DaVince Tools Generated - UK Data Servicedoc.ukdataservice.ac.uk/doc/2834/mrdoc/pdf/2834userguide.pdf · Survey In the majority of cases you will be able to code (writing the appropriate

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S1260

ADULT DENTAL HEALTH 1888

In te rv iewer I n s t r u c t i o n s

An O u t l i n e of t h e S u r v e y

The Sampling I n s t r u c t i o n s

T h e Q u e s t i o n n a i r e I n s t r u c t i o n s

T h e D e n t a l I n s t r u c t i o n s

An O u t l i n e of t h e Survey

B a c k g r o u n d

The h e a l t h d e p a r t m e n t s of t h e U n i t e d Kingdom h a v e c o m m i s s i o n e d S o c i a l S u r v e y D i v i s i o n t o c a r r y o u t t h e t h i r d n a t i o n a l a d u l t d e n t a l h e a l t h s u r v e y We d i d t h e f i r s t o n e i n 1 9 6 8 , t h e s e c o n d i n 1978 a n d , 10 and b e h o l d , we a r e programmed t o d o t h e t h i r d i n 1988 ( I n t h e i n t e r v a l b e t w e e n t h e a d u l t s u r v e y s t h e d e p a r t m e n t s h a v e a s k e d us t o c a r r y o u t n a t i o n a l d e n t a l su rveys o f c h i l d r e n , i e i n 1973 a n d 1983, we t h e r e f o r e h a v e a l o n g a s s o c i a t i o n w i t h s u r v e y s a b o u t d e n t a l h e a l t h )

F o r t h e 1988 s u r v e y w e are w o r k i n g i n c o l l a b o r a t i o n w i t h two o f t h e E n g l i s h d e n t a l s c h o o l s , Bi rmingham and Newcastle The two p r o f e s s o r s who are r e s p o n s i b l e f o r t h e d e n t a l a s p e c t s o f t h e 1988 survey ( P r o f e s s o r Ander son f r o m Bi rmingham, and P r o f e s s o r Hurray from Newcastle) were b o t h p i l o t examiners i n 1968, so t h e y a l s o h a v e had a l o n g a s s o c i a t i o n w i t h t h e work

T h e s u r v e y s of a d u l t d e n t a l h e a l t h i n v o l v e an i n t e r v i e w a b o u t d e n t a l e x p e r i e n c e s , a t t i t u d e s a n d b e h a v i o u r A t t h e end o f t h e i n t e r v i e w p e o p l e who s t i l l h a v e some n a t u r a l t e e t h a re a s k e d i f t h e y would agree t o h a v e a home d e n t a l e x a m i n a t i o n so t h a t we h a v e a r e c o r d o f t h e d e n t a l c o n d i t i o n o f a n a t i o n a l sample of a d u l t s I t is b y h a v i n g b o t h t h e i n t e r v i e w i n f o r m a t i o n and t h e e x a m i n a t i o n t h a t t h e s u r v e y c a n p r o v i d e t h e k i n d o f d a t a t h a t h e l p s w i t h t h e p l a n n i n g o f f u t u r e d e n t a l s e rv i ces

1

On t h e a d u l t d e n t a l s u r v e y s t h e e x a m i n a t i o n s t a k e place i n t h e home ( u n l i k e t h e c h i l d r e n ’ s d e n t a l s u r v e y s where t h e e x a m i n a t i o n s a r e a r r a n g e d t o t a k e p l a c e i n s c h o o l ) . So t h e s u r v e y i n v o l v e s a l a rge team o f i n t e r v i e w e r s and d e n t i s t s w o r k i n g t o g e t h e r . The d e n t i s t s i n t h e s u r v e y d e n t a l team a r e from t h e Community D e n t a l S e r v i c e and t h e y a re s e c o n d e d f r o m t h e i r n o r m a l d u t i e s f o r s u f f i c i e n t time t o c a r r y o u t t h e home e x a m i n a t i o n s .

The d e n t i s t s a r e n o t e x p e r i e n c e d a t c o n t a c t i n g t h e p u b l i c i n t h e i r own homes and we have l e a r n e d f r o m e x p e r i e n c e t h a t we c a n a c h i e v e h i g h l e v e l s o f c o - o p e r a t i o n on t h e s u r v e y i f we o r g a n i s e i t so t h a t t h e same i n t e r v i e w e r who a s k s t h e p e r s o n t o h a v e t h e home d e n t a l e x a m i n a t i o n r e t u r n s w i t h t h e d e n t i s t f o r t h e e x a m i n a t i o n . T h i s e n a b l e s t h e i n t e r v i e w e r t o c o n t i n u e t h e r a p p o r t t h a t h e / s h e h a s e s t a b l i s h e d on t h e f i r s t v i s i t , and i t r e l eases t h e d e n t i s t f r o m t h e r e s p o n s i b i l i t i e s o f h a n d l i n g t h e ’ p u b l i c r e l a t i o n s ’ a s p e c t s o f t h e home e x a m i n a t i o n . H a v i n g c a r r i e d o u t t h e i n t r o d u c t i o n s and s e t t h e s c e n e f o r t h e d e n t a l e x a m i n a t i o n t h e i n t e r v i e w e r is t h e n i n a p o s i t i o n t o a c t as r e c o r d e r f o r t h e e x a m i n a t i o n .

