead to more advanced oral pathologies, such as abscess formation or pulpal involvement.190”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [190]
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Metadata
- 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.
- 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
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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