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Vol. 35, No. 5, 2001
Issue release date: September–October 2001
Caries Res 2001;35:360–365

Caries Data Collected from Public Health Records Compared with Data Based on Examinations by Trained Examiners

Hausen H. · Kärkkäinen S. · Seppä L.
Institute of Dentistry, University of Oulu, Finland

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Collecting data for dental caries studies is costly. In countries where uniform patient records are available for virtually the whole population, it is tempting to use them as a data source. Our aim was to compare data collected from patient records to those obtained by trained examiners. In 1992 and 1995, dentists who were specially trained and calibrated examined random samples of 12– and 15–year–olds living in two towns in Finland. The dental record of each child was obtained from public dental clinics, the dental status was entered into a computer file, and the DMFS value was calculated. Data were available for 824 children. In the two data sets, 1.3% of the tooth surfaces were recorded differently (DMF vs. sound) with the related ĸ value being 0.70. In two thirds of the discrepancies, the reason was that a filling was marked in only one of them, which confirms the known difficulty in discerning a white filling. For 48% of the subjects, the DMFS values calculated from the two sets of data were equal. The difference was 1 and 2 surfaces for 28 and 11%, respectively. Public health dentists had almost equally often registered more and less DMF surfaces compared to trained examiners. The results suggest that data collected from public health records are not decisively inferior to those obtained from examinations by trained examiners. In large enough settings, data obtained from patient records could possibly be used as a replacement for separate surveys.

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  1. Clarkson JE, Worthington HV, Holloway PJ: Adult dental surveys: A different approach. Community Dent Health 1995;12:65–69.
  2. Cohen J: A coefficient of agreement for nominal scales. Educ Physiol Measurement 1960;20: 37–46.
  3. Hausen H, Milén A, Tala H, Nordling H, Paunio I, Heinonen OP: Caries frequency among 6–17–year–old–participants of the Finnish public dental care during 1975–1979. Community Dent Oral Epidemiol 1983;11:74–80.

    External Resources

  4. Helminen SE, Vehkalahti M, Murtomaa H, Kekki P, Ketomäki T–M: Quality evaluation of health record–keeping for Finnish young adults. Acta Odontol Scand 1998;56:288–292.
  5. Möller IJ, Poulsen S: A standardized system for diagnosing, recording and analyzing dental caries data. Scand J Dent Res 1973;81:1–11.
  6. Rasmusson L, René N, Dahlbom U, Borrman H: Knowledge among Swedish dentists about rules for patient records. Swed Dent J 1994; 18:221–232.
  7. René N, Rasmusson L, Dahlbom U, Borrman H: Quality evaluation of patient records in Swedish dental care. Swed Dent J 1994;18: 233–241.
  8. Seppä L, Hausen H, Pöllänen L, Helasharju K, Kärkkäinen S: Past caries recordings made in Public Dental Health Care Centers as predictors of caries prevalence in early adolescence. Community Dent Oral Epidemiol 1989;17: 277–281.
  9. Seppä L, Kärkkäinen S, Hausen H: Caries frequency in permanent teeth before and after discontinuation of water fluoridation in Kuopio, Finland. Community Dent Oral Epidemiol 1998; 26:256–262.
  10. Varsio S, Vehkalahti M: Evaluation of preventive treatment by risk of caries among 13–year–olds. Community Dent Oral Epidemiol 1996; 24:277–281.
  11. Vehkalahti M, Rytömaa I, Helminen S: Assessment of quality of public oral health care on the basis of patient records. Community Dent Oral Epidemiol 1992;20:102–105.
  12. Vehkalahti M, Rytömaa I, Helminen S: Decline in dental caries and public oral health care of adolescents. Acta Odontol Scand 1991;49:323– 328.
  13. Virtanen JI, Bloigu RS, Larmas MA: Effect of early restorations of permanent molars on filling increments of individual teeth. J Dent 1997; 25:17–24.
  14. Virtanen JI, Larmas MA: Timing of first fillings of different permanent tooth surfaces in Finnish schoolchildren. Acta Odontol Scand 1995;53: 287–292.

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