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Biomedical subjects

R A Kuthy

Publications and source records attributed to R A Kuthy.

43 records · Page 3Linked to original sources

Use of a compliance index for community fluoridation.

Fluoridation of public water supplies is the best method of preventing dental caries. Yet, many water systems do not maintain the optimal concentration of fluoride. The Community Fluoridation Compliance Index was developed to provide retrospective and prospective information on water systems in complying with local and State standards. This index permits flexibility in the amounts of optimal fluoride concentration and the frequency of fluoride sample testing. In addition, the index can be modified to address the size of the population served by the water system. The index's components are reviewed, and its use is demonstrated on 50 water systems from Illinois and 50 from Ohio. Annual data from these two States show how this information can be used for targeting corrective action so that the population receives the greatest benefit from fluoridation. These findings suggest that the Community Fluoridation Compliance Index can be a useful administrative instrument for comparing relative compliance results. Further studies to determine its acceptance at the State and local levels are warranted.

Fluoridation↗

Extractions prior to comprehensive orthodontic treatment in the mixed dentition.

Studies concerning the prevalence of extractions prior to orthodontic treatment have been limited in scope. This quasi-experimental analysis from secondary data explores patient and provider variables as they relate to extractions prior to comprehensive orthodontic therapy in the mixed dentition. This national database contains 38,529 children who had at least one comprehensive orthodontic (mixed dentition) visit within a 27-month period (January 1987-March 1989). Because of the relatively small number of Class III malocclusion cases, an equal allocation, random sample method was used in choosing children from the three Angle malocclusion classifications and the seven NIDR regions. Of those selected 24.7% had one or more extractions prior to orthodontic treatment, with 56% occurring at either 11 or 12 years of age. There were slightly more extraction cases for the Class I malocclusion children (26.7%) than either Class II (23.1%) or Class III (24.1%). Those children who had an orthodontic extraction were slightly older (P < 0.05). There were no statistically significant differences relating to orthodontic extractions for the following patient and provider variables: gender, malocclusion classification, years since dental graduation, and type of dental practice. There were regional differences among extraction rates for pediatric dentists, with those from the NIDR Midwest region more likely to have children receiving one or more extractions.

Adolescent↗