P a r t o f t h e b r i e f i n g w i l l b e d e v o t e d t o l e a r n i n g how t o r e c o r d t h e d e n t a l e x a m i n a t i o n i n f o r m a t i o n . A s e c t i o n o f t h e i n s t r u c t i o n s d e s c r i b e s i n d e t a i l w h a t is r e q u i r e d a t t h e d e n t a l v i s i t , and what is i n v o l v e d i n r e c o r d i n g t h e d e n t a l e x a m i n a t i o n .

The Sample

T h e sample is drawn f r o m t h r o u g h o u t t h e U n i t e d Kingdom. S o c i a l S u r v e y D i v i s i o n w i l l c a r r y o u t t h e s a m p l i n g a n d f i e l d w o r k i n Great B r i t a i n . F o r N o r t h e r n I r e l a n d t h e s a m p l i n g and f i e l d w o r k w i l l b e car r ied o u t b y t h e a p p r o p r i a t e N o r t h e r n I r e l a n d d e p a r t m e n t s . The sample o f a d u l t s w i l l be g e n e r a t e d f r o m a sample o f a d d r e s s e s , t h e h o u s e h o l d s t h e y c o n t a i n and t h e a d u l t s w i t h i n t h e h o u s e h o l d s . U n l i k e t h e p r e v i o u s d e n t a l s u r v e y s t h e r e w i l l be s eve ra l i n t e r v i e w s w i t h i n t h e same h o u s e h o l d , and i n many cases more t h a n o n e e x a m i n a t i o n . We s h a l l w a n t t o maximise o u r u s e o f r e s o u r c e s by o b t a i n i n g as many i n t e r v i e w s a t t h e same c a l l as p o s s i b l e a n d , i n p a r t i c u l a r , as many d e n t a l e x a m i n a t i o n s a t o n e c a l l as p o s s i b l e .

T h e r e are d e t a i l e d i n s t r u c t i o n s a b o u t t h e a d d r e s s l ists and s a m p l i n g p r o c e d u r e s l a t e r i n t h e i n s t r u c t i o n s .

2

T h e I n t e r v i e a s

T h e H o u s e h o l d S h e e t

T h e r e is a h o u s e h o l d s h e e t w h i c h r e c o r d s t h e d e t a i l s o f t h e h o u s e h o l d c o m p o s i t i o n a n d t h e r e l e v a n t i n f o r m a t i o n t h a t e n a b l e s t h e in te rv iewer t o d e c i d e how many i n t e r v i e w s of w h a t k i n d a r e r e q u i r e d I t a l s o r e c o r d s t h e o u t c o m e o f t h e i n t e r v i e w s a n d t h e exam i n a t i o n

C h i l d r e n i n t h e h o u s e h o l d

A l t h o u g h t h e s u r v e y is a b o u t a d u l t s t h e r e is i n f a c t a sma l l q u e s t i o n n a i r e t o b e c o m p l e t e d a b o u t a n y c h i l d r e n ( u n d e r s i x t e e n ) i n t h e h o u s e h o l d T h i s i s t h e f i r s t n a t i o n a l s t u d y on w h i c h we h a v e c o l l e c t e d d a t a a b o u t all a d u l t members o f t h e same h o u s e h o l d , and a s we know f r o m e a r l i e r work t h a t t h e r e a r e m a r k e d f a m i l y i n f l u e n c e s on t h e d e n t a l h e a l t h o f c h i l d r e n i t was d e c i d e d t h a t we s h o u l d c o l l e c t a t l e a s t some b a s i c i n f o r m a t i o n a b o u t t h e c h i l d r e n a s w e l l a s t h e a d u l t s

T h e i n t e r v i e w a b o u t t h e c h i l d r e n s h o u l d b e c o n d u c t e d w i t h t h e person i n t h e h o u s e h o l d who h a s mos t r e s p o n s i b i l i t y f o r t h e c h i l d r e n , u s u a l l y t h e m o t h e r The c h i l d r e n s q u e s t i o n n a i r e s h o u l d b e c o m p l e t e d b e f o r e i n t e r v i e w i n g t h e ' m o t h e r f i g u r e a b o u t h e r s e l f / h i r n s e l f

A d u l t s a i t h no n a t u r a l t e e t h

A b o u t a q u a r t e r o f a d u l t s a g e d s i x t e e n and o v e r n o l o n g e r h a v e a n y o f t h e i r n a t u r a l t e e t h The v a s t m a j o r i t y o f t h e s e p e o p l e r e l y on f u l l d e n t u r e s f o r e a t i n g and a p p e a r a n c e T h e i n t e r v i e w f o r t h e s e a d u l t s i s s h o r t , a n d t h e y w i l l NOT b e a s k e d t o h a v e a home d e n t a l e x a m i n a t i o n

