Gjermo P
Dental Faculty, University of Oslo, Norway.
Int Dent J. 1994 Oct;44(5 Suppl 1):547-52.
Diagnosis of a disease or condition in an individual may be defined as a conclusion which is reached following an evaluation of clinical, radiographic, laboratory and anamnestic information obtained by examination. No index designed for epidemiological purposes can be substituted for the careful process of reaching a diagnosis in an individual. However, in spite of arguments against its validity in this respect, CPITN has been suggested as a simple and quick screening tool for use in general dental practice. Several studies support this notion and that CPITN may assist in: assessing the goals for treatment, estimating the time and cost requirements, evaluating the results, and being useful in communication between dentists, specialists and auxiliary personnel. Modifications of CPITN for use with individuals have been launched in several countries which dentists and periodontists find useful and acceptable.
对个体疾病或病症的诊断可定义为在对通过检查获得的临床、影像学、实验室和既往史信息进行评估后得出的结论。没有任何为流行病学目的设计的指标能够替代对个体进行诊断的细致过程。然而,尽管有人质疑社区牙周指数(CPITN)在这方面的有效性,但它仍被建议作为一般牙科实践中使用的一种简单快速的筛查工具。多项研究支持这一观点,即CPITN有助于:评估治疗目标、估计时间和成本需求、评估结果,以及在牙医、专科医生和辅助人员之间的沟通中发挥作用。几个国家已经推出了适用于个体的CPITN修改版,牙医和牙周病医生认为这些版本有用且可接受。