Although Decayed-Missing-Filled-Teeth and/or Surfaces (DMFT/S) scores provide measures to assess caries risk and oral health, it is age dependent. This report presents a simplified DMFT/S scoring system to provide a snapshot of caries and dental care experience independent of age. Presently, DMFT/S scores are not routinely used in caries risk assessment, and patient risk stratification because the calculation process is cumbersome. Therefore, a modified, practical DMFT/S tool is needed to measure caries status and the association between oral health and systemic health in individual patients, dental practices or populations.
To assess the use of modified DMFT/S scores as a measurement of oral health status, accounting for age and immune disorders.
Group 1: Healthy young adults (dentists) (N: 16); Group 2: Pediatric dental patients 8 months to 35 months of age (N: 317); Group 3: Children and adult patients requiring complex prosthodontic rehabilitation (N: 206). Group 4: Adult patients living with Human Immunodeficiency Virus /Autoimmune Deficiency Syndrome (N: 55)
DMFT/S scores were measured from chart review and dental radiographs. Descriptive statistics are presented for age, DMFT/S by Group; multiple regression models determined differences in DMFT/S among Groups accounting for age.
Overall, DMF scores increased with age (p< .0001). Each of the two medically treated Groups differed with regard to DMFT from the healthy adult Group (p< .0001), and prosthodontics treated adults were significantly different from HIV treated adults accounting for age (p <. 0001).
An algorithm with standardized conventions that are applied in an electronic dental record could have value for measuring the associations between oral health and total or systemic health as well as quality improvement in dental care. Further studies with increased sample sizes are required to demonstrate associations and identify predisposition to caries for targeting interventions using this scoring system.
Kazimiroff J, Gotlibovky B, Bulger S, et al. The Association Between Oral Health, Overall Systemic Health and Age Using DMFT Scores. J Oral Sci Health. 2015;2(1):1-16.