A s t h e q u e s t i o n n a i r e f o r t h e e d e n t u l o u s ( t h o s e w i t h no n a t u r a l t e e t h ) is q u i t e s h o r t we d o n o t w a n t t o s p e n d a l o t o f time and money r e - c a l l i n g t o o b t a i n i n f o r m a t i o n f o r e d e n t u l o u s members o f t h e h o u s e h o l d who are n o t r e a d i l y a v a i l a b l e f o r i n t e r v i e w when a l l o t h e r i n t e r v i e w s ( a n d e x a m i n a t i o n s ) a t t h e a d d r e s s a r e f i n i s h e d If y o u h a v e made two a t tempts t o c o n t a c t t h e p e r s o n , or y o u know t h a t t h e y a r e n o t going t o be a v a i l a b l e , a n d all o t h e r w o r k is c o m p l e t e you may c o n d u c t a p r o x y i n t e r v i e w w i t h t h e spouse o r c l o s e f a m i l y member P r o x y in t e rv i ews a re o n l y acceptable f o r i n t e r v i e w s w i t h p e o p l e who h a v e no n a t u r a l t e e t h

, 3

A d u l t s w i t h some n a t u r a l t e e t h

Most o f t h e p e o p l e you i n t e r v i e w w i l l h a v e some n a t u r a l t e e t h , some o f them w i l l h a v e a c o m b i n a t i o n o f n a t u r a l t e e t h a n d d e n t u r e s . The ex ten t o f t h e r e p l a c e m e n t d e n t u r e s t h a t someone h a s c a n v a r y f r o m o n e t o o t h i n o n e j a w o n l y , t o a f u l l d e n t u r e i n o n e jaw a n d a l l b u t h a l f a d o z e n t e e t h i n t h e o t h e r jaw as well.

T h e i n t e r v i e w w i t h a d u l t s who h a v e some n a t u r a l t e e t h ( t h e d e n t a t e ) w i l l b e l o n g e r t h a n t h e i n t e r v i e w s a b o u t c h i l d r e n or w i t h people who h a v e n o n a t u r a l t e e t h . Even so t h e q u e s t i o n n a i r e is n o t l o n g . We have t r i e d t o k e e p all t h e q u e s t i o n n a i r e s s h o r t because t h e r e may b e s e v e r a l people t o i n t e r v i e w i n t h e same h o u s e h o l d and a t t h e end o f t h e i n t e r v i e w we want t o a s k p e o p l e who h a v e some n a t u r a l t e e t h i f t h e y would b e w i l l i n g t o h a v e a home d e n t a l e x a m i n a t i o n .

J o i n t I n t e r v i e w s

T h e r e w i l l be many addres ses at which more t h a n o n e i n t e r v i e w is r e q u i r e d . I f more t h a n o n e e l i g i b l e p e r s o n is p r e s e n t a t t h e s t a r t o f an i n t e r v i e w you may c o n d u c t a j o i n t i n t e r v i e w i f t h e c i r c u m s t a n c e s a r e f a v o u r a b l e ; t h a t i s , you may i n t e r v i e w s i m u l t a n e o u s l y two p e o p l e who h a v e n a t u r a l t e e t h or two p e o p l e w i t h n o n a t u r a l t e e t h . I t is u p t o you t o j u d g e i n t h e f i e l d w h e t h e r or n o t t o i n t e r v i e w more t h a n o n e p e r s o n a t a t ime. I f you ca r ry o u t a j o i n t i n t e r v i e w you mus t r e c o r d t h e f u l l a n s w e r on b o t h d o c u m e n t s ; ' t h e same' w r i t t e n on t h e s e c o n d d o c u m e n t is NOT s u f f i c i e n t ! You s h o u l d n o t d e l a y a n i n t e r v i e w t o make i t j o i n t .

T h e Denta l E x a m i n a t i o n s

T h e S u r v e y Dental Team

A team of d e n t i s t s f r o m t h e Community D e n t a l S e r v i c e ( t h i s h a s now a b s o r b e d t h e s c h o o l d e n t a l s e r v i c e ) w i l l b e b r o u g h t t o g e t h e r f o r t h e d u r a t i o n o f t h e s u r v e y f i e l d w o r k p e r i o d . They w i l l be t r a i n e d t o c a r r y o u t a s p e c i f i c e x a m i n a t i o n r o u t i n e t h a t h a s b e e n d e s i g n e d f o r t h e n a t i o n a l s u r v e y . The team w i l l be large, t h e r e w i l l b e n e a r l y 70 d e n t i s t s . T h e i r t r a i n i n g w i l l t a k e place on o n e of two c o u r s e s i n S o u t h p o r t i n September.

