MITSUGI OKADA Associate Professor and Chief Special Care Dentistry, Hiroshima University Hospital 1-2-3 Kasumi, Minami-ku Hiorshima, 734-8553, Japan Tel/Fax: +81 82 257-5753 E-mail: mitsugi@hiroshima-u.ac.jp Date of Birth: Place of Birth: March 12, 1961 Shimonoseki City, Yamaguchi Prefecture, Japan Professional Background 1987: D.D.S., Hiroshima University 1991: Ph.D., Hiroshima University Memberships International Association for Dental Research, Japan Society of Pediatric Dentistry, Japan Society for Disability & Oral Health, Japan Society of Periodontology, Japan Society for Dental Health, Hiroshima University Dental Society Recent publications 1) Hayashi, F., Okada, M., Soda, Y., Miura, K. and Kozai, K.: Subgingival distribution of Campylobacter rectus and Tannerella forsythensis in healthy children with primary dentition. Arch. Oral Biol., 51: 10-14, 2006. 2) Okada, M., Soda, Y., Hayashi, F., Doi, T., Suzuki, J., Miura, K. and Kozai, K.: Longitudinal study of dental caries incidence associated with Streptococcus mutans and Streptococcus sobrinus in pre-school children. J. Med. Microbiol., 54: 661-665, 2005. 3) Okada, M., Hayashi, F., Soda, Y., Zhong, X., Miura, K. and Kozai, K.: Intra-familial distribution of nine putative periodontopathogens in dental plaque samples analyzed by PCR. J. Oral Sci. 46: 149-156, 2004. 4) Okada, M., Soda, Y., Hayashi, F., Doi, T., Suzuki, J., Miura, K. and Kozai, K.: PCR detection of Streptococcus mutans and S. sobrinus in dental plaque samples from Japanese pre-school children. J. Med. Microbiol. 51, 443-447, 2002. 5) Okada, M., Kawamura, M., Kaihara, Y., Matsuzaiki, Y., Kuwahara, S., Ishidori, H. and Miura, K.: Influence of parents' oral health behaviour on oral health status of their school children: an exploratory study employing a causal modelling technique. Int. J. Paediatr. Dent. 12, 101-108, 2002. Clinical Training Program to Evaluate Periodontal Health Status using ‘Picar’ A/Prof. OKADA Mitsugi*1, Dr. KAWAMURA Makoto2 Dr. SASAHARA Hisako2, Prof. AMANO Hideaki3 *1Special Care Dentistry, Hiroshima University Hospital; Japan, 2Preventive Dentistry, Hiroshima University Hospital; Japan; 3Oral Health Science, Faculty of Dentistry, Hiroshima University, Japan Summary: The Hiroshima University-Dental Behavioral Inventory (HU-DBI) has been shown to be useful for understanding patients' perceptions and oral health behavior in many countries. The HU-DBI comprises 20 items dealing mainly with toothbrushing behavior. On the other hand, the Oral Rating Index (ORI) is a simple method to screen periodontal health and classify people into five levels. It has been shown that ORI scores were significantly associated with HU-DBI scores. Recently, we have developed a new computer program named ‘Picar’ regarding the ability to evaluate periodontal health status using ORI criteria. This software can be used under two conditions: a test or calibration tool toward researchers group at the same time using LCD projector, or individuals sit in front of the computer and run the program, to improve their diagnosis ability. It takes 5 minutes. Using ‘Picar’, the examinees are classified into 19 levels like the ranking system of ‘Karate-Do’. Rank is used to keep examinees motivated or to give them a sense of progression. To use the computer is time saving and more flexibility. Tests can be taken independently of time or place and scored immediately with instant feedback. We will demonstrate both ‘Picar’ as a computer training soft for periodontal health and HU-DBI as an appropriate behavioral test for gingival self-care levels, at the Workshop-seminar for the Second International Conference on Tropical Oral Health. Preventive Dentistry, Hiroshima University Hospital Scoring and criteria for the Oral Rating Index (ORI) Your ORI diagnosis ability by Picar Excellent (+2) RESULT Normal gingiva and no detectable plaque or calculus Good Highest degree of yours Real ability of yours : 3 kyu : : 2 DAN 1 kyu (+1) Slight localized inflammatory changes; fairly good oral hygiene 1. First, have a look at periodontal condition and make a preliminary judgment Questionable 2. After that, for "+" diagnosis, give "+2" if the condition is very good, and (0) whether it is good (+) or bad (-). Difficult to assign a positive or negative score in 10 seconds give "+1" if it is not so good. For "-" diagnosis, give "-2" if it is obviously bad, and give "-1" if it is not so bad. Poor (-1) Overt gingivitis and poor oral hygiene Very poor (-2) Severe gingivitis and very poor oral hygiene 3. Give "0" if you cannot make a "+" or "-" diagnosis even in 10 seconds. Next 7 To start the program, click HERE . time(s) [Note] Ignore the extent of dental caries/filled teeth as it is not related to the ORI judging. 1) The ORI score is judged from gingival status and the presence and extent of local irritants with reference to this standard color photo. ( Gingiva:Calculus:Plaque = 5 : 3 : 2 ) 2) This index is based upon examination of four areas: the facial surfaces of the anterior teeth and the lingual surfaces of the right posterior teeth in the mandible and maxilla. 3) When in doubt, the examiner should assign the lesser score. 4) Each assessment should be done within ten seconds. ↓ Reset Developed by Makoto KAWAMURA, BS, DDS, PhD J. Japan Soc. Periodont .,30;1097-1107,1988. Journal of Clinical Periodontology , 27; 411-6, 2000. Co-authors 1) Mitsugi OKADA, DDS, PhD: Associate Professor, Chief, Department of Special Care Dentistry, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8553, Japan. Fax: +81-82-257-5753, Tel: +81-82-257-5753, E-mail: mitsugi@hiroshima-u.ac.jp 2) Makoto KAWAMURA, BS, DDS, PhD: Assistant Professor, Chief, Department of Preventive Dentistry, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8553, Japan. Fax: +81-82-257-5652, Tel: +81-82-257-5652, E-mail: makoto@hiroshima-u.ac.jp 3) Hisako SASAHARA, DDS, PhD: Assistant Professor, Department of Preventive Dentistry, Hiroshima University Hospital, 1-2-3 Kasumi Minami-ku, Hiroshima 734-8553, Japan. Fax: +81-82-257-5652, Tel: +81-82-257-5652, E-mail: cioco@hiroshima-u.ac.jp 4) Hideaki AMANO, DDS, PhD: Prof., Head, Oral Health Science, Faculty of Dentistry, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan. Fax.: +81-82-257-5959, Tel.: +81-82-257-5696, E-mail: hamano@hiroshima-u.ac.jp