University Hospital of Oulu, University of Oulu, Oulu, Finland.
Caries Res. 2010;44(1):81-4. doi: 10.1159/000279327. Epub 2010 Feb 2.
DMF index values have been used for 70 years and were originally meant to describe both dental status and treatment need in elementary school children. Since then its application to caries experience and severity determination has expanded. Today, WHO has standardized its use in oral health surveys in describing past and present caries experience in adults and the elderly as well. This expansion to all age cohorts creates some problems if the index is limited to dental caries, which can be easily avoided when individual values are not combined. This has been performed in some of the 7,187 DMF index publications included in PubMed. The high number of scientific articles using this index underlines its leading role in the present epidemiological caries research. On the other hand, WHO uses different determinations for clinical dental caries and missing teeth in ICD-10, the 10th revision of International Classification of Diseases, which does not include dental restorations. Combining the individual parameters of Oral Health Surveys and diseases of ICD-10, and analyzing the mean value of each parameter separately, will give a precise picture of dental health at different ages.
DMF 指数已被使用了 70 年,最初旨在描述小学生的口腔健康状况和治疗需求。从那时起,它在龋齿患病情况和严重程度的评估中的应用范围不断扩大。如今,世界卫生组织(WHO)已将其标准化,用于描述成年人和老年人过去和现在的龋齿患病情况,该指数也被纳入口腔健康调查中。如果该指数仅限于龋齿,而不将个体值进行组合,则在应用于所有年龄组时会出现一些问题。在 PubMed 收录的 7187 篇 DMF 指数文献中,有一些就已经避免了这种情况。大量使用该指数的科学文章突显了其在当前流行病学龋齿研究中的主导地位。另一方面,世界卫生组织(WHO)在国际疾病分类第 10 次修订版(ICD-10)中使用了不同的方法来确定临床龋齿和缺牙,该分类不包括牙修复体。将口腔健康调查的个体参数和 ICD-10 中的疾病相结合,并分别分析每个参数的平均值,将可以更精确地描述不同年龄段的口腔健康状况。