4

Meeting t h e d e n t i s t

T h e i n t e rv i ewer w i l l meet t h e d e n t i s t and h a v e a d i s c u s s i o n and some r e c o r d i n g p r a c t i c e b e f o r e s t a r t i n g t h e s u r v e y d e n t a l e x a m i n a t i o n s T h e r e w i l l b e more i n t e rv i ewers t h a n d e n t i s t s w o r k i n g on t h e s u r v e y H o s t d e n t i s t s w i l l b e w o r k i n g w i t h two i n t e r v i e w e r s , o c c a s i o n a l l y t h e d e n t i s t w i l l be w o r k i n g w i t h t h r e e , a n d v e r y v e r y o c c a s i o n a l l y w i t h one One of t h e i n t e r v i e w e r s w o r k i n g w i t h each d e n t i s t w i l l b e a s k e d t o g o t o p a r t o f t h e d e n t a l t r a i n i n g c o u r s e , i n S o u t h p o r t , t h e o t h e r s w i l l meet t h e d e n t i s t i n t h e f i e l d w o r k a r e a

L e a r n i n g t o record t h e d e n t a l d a t a

D e t a i l e d i n s t r u c t i o n s o f t h e r e c o r d i n g p r o c e d u r e s a r e p r o v i d e d l a t e r i n t h e s e i n s t r u c t i o n s We s h a l l a l s o b e p r o v i d i n g t ape r e c o r d i n g s o f some e x a m i n a t i o n s f o r you t o p rac t i s e w i t h T h e p r o c e d u r e s become easy and q u i t e o b v i o u s o n c e you h a v e s e e n a d e m o n s t r a t i o n D e s c r i b i n g i t i n w o r d s makes t h e t a s k s o u n d much more d i f f i c u l t t h a n i t 1s' I n a d d i t i o n t o t h e i n s t r u c t i o n s t h a t you w i l l be s e n t i n a d v a n c e o f t h e b r i e f i n g s w e s h a l l s p e n d t ime d u r i n g t h e b r i e f i n g on f u r t h e r p r a c t i c e A l l o f you w i l l h a v e t h e c h a n c e t o p r a c t i s e w i t h y o u r p a r t i c u l a r d e n t i s t b e f o r e v i s i t i n g a r e s p o n d e n t

T h e Home D e n t a l V i s i t

The d e n t i s t s h a v e b e e n t o l d t h e y m u s t b e a v a i l a b l e t o c a r r y o u t t h e s u r v e y d e n t a l e x a m i n a t i o n s i n t h e a f t e r n o o n s and e v e n i n g s o f w e e k d a y s They h a v e also b e e n a s k e d t o make t h e m s e l v e s a v a i l a b l e i n t h e m o r n i n g s o r a t w e e k e n d s i n e x c e p t i o n a l c i rcumstances L a t e r i n t h e d e t a i l e d i n s t r u c t i o n s we h a v e p r o v i d e d a t i m e t a b l e f o r i n t e r v i e w e r s and t h e i r d e n t i s t s so t h a t i n t e r v i e w e r s c a n know i n a d v a n c e when t h e y c a n make a p p o i n t m e n t s w i t h r e s p o n d e n t s

When you and t h e d e n t i s t v i s i t r e s p o n d e n t s homes you s h o u l d make t h e i n t r o d u c t i o n s a n d g e n e r a l l y carry o u t t h e p u b l i c r e l a t i o n s d u t i e s . T h e d e n t i s t w i l l b e much , l e s s u s e d t o m e e t i n g t h e p u b l i c a t home t h a n you are A more d e t a i l e d d e s c r i p t i o n o f your r o l e is g i v e n l a t e r i n t h e i n s t r u c t i o n s

t 5

T h e Q u e s t i o n n a i r e I n s t r u c t i o n s

T h e r e are f i v e i n f o r m a t i o n g a t h e r i n g d o c u m e n t s t h a t may b e n e e d e d a t t h e i n t e r v i e w s tage o f t h e s u r v e y . ( D e n t a l d o c u m e n t s a r e d e a l t w i t h i n t h e d e n t a l i n s t r u c t i o n s . )

The H o u s e h o l d S h e e t ( w h i t e ) The Q u e s t i o n n a i r e f o r p e o p l e w i t h n a t u r a l t e e t h ( y e l l o w ) The Q u e s t i o n n a i r e f o r people w i t h no n a t u r a l t e e t h ( g r e e n ) The Q u e s t i o n n a i r e a b o u t c h i l d r e n i n t h e h o u s e h o l d ( p i n k ) T h e D e n t a l U p d a t e s h e e t ( b l u e )

T h e H o u s e h o l d Shee t (Document 9)

E n t e r t h e a r e a , a d d r e s s and h o u s e h o l d n u m b e r s i n t h e a p p r o p r i a t e b o x e s . P l e a s e e n s u r e t h a t t h e s e a re c o p i e d a c c u r a t e l y and m a t c h t h e s e r i a l n o . p r i n t e d on t h e a d d r e s s l a b e l .

