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Oral Hygiene Index Simplified

The document describes the Oral Hygiene Index (OHI) and Simplified Oral Hygiene Index (OHI-S), which are methods for quantitatively assessing oral hygiene. The OHI is composed of the Debris Index and Calculus Index, which are calculated based on scoring six tooth segments in the mouth. The OHI-S was later developed to simplify the process while maintaining sensitivity. It similarly calculates Debris and Calculus indices based on scoring tooth surfaces, and interprets scores as good, fair or poor oral hygiene. Both indices are widely used to study periodontal disease and evaluate dental health programs.

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3K views

Oral Hygiene Index Simplified

The document describes the Oral Hygiene Index (OHI) and Simplified Oral Hygiene Index (OHI-S), which are methods for quantitatively assessing oral hygiene. The OHI is composed of the Debris Index and Calculus Index, which are calculated based on scoring six tooth segments in the mouth. The OHI-S was later developed to simplify the process while maintaining sensitivity. It similarly calculates Debris and Calculus indices based on scoring tooth surfaces, and interprets scores as good, fair or poor oral hygiene. Both indices are widely used to study periodontal disease and evaluate dental health programs.

Uploaded by

akanksha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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OHI AND OHIS

ORAL HYGIENE INDEX(OHI)

• Developed in 1960 by John C. Greene and Jack R.


Vermillion.
• Simple and sensitive method for assessing group
or individual oral hygiene quantitatively.
• It is composed of 2 components :
1. Debris index(DI)
2. Calculus index(CI)
• Segment 1: Distal to the right cuspid on the
maxillary arch
• Segment 2: Mesial to the right and left first
bicuspids on the maxillary arch
• Segment 3: Distal to the left cuspid on the
maxillary arch
• Segment 4: Distal to the left cuspid on the
mandibular arch
• Segment 5: Mesial to the right and left first
bicuspids on the mandibular arch
• Segment 6: Distal to the right cuspid on the
mandibular arch
RULES
1. Only fully erupted permanent teeth are scored
2. Third molars are not included
3. The scoring for the buccal/ labial and lingual
surfaces is based on the tooth in the
designated segment that has the greatest
surface area of debris for the DI or
supragingival and subgingival calculus for CI.
Therefore, the buccal / labial score and the
lingual score for a segment need not be taken
from the same tooth
CALCULATION:
For an individual , the formulas for the DI and CI
are:
DI = Buccal total score + Lingual total score
Number of segments scored
CI = Buccal total score + Lingual total score
Number of segments scored
To calculate the OHI, the DI and CI are summed:
OHI = DI + CI
The DI and CI values range from 0 to 6, and OHI
value ranges from 0 to 12.
INTERPRETATION:
• The minimum number of points for all segments
in either the debris or calculus score is 0.
• The maximum number of points for all segments
in either the debris or calculus score is 36.
• Since the oral hygiene index is the sum of two
indices, its range of values is from 0 to12.
• The higher the score, the poorer the oral hygiene.
SIMPLIFIED ORAL HYGIENE
INDEX(OHI-S)

• Developed in 1964 by John C. Greene and Jack R. Vermillion.


• Even though the OHI was determined too be simple and
sensitive, out was time- consuming and required more
dedication making. So, as effort was made to develop a more
simplified version with equal sensitivity.
• However, the criteria and scoring for the tooth surfaces
remain the same.
• At least two of the six possible tooth surfaces
must have been examined.
• Third molars are included only if they are
functional.
• EXCLUSION: Natural teeth with full crown
restorations and surfaces reduces in height by
caries or trauma are not scored.
• INSTRUMENT USED: Mouth mirror, No. 23
explorer (Shepherd‘s Hook)
CALCULATION:
DI-S score = Total score
No. Of surfaces examined
CI-S score = Total score
No. Of surfaces examined

Once the DI-S and CI-S are calculated separately,


then they are added together to get the OHI-S
score.
INTERPRETATION :
For the DI-S and CI-S score,
Good - 0.0 to 0.6
Fair. - 0.7 to 1.8
Poor. - 1.9 to 3.0
For the OHI-S score,
Good. - 0.0 to 1.2
Fair - 1.3 to 3.0
Poor. - 3.1 to 6.0
For an individual score:
• Scores are calculated to one decimal place.

For a group of individuals:


• The debris and calculus scores are obtained by
calculating the average of the individual scores.
• The group scores may be calculated to one or
two decimal places, depending on the sample
size.
USES OF OHI-S INDEX:
• It has been widely used in studies of the
epidemiology of periodontal disease.
• It is useful In evaluation of dental health
education programs in public school systems.
• It is used in evaluating the cleansing efficiency of
tooth brushes.
• It is used to evaluate an individual’s level of oral
cleanliness.
THANK YOU

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