{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T17:38:23Z","timestamp":1793813903765,"version":"4.6.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2009,12,7]],"date-time":"2009-12-07T00:00:00Z","timestamp":1260144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2010,2]]},"abstract":"<jats:p>Monse B, Heinrich\u2010Weltzien R, Benzian H, Holmgren C, van Palenstein Helderman W. PUFA \u2013 An index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol 2010; 38: 77\u201382. \u00a9 2009 John Wiley &amp; Sons A\/S<\/jats:p><jats:p><jats:bold>Abstract\u2002\u2013\u2002<\/jats:bold><jats:bold> Rationale:\u2002<\/jats:bold> Dental caries is a global public health problem, especially in children. Most caries in developing countries remains untreated. Only limited data are available on the clinical consequences of untreated dental caries because there is no measure to quantify the prevalence and severity of oral conditions resulting from untreated dental caries.<\/jats:p><jats:p><jats:bold>Objectives:\u2002<\/jats:bold> To present a new index to evaluate the prevalence and severity of oral conditions resulting from untreated dental caries. To validate the index within the Philippines National Oral Health Survey, 2006.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> The PUFA index records the presence of severely decayed teeth with visible pulpal involvement (P\/p), ulceration caused by dislocated tooth fragments (U\/u), fistula (F\/f) and abscess (A\/a).<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Good kappa values show the reliability of the index. The prevalence of PUFA\/pufa &gt;0 was 85% and 56% for 6\u2010 and 12\u2010year\u2010olds, respectively. The mean number of teeth affected (PUFA\/pufa) was 3.5 and 1.2 for 6\u2010 and 12\u2010year\u2010olds, respectively. In 6\u2010 and 12\u2010year\u2010olds, 40% and 41% of decayed teeth had progressed to odontogenic infections.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> The PUFA index complements classical caries indices with relevant information for epidemiologists and health care planners.<\/jats:p>","DOI":"10.1111\/j.1600-0528.2009.00514.x","type":"journal-article","created":{"date-parts":[[2009,12,8]],"date-time":"2009-12-08T02:00:59Z","timestamp":1260237659000},"page":"77-82","source":"Crossref","is-referenced-by-count":353,"title":["PUFA \u2013 An index of clinical consequences of untreated dental caries"],"prefix":"10.1111","volume":"38","author":[{"given":"B.","family":"Monse","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Heinrich\u2010Weltzien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Benzian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Holmgren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Van Palenstein Helderman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,1,7]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1046\/j..2003.com122.x"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2007.01799.x"},{"key":"e_1_2_5_4_2","first-page":"1","article-title":"Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis \u2010 United States, 1988\u20131994 and 1999\u20132002","volume":"54","author":"Beltran DB","year":"2005","journal-title":"MMWR Surveill Summ"},{"key":"e_1_2_5_5_2","doi-asserted-by":"crossref","first-page":"46","DOI":"10.5005\/jcdp-7-2-46","article-title":"Prevalence of dental caries, severity, and pattern in age 6 to 7\u2010year\u2010old children in a selected community in Saudi Arabia","volume":"2","author":"Al\u2010Malik MI","year":"2006","journal-title":"J Contemp Dent Pract"},{"key":"e_1_2_5_6_2","first-page":"59","article-title":"The dental caries experience of 5\u2010year\u2010old children in Great Britain (2005\/6). 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