T h e h o u s e h o l d s h e e t p r o v i d e s i n f o r m a t i o n a b o u t a l l t h e members o f t h e h o u s e h o l d , t h e i r r e l a t i o n s h i p t o each o t h e r , w h e t h e r o r n o t t h e y are a d u l t s o r c h i l d r e n and w h a t t h e i r d e n t a l s t a t u s is . T h e r i g h t - h a n d s i d e t e l l s us t h e ou tcome f o r a l l t h e members o f t h e h o u s e h o l d , t h a t is w h e t h e r t h e r e was a n i n t e r v i e w a n d w h e t h e r t h e r e was a d e n t a l e x a m i n a t i o n f o r e a c h p e r s o n . P l e a s e t a k e care i n c o m p l e t i n g t h i s p a r t o f t h e s h e e t as it p r o v i d e s t h e i n f o r m a t i o n b y w h i c h t h e c o m p u t e r c a n t e l l w h i c h d o c u m e n t s t o expec t . A l i n e s h o u l d be f u l l y c o m p l e t e d f o r e a c h p e r s o n number .

I n t h e b o t t o m l e f t - h a n d c o r n e r t h e r e is a b o x f o r you t o e n t e r t h e p e r s o n number of t h e a d u l t who is most r e s p o n s i b l e f o r a n y c h i l d r e n a g e d f i f t e e n o r u n d e r i n t h e h o u s e h o l d . When you come t o i n t e r v i e w t h i s p e r s o n you w i l l a s k a b o u t t h e c h i l d r e n ( u s i n g Document C) b e f o r e a s k i n g a b o u t t h e a d u l t .

You h a v e b e e n i s s u e d w i t h two a d d r e s s l a b e l s f o r e a c h s e l e c t e d a d d r e s s . One is f o r y o u r n o t e b o o k t o save you h a v i n g t o c o p y t h e a d d r e s s o u t . T h e o t h e r s h o u l d be s t u c k on t h e b o t t o m r i g h t hand c o r n e r of t h e h o u s e h o l d s h e e t . F o r a d d r e s s e s t h a t c o n t a i n more t h a n o n e h o u s e h o l d t o be i n t e r v i e w e d please s t i c k t h e a d d r e s s l abe l on t h e h o u s e h o l d s h e e t f o r h o u s e h o l d 1.

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C o d i n g of R e l a t i o n s h i p t o HOH

We a r e a s k i n g i n t e r v i e w e r s t o c o d e R e l a t i o n s h i p t o HOH The c o d i n g f r a m e is i d e n t i c a l t o t h e o n e u s e d f o r t h e L a b o u r F o r c e S u r v e y I n t h e m a j o r i t y o f c a ses you w i l l b e a b l e t o c o d e ( w r i t i n g t h e a p p r o p r i a t e c o d e 1-9 i n t h e o f f i c e c o l u m n ) as you f i l l i n t h e h o u s e h o l d box d u r i n g t h e i n t e r v i e w A l t e r n a t i v e l y , you c o u l d code R e l a t i o n s h i p t o HOH a t t h e same t ime as you c o d e o c c u p a t i o n

You w i l l f i n d t h e c o d e l i s t a t t h e b a c k o f t h e s e i n s t r u c t i o n s , a l o n g w i t h some rules of thumb t o a p p l y i n t h e few cases w h e r e t h e r e l a t i o n s h i p i s n o t s t r a i g h t f o r w a r d The e x t r a c o p y o f t h e code l i s t is f o r you t o s t i c k i n y o u r I n t e r v i e w e r s n o t e b o o k f o r q u i c k r e f e r e n c e

Q u e s t i o n n a i r e 1

People w i t h some n a t u r a l t e e t h (Document E )

I f t h e r e are c h i l d r e n u n d e r 16 i n t h e h o u s e h o l d a n d t h e p e r s o n t o be i n t e r v i e w e d on t h i s q u e s t i o n n a i r e i s t h e p e r s o n r e s p o n s i b l e f o r t hem p l e a s e c o n d u c t t h e i n t e r v i e w a b o u t t h e c h i l d r e n ( Q u e s t i o n n a i r e 3 ) f i r s t and t h e n g o on t o Q u e s t i o n n a i r e 1

I f t h e r e a r e two p e o p l e w i t h n a t u r a l t e e t h a n d b o t h are p r e s e n t a n d w i l l i n g t o b e i n t e r v i e w e d s i m u l t a n e o u s l y you may c o n d u c t two i n t e r v i e w s a t t h e same t ime p r o v i d e d t h a t you a r e h a p p y h a n d l i n g s u c h a s i t u a t i o n P l e a s e r e c o r d w h e t h e r t h e i n t e r v i e w is s i n g l e o r j o i n t

Page 1

T h i s p a g e asks a number o f s h o r t q u e s t i o n s a b o u t t h e p e r s o n s c u r r e n t d e n t a l c o n d i t i o n

