National Diet and Nutrition Survey: people aged 65 years and over.  
                                      Oral health survey 
                                        USER GUIDE 
                                              
                                              
               
               
              Table of contents 
              Table of contents..........................................................................................................2 
              1 Background, purpose and research design ................................................................8 
                1.1 The NDNS programme......................................................................................8 
                1.2 NDNS: people aged 65 years and over - The background to the oral health 
                survey.......................................................................................................................9 
                1.3 The dietary survey............................................................................................11 
                1.4 The aims of the oral health survey ...................................................................11 
                1.5 Feasibility study and pilot work.......................................................................12 
                1.6 Personnel..........................................................................................................13 
                1.7 The study design...............................................................................................13 
              2 Methodologies.........................................................................................................16 
                2.1 The sample for the dietary survey....................................................................16 
                2.2 The sample for the oral health survey..............................................................18 
                2.3 Examiner and interviewer training for the oral health survey..........................18 
                2.4 The protocol for the visit..................................................................................19 
                2.5 Dental field checks...........................................................................................20 
                2.6 Data handling and analysis...............................................................................21 
                  2.6.1 Data checking and entry............................................................................21 
                  2.6.2 Data presentation.......................................................................................21 
              Bibliography...............................................................................................................23 
              Appendix 1.................................................................................................................24 
                Training and calibration for the clinical examination............................................24 
                Training..................................................................................................................24 
                Calibration..............................................................................................................24 
                Field Checks...........................................................................................................26 
              Appendix 2.................................................................................................................29 
                Medical screening questionnaire............................................................................29 
                Instructions on the conduct of the examination given to the examiners................30 
                DMF - Crowns and roots........................................................................................30 
                Wear.......................................................................................................................31 
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                          Spacing and contacts..............................................................................................31 
                          Periodontal examination.........................................................................................31 
                          Examination of soft tissues ....................................................................................33 
                          Examination of dentures.........................................................................................33 
                          The end of the examination....................................................................................33 
                          Equipment..............................................................................................................33 
                          Checking Sheets.....................................................................................................33 
                       Appendix 4.................................................................................................................35 
                       Weighting procedures.................................................................................................35 
                          1. The free living sample........................................................................................35 
                          2. The institution sample........................................................................................37 
                          3. Weighting and the sample for the oral health survey.........................................38 
                       Appendix 5.................................................................................................................40 
                          Diagnostic criteria for the examination..................................................................40 
                       Diagnostic criteria ......................................................................................................40 
                          1. Diagnostic criteria for decayed, missing and filled surfaces..............................40 
                          2. Diagnostic Criteria for the measurement of tooth wear.....................................46 
                          3. Diagnostic criteria for the measurement of periodontal disease ........................48 
                          4. Occlusal Examination ........................................................................................51 
                          5.    Soft tissue pathology......................................................................................53 
                          6.    Diagnostic criteria for the assessement of dentures .......................................54 
                       Appendix 6.................................................................................................................61 
                          List of equipment used...........................................................................................61 
                       Appendix 7.................................................................................................................62 
                          Glossary of terms....................................................................................................62 
                          Achieved sample....................................................................................................62 
                          Acid containing food..............................................................................................62 
                          Adult Dental Health Survey (ADHS).....................................................................62 
                          Arch / Dental arch..................................................................................................62 
                          Artificial (full coverage) crown..............................................................................62 
                          Attenders (dental attenders)....................................................................................62 
                          Body Mass Index....................................................................................................62 
                          Bridge.....................................................................................................................62 
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             Caries......................................................................................................................63 
             Cervical wear..........................................................................................................63 
             Complete denture...................................................................................................63 
             Coronal surfaces.....................................................................................................63 
             Crown.....................................................................................................................63 
             Dental caries/ dental decay.....................................................................................63 
             Dentate ...................................................................................................................63 
             Dentine...................................................................................................................63 
             DH..........................................................................................................................63 
             Diary Sample..........................................................................................................63 
             Difficulty with household tasks..............................................................................64 
             DMFT.....................................................................................................................64 
             Eating Impact .........................................................................................................64 
             Edentate..................................................................................................................64 
             Enamel....................................................................................................................64 
             Erosion ...................................................................................................................64 
             Extrinsic sugars......................................................................................................64 
             Free-end saddle.......................................................................................................64 
             Free living sample..................................................................................................65 
             Functional surfaces.................................................................................................65 
             Furcation involvement............................................................................................65 
             Gross decay............................................................................................................65 
             Head of household..................................................................................................65 
             Housebound............................................................................................................65 
             Household...............................................................................................................65 
             Institution sample...................................................................................................66 
             Incisors ...................................................................................................................66 
             Intrinsic sugars .......................................................................................................66 
             Issued sample .........................................................................................................66 
             Limited mobility within the home..........................................................................66 
             Loss of attachment..................................................................................................66 
             MAFF.....................................................................................................................66 
             Manual social class/manual groups........................................................................66 
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