Scribd Logo
Upload

Welcome to Scribd!

  • Who Oral Healt Assessment Form (Modified) : COUNTRY

    Uploaded by

    heru widyantoro
    17 views1 page
    This 3 sentence summary provides an overview of the WHO Oral Health Assessment Form: The WHO Oral Health Assessment Form is a standardized document used to record patient information such as name, age, sex, ethnicity and occupation, as well as conduct an oral examination documenting the status of teeth, gums, dentures, and need for treatment; examinations are recorded for both primary and permanent teeth on a diagram of the mouth and use codes to indicate findings such as decayed, missing, filled teeth or need for procedures like fillings, extractions or dentures.

    Original Description:

    student

    Original Title

    WHO FORM

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This 3 sentence summary provides an overview of the WHO Oral Health Assessment Form: The WHO Oral Health Assessment Form is a standardized document used to record patient information such as name, age, sex, ethnicity and occupation, as well as conduct an oral examination documenting the status of teeth, gums, dentures, and need for treatment; examinations are recorded for both primary and permanent teeth on a diagram of the mouth and use codes to indicate findings such as decayed, missing, filled teeth or need for procedures like fillings, extractions or dentures.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    17 views1 page

    Who Oral Healt Assessment Form (Modified) : COUNTRY

    Uploaded by

    heru widyantoro
    This 3 sentence summary provides an overview of the WHO Oral Health Assessment Form: The WHO Oral Health Assessment Form is a standardized document used to record patient information such as name, age, sex, ethnicity and occupation, as well as conduct an oral examination documenting the status of teeth, gums, dentures, and need for treatment; examinations are recorded for both primary and permanent teeth on a diagram of the mouth and use codes to indicate findings such as decayed, missing, filled teeth or need for procedures like fillings, extractions or dentures.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    WHO ORAL HEALT ASSESSMENT FORM

    (MODIFIED)
    COUNTRY

    Identification Original/
    Leave Blank Year Month Day Number Duplicate Examiner
    (1) (4) (5) (6) (7) (10) (11) (12)

    GENERAL INFORMATION Name OTHER DATA (specify and provide codes)


    Age in years (13) (14) Geographic (18) (19).. (21)
    Location
    Sex ( M=1, F=2) (15) Location type .. (22)
    1 = urban
    Ethnic Group (16) 2 = periurban (20).. (23)
    3 = rural
    Occupation (17)

    MALOCCLUSION
    FLUOROSIS.. (25)
    Kode : 0 = normal 3 = ringan
    0 = none. (24) 1 = meragukan 4 = sedang
    1 = slight. 2 = sangat ringan 5 = parah
    2 = moderate or
    severe

    DENTITION STATUS AND TREATMENT NEED

    55 54 53 52 51 61 62 63 64 65
    18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28
    STATUS TREATMENT
    status Primary
    (31) (46) Permanent Teeth Teeth
    (47) (62) 0 = sound. A 0 = none
    1 = decayed. B 1 = carries arresting or
    2 = filled & decayed. C sealant care
    3 = filled, no decay. D 2 = one surface filling.
    4 = missing due carries. E 3 = two or more surface
    5 = missing any other reason - fillings.
    85 84 83 82 81 71 72 73 74 75
    6 = sealant, varnish. F 4 = crown or bridge
    48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38 7 = bridge abutment or abutment.
    G
    status special crown. 5 = bridge element.
    (63) (78) 8 = unerupted tooth. - 6 = pulp care.
    9 = excluded tooth. - 7 = extraction.
    (79) (94) 8 = need for other care.
    9 = (specify)

    PERIODONTAL STATUS Absent = 0 Present = 1 DENTURE WEARING NEED FOR DENTURE


    Upper Lower Upper Lower
    Max. (30) (32) (99) (100) (101) (102)
    SOFT DEPOSITS
    Mand. (33) (35) 0 = no denture 0 = no denture needed
    1 = partial denture 1 = need to repair denture
    2 = full denture 2 = need for partial denture
    Max. (36) (38) 3 = need for full denture
    CALCULUS
    Mand. (39) (41) NEED FOR IMMEDIATE CARE OTHER CONDITION
    Life-threaning condition (115) (specify and provide codes)
    Max (42) (44)
    INTENSE GINGIVITIS Jaw / s fracture (116) (119)
    Mand. (45) (47)
    Pain or infection (117) ... (120)
    Max (48) (50)
    ADVANCE Referral to care (118)
    PERIODONTAL Mand. (51) (53) 0 = absent
    INVOLVEMENT 1 = present / refferal

    NB. Central segments include cuspids and incisor, left and right segments include molars and premolars.

    You might also like