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815 a s k s i n f o r m a t i o n a b o u t t h e range o f t r ea tmen t t h a t t h e p e r s o n may h a v e had o v e r t h e w h o l e o f h i s / h e r l i f e t i m e i n c l u d i n g d u r i n g c h i l d h o o d We h a v e i n s e t ( b u t n o t b y much!) t h e k i n d s o f t r e a t m e n t t h a t are d e p e n d e n t on i m m e d i a t e l y p r e c e d i n g s t a t e m e n t s o f t r ea tmen t e x p e r i e n c e , e g I f t h e person s a y s t h e y h a v e had n o f i l l i n g s a t a ) t h e n you d o n o t a s k b ) a n d c ) a b o u t f o r m s o f p a i n r e l i e f f o r f i l l i n g s

We are a s k i n g a b o u t t h e p e r s o n s w h o l e l i f e s p a n t o d a t e i n t h i s q u e s t i o n , f o r some p e o p l e t h i s w i l l b e a l o n g t i m e s p a n a n d s o w e h a v e p r o v i d e d a c o d e f o r when t h e p e r s o n d o e s n o t know o r c a n t

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r emember . We h a v e p r o d u c e d a page o f d e n t a l d e f i n i t i o n s on a sepa ra t e d e t a c h a b l e s h e e t f o r y o u r i n f o r m a t i o n and f o r u s e i n t h e i n t e r v i e w i f p e o p l e a s k f o r a n e x p l a n a t i o n o f some o f t h e terms.

You may i n c l u d e i n t h e DK c o d e p e o p l e who d o n ‘ t know w h a t t h e t r e a t m e n t means as w e l l as t h o s e who know w h a t i t means b u t d o n ’ t know w h e t h e r t h e y h a v e had i t .

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Q 16 T h i s q u e s t i o n s h o u l d b e h a n d l e d i n t h e same way a s you would h a n d l e a n o p i n i o n q u e s t i o n . We h a v e u s e d a h a s h s i g n t h r o u g h o u t t h e q u e s t i o n n a i r e t o i n d i c a t e when w e w a n t you t o h a n d l e q u e s t i o n s i n t h i s way e v e n t h o u g h t h e y are n o t s t r i c t l y s p e a k i n g o p i n i o n q u e s t i o n s . I f you a r e c o n d u c t i n g two i n t e r v i e w s a t t h e same time t r y t o c o n f i n e each p e r s o n t o t h e i r own d e n t a l e x p e r i e n c e s . We d o n o t t h i n k t h a t a j o i n t i n t e r v i e w w i l l a d v e r s e l y a f f e c t t h e d a t a w e j u s t d o n ’ t wan t i t t o l e n g h t h e n t h e i n t e r v i e w t ime u n d u l y .

Q17 a s k s t h e p e r s o n t o g i v e a b i t more d e t a i l e d i n f o r m a t i o n a b o u t t h e i r own t e e t h . Q15 a l l o w s you t o s i f t o u t t h e p e o p l e f o r whom c e r t a i n q u e s t i o n s w o n ’ t a p p l y .

Pages 4-5

Some p e o p l e who s t i l l h a v e some o f t h e i r n a t u r a l t e e t h w i l l a l s o h a v e d e n t u r e s . Q 18-25 a s k t h o s e p e o p l e w i t h d e n t u r e e x p e r i e n c e a b o u t t h e i r d e n t u r e s . One p e r s o n may h a v e a d e n t u r e t o r ep lace o n e t o o t h w h i l e a n o t h e r may h a v e a d e n t u r e t h a t replaces a l l o f t h e t e e t h i n t h e u p p e r j a w and mos t o f t h o s e i n t h e l o w e r jaw. I t i s i m p o r t a n t t o us t o know a b o u t t h e e x t e n t o f t h e d e n t u r e , w h e t h e r i t is worn and w h e t h e r i t g i v e s a n y p r o b l e m s . D e p e n d i n g on t h e e x t e n t o f t h e p e r s o n ’ s d e n t u r e you may b e a s k i n g t h e s e q u e s t i o n s a b o u t t h e u p p e r jaw d e n t u r e o n l y , t h e l o w e r jaw d e n t u r e o n l y o r d e n t u r e s i n b o t h jaws. T h e r e are two c o d i n g c o l u m n s a t t h i s p o i n t t o accommodate whatever p a t t e r n you f i n d .

Pages 6-7

I n Q26-34 w e a s k p e o p l e t o t e l l us how t h e y fee l a b o u t t h e l o o k o f t h e i r t e e t h a n d t h e i r e x p e c t a t i o n s o f t h e i r d e n t a l f u t u r e .

Pages 8-12

T h e s e pages d e a l w i t h t h e d e t a i l s o f t h e pe r son’ s l a s t c o u r s e o f d e n t a l t r e a t m e n t , and w h a t t h e i r g e n e r a l a t t e n d a n c e p a t t e r n is now a n d h a s b e e n i n t h e p a s t .

