Dental Public Health · MU Sofia

13. Indices of dental caries morbidity.

Explains how dental caries morbidity is measured, covering prevalence (Ep, Et, Es), intensity through the DMF index with its WHO interpretation bands for 12-year-olds, caries activity, caries reduction for judging preventive programmes, the DMF structure index, and DMF-T, DMF-S and primary-dentition d/m/f indices. Ends with why these indices matter for public health planning.

Inside: 7 sections · 6 flashcards · 3 min

Topic 25 of 38 in the MU Sofia syllabus for Dental Public Health (Dental Medicine, Year 3). The free AceMed note covers it in 7 sections, about 475 words (3 min of reading), with 6 flashcards.

In this note

  1. Indices of Dental Caries Morbidity
  2. Caries Prevalence (Spread)
  3. Caries Activity
  4. Caries Reduction
  5. DMF Structure Index
  6. DMF Indices
  7. Importance of Caries Morbidity Indices

Indices of Dental Caries Morbidity

Assessment of dental health is performed using indicators of dental morbidity.

Dental health status is expressed by:

Prevalence of disease

Intensity of disease

Two main groups of indicators:

Indicators of dental caries

Indicators of periodontal status

Caries Prevalence (Spread)

Shows the percentage of persons, teeth or tooth surfaces affected by caries.

Types:

Ep = prevalence among persons

Et = prevalence among teeth

Es = prevalence among tooth surfaces

Formulae:

Ep = P(DMF) / P × 100

Et = T(DMF) / T × 100

Es = S(DMF) / S × 100

Where:

  • P(DMF) = persons affected by caries
  • T(DMF) = teeth affected by caries
  • S(DMF) = tooth surfaces affected by caries
  • P = total persons examined
  • T = total teeth examined
  • S = total tooth surfaces examined
  • Indicates how widely caries is distributed within a population.

2. Caries Intensity (DMF Index / Klein Caries Index) Reflects the average number of teeth affected by caries per person.

DMF components:

D = Decayed teeth

M = Missing teeth due to caries

F = Filled teeth

Formula:

DMF = D + M + F

Intensity formula:

I = DMF / P

Where:

  • I = intensity
  • P = number of examined persons
  • WHO commonly uses DMF in 12-year-old children.

Interpretation (12 years)

  • 0–1.1 = Very low
  • 1.2–2.6 = Low
  • 2.7–4.4 = Moderate
  • 4.5–6.4 = High
  • ≥ 6.5 = Very high

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