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OHI
SIMPLIFIED ORAL HYGIENE INDEX
PLAQUE INDEX (Silness-Le)
QUIGLEY-HEIN INDEX TURESKY PLAQUE
INDEX
CALCULUS SURFACE INDEX (CSI)
CALCULUS SURFACE SEVERITY INDEX (CSSI)
PATIENT HYGIENE PERFORMANCE INDEX
(PHP INDEX)
GLASS INDEX
NAVY PLAQUE INDEX
PLAQUE CONTROL RECORD (O'LEARY)
VOLPE MANHOLD INDEX
MARGINAL LINE CALCULUS INDEX (MLCI)
SCORE
0
1
2
CRITERIA
No calculus present
Supragingival calculus up to 1/3 of the tooth surface
Supragingival calculus up to 2/3 of the tooth or
presence of individual flecks of subgingival calculus
around cervical portion
Supragingival calculus more than 2/3 of the tooth or a
continuous heavy band of subgingival calculus
INTERPRETATION
Excellent
Good
Fair
Poor
0
0.1-0.9
1.0-1.9
2.0-3.0
1
2
3
4
5
Modified by Turesky et al
SCORE
CRITERIA
0
No plaque
1
Separate flecks of plaque at cervical margin
2
A thin continuous band of plaque at the gingival
margin
3
A band of plaque wider than 1 mm covering less
than one third of the crown of the tooth
4
Two thirds of surface
5
Greater than 2/3 of crown of the tooth
Score of 0 or 1 is considered low
Score of 2 or more is considered high
CALCULUS SURFACE INDEXCalculus Surface Index (CSI)
which was introduced by Ennever J, Sturzenberger C.P and Radike
A.W. in 1961.
CSI assesses the presence or absence of supra and/or subgingival
calculus by visual or tactile examination, regardless the quantity of
calculus.
4 or 6 mandibular anterior teeth are examined.
Criteria 0 Absence 1 Present
0= no calculus
1= calculus not extending 0.5mm in width and thickness
2= calculus not extending 1.0 mm in width and thickness
3= calculus extending 1.0mm in width and thickness
Criteria
No inflammation.
Mild inflammation, slight change in color, slight edema, no bleeding
on probing.
Moderate inflammation, moderate glazing, redness, bleeding on
probing.
Severe inflammation, marked redness and hypertrophy, ulceration,
tendency to spontaneous bleeding.
INFERENCE:
0.1-1 Mild gingivitis
1.1-2 Moderate gingivitis
2.1-3 Severe gingivitis
Calculation:
1-Individual
2-Population
GI =
Total scores
GI = Total scores
No. of surfaces examined
No. of subjects examined
****If we want to calculate the maximum score for gingival index (4 surfaces and
6 teeth)..
GI = Total scores GI = 3 * 4 * 6 = 3 * 24 = 3
No. of surfaces examined 4 * 6 24
TN score criteria
0 No need for treatment.
1 Personal plaque control (OHI).(1- 4).
2 Professional plaque control (scaling and polishing). (23 Deep scaling , root planning, surgical procedure. (3- 4)
CRITERIA
ADDITIONAL
RADIOGRAPHIC
FEATURES
Negative: neither overt Radiographic features
inflammation nor loss
essentially normal
of function due to
destruction of
supporting tissue
Mild Gingivitis: an
overt area of
inflammation in free
gingiva, which does
not circumscribe the
tooth.
Gingivitis:
inflammation
circumscribes the
tooth but no apparent
break in the epithelial
attachment.
Used only when
radiographs are
available
Gingivitis with pocket
formation: pocket
present, no
interference with
normal masticatory
function, the tooth is
firm in its socket and
has not drifted
Advanced destruction
with loss of
masticatory function:
the tooth may be
loose; may sound dull
on percussion with
metallic instrument;
may be depressible in
its socket
Individual PI
score
Clinically normal
supportive tissues
0-0.2
Simple gingivitis
0.3-0.9
Beginning destructive
periodontal disease
1.0-1.9
Established destructive
periodontal disease
2.0-4.9
Terminal disease
5.0-8.0