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835 a s k s a b o u t t h e l e n g t h o f t ime s i n c e t h e l a s t v i s i t P l e a s e use t h e a p p r o p r i a t e month a c c o r d i n g t o t h e d a t e o f t h e i n t e r v i e w Some p e o p l e a t t e n d t h e d e n t i s t f o r u r g e n t t r e a t m e n t and o n l y go f o r t h e one v i s i t , o t h e r p e o p l e a t t e n d f o r a c o u r s e o f t rea tment w h i c h may b e c o m p l e t e d i n o n e v i s i t b u t may t a k e s e v e r a l v i s i t s t o c o m p l e t e F o r p e o p l e who a r e i n t h e m i d d l e o f a course o f t r ea tmen t a t t h e time o f t h e i n t e r v i e w a s k them t o e s t ima te as b e s t t h e y can w h a t t h e c o u r s e o f t rea tment w i l l h a v e i n c l u d e d a n d c o s t by t h e time i t h a s been c o m p l e t e d If t h e y c a n n o t make s u c h an es t ima te make a n o t e on t h e q u e s t i o n n a i r e t h a t t h e y d o n t know

P a g e s 12-13

The n e x t t o p i c on t h e q u e s t i o n n a i r e c o v e r s t h e p e r s o n s own d e n t a l care , and t h e i r v i e w o f w h a t f a t e d e a l t them d e n t a l l y s p e a k i n g

P a g e 14

Q u e s t i o n 60 a s k s p e o p l e s v i e w s a b o u t v a r i o u s a s p e c t s of d e n t i s t r y a n d d e n t a l h e a l t h The q u e s t i o n t e c h n i q u e i n v o l v e s a s k i n g p e o p l e t o l o o k a t e a c h c a r d i n t u r n f r o m a p a c k of 15 c a r d s ( s h u f f l e d ) and t o d e c i d e how s t r o n g l y t h e y f e e l a b o u t each s t a t e m e n t , t h a t i s w h e t h e r t h e y d e f i n i t e l y f e e l l i k e t h a t , f e e l l i k e t h a t t o some e x t e n t or d o n t f e e l l i k e t h a t You a s k them t o p l a c e t h e c a r d s on t h e A4 b a s e c a r d i n t h e box w h i c h b e s t d e s r i b e s t h e i r s t r e n g t h of f e e l i n g s You r e c o r d on t h e q u e s t i o n n a i r e t h e a p p r o p r i a t e c o d e ( 1 - 4 ) f o r e a c h s t a t emen t When t h e r e s p o n d e n t r e a d s t h e c a r d s a n d e x p r e s s e s h i s o r h e r s t r e n g t h of f e e l i n g t h e c a r d s w i l l n o t , of c o u r s e , b e i n n u m e r i c a l o r d e r as t h e s t a t emen t s a r e on t h e q u e s t i o n n a i r e E a c h c a r d h a s a number i n t h e t o p l e f t c o r n e r a n d you may b e a b l e t o c o d e t h e q u e s t i o n n a i r e as t h e r e s p o n d e n t s o r t s t h e c a r d s , i f t h i s is n o t p o s s i b l e you s h o u l d c o d e f r o m t h e p i l e ( s ) t h e r e s p o n d e n t h a s made o n c e h e / s h e h a s c o m p l e t e d t h e s o r t

Once t h i s s o r t ( a n d y o u r c o d i n g ) is f i n i s h e d you a s k t h e p e r s o n t o l o o k again a t all t h e s ta tements for w h i c h h e / s h e ' d e f i n i t e l y f e l t l i k e t h a t ' , and r a n k them i n o r d e r o f impor tance ( s t a r t i n g w i t h t h e m o s t i m p o r t a n t ) Some p e o p l e may n o t h a v e p u t a n y s t a t e m e n t s i n t h a t c a t e g o r y , t h e c o d e d q u e s t i o n n a i r e w i l l show us t h a t t h i s is t h e case and t h e r e is no r a n k i n g t o d o I f o n l y one s t a t emen t h a s b e e n p u t i n t h a t c a t e g o r y e n t e r i t i n t h e f i r s t r a n k i n g b o x If f e w e r t h a n e i g h t s t a t e m e n t s h a v e b e e n p u t i n t h e t o p category r a n k j u s t t h e s e s t a t e m e n t s and l e a v e some of t h e r a n k i n g b o x e s e m p t y ( T h i s w i l l be t h e most common s i t u a t i o n ) I f e i g h t s ta tements h a v e b e e n p u t i n t h e t o p b o x t h e r a n k i n g

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process will fill all the boxes. If more than eight statements were put in the top box then the ranking process will only record the first eight in order of importance.

If people cannot rank all the statements in order of importance encourage them to do as many as they can and write a note on the questionnaire.

We have supplied you with two packs of cards, in different colours, so that if you are conducting two interviews simultaneously both people can carry out the card sort at the same time. If they are both busy doing this they won’t have time, or as much opportunity, to influence each other.

Please try to get the respondent to carry out the card sort without getting involved in a family conference, whether or not you are doing two interviews simultaneously or not.

Pages 15-17

Classification

Please introduce the classification section. For this survey we are interested, in addition to the classification details that we usually collect, in finding out a bit about car ownership and whether people have always lived in the same area. This provides us with some information about available methods of transport to the dentist, and whether the person may have had some dental experiences in different parts of the country.

864 and Q65 cover the kind of classification information usually required on SSD surveys. The interviewer code box is there for you to gather together information that you will require for the dental examination. You can do this after the interview. The last section (Nerv) is for you to ring if the person you are interviewing is exceptionally nervous and you think that the dental examiner must know this in advance of the dental examination so as to take great care in putting him/her at ease and carrying out the appropriate reassurances. This code has to be a matter for your judgement and it is provided for exceptional circumstances. Many interviewers may never need to use code 1 and I would be surprised if any interviewer needed to use it more than twice.

866 is there to help us overcome the following problem. We need the occupation of the HOH. In many households we shall interview the HOH and obtain the relevant information. If we interview some members of the household but do not manage to interview the HOH we would, ideally, still like to have the HOH occupation details. But we may not know at that stage whether or not the

1/10 1 0

HOH w i l l b e a v a i l a b l e However we d o n o t w a n t t o a s k e v e r y o t h e r member o f t h e h o u s e h o l d f o r t h e HOH o c c u p a t i o n i n f o r m a t i o n We t h e r e f o r e h a v e a n i n t e r v i e w e r c h e c k t h a t l e a d s you t o a s k j u s t o n e o f t h e o t h e r h o u s e h o l d members f o r HOH i n f o r m a t i o n i f t h e HOH h a s n o t y e t b e e n i n t e r v i e w e d We g i v e p r e f e r e n c e t o o b t a i n i n g t h i s i n f o r m a t i o n f rom t h e s p o u s e o f t h e HOH, a n d we make t h e a s s u m p t i o n t h a t you w i l l b e successfu l a t i n t e r v i e w i n g one o r o t h e r o f them! Do n o t a s k f o r HOH o c c u p a t i o n d e t a i l s f r o m a h o u s e h o l d member who is n o t r e l a t e d t o t h e HOH

P a g e 18

Q68 A t t h e end o f t h e i n t e r v i e w we would l i k e you t o a s k a l l t h e p e o p l e who h a v e had a n i n t e r v i e w on t h i s ( y e l l o w ) q u e s t i o n n a i r e i f t h e y w i l l agree t o you r e t u r n i n g w i t h a d e n t i s t t o c a r r y o u t a home d e n t a l v i s i t I t i s b e t t e r n o t t o use t h e term

o f f - p u t t i n g

T h e p u r p o s e o f t h i s v i s i t is t o c o m p l e t e t h e d e n t a l p i c t u r e b e c a u s e t h e r e a r e some t h i n g s t h a t o n l y a d e n i s t would b e a b l e t o see

I t s h o u l d t a k e t h e d e n t i s t 10-15 m i n u t e s and would b e very h e l p f u l f o r p l a n n i n g d e n t a l s e r v i c e s I t w i l l n o t h u r t a t a l l

You s h o u l d u s e t h e s u g g e s t i o n s g i v e n on t h e q u e s t i o n n a i r e f o r v a r y i n g y o u r e x p l a n a t i o n t o c o v e r t h o s e t h i n g s w h i c h seem mos t i m p o r t a n t t o t h e r e p o n d e n t You d o n o t n e e d t o c o v e r a l l t h e p o i n t s w i t h e v e r y p e r s o n

You s h o u l d make t h e a p p o i n t m e n t as s o o n a f t e r t h e i n t e r v i e w as i s p o s s i b l e , a n d t r y t o a r r a n g e f o r as many h o u s e h o l d members (who a re e l i g i b l e a n d agree) t o b e e x a m i n e d a t a s i n g l e d e n t a l v i s i t as p o s s i b l e ( S e e d e n t a l i n s t r u c t i o n s f o r d e t a i l s o f home v i s i t s f o r t h e d e n t a l e x a m i n a t i o n )

871 W e a r e c a r r y i n g o u t t h i s s u r v e y i n 1988 W e o n l y d o t h i s k i n d o f s u r v e y e v e r y t e n y e a r s because i t is t i m e c o n s u m i n g and e x p e n s i v e B u t as t h e y e a r s g o b y t h e i n f o r m a t i o n ge t s o u t o f d a t e , a n d is n o t so u s e f u l B u t now t h a t t h e r e s p o n d e n t h a s h e l p e d us t h i s f a r we c o u l d i n f a c t k e e p t h e p i c t u r e u p t o d a t e i f h e / s h e wou ld b e w i l l i n g t o h e l p us a l i t t l e more

T h e r e is a c e n t r a l c l e a r i n g p l a c e f o r NHS d e n t a l t r e a t m e n t ( i n E a s t b o u r n e f o r E n g l a n d and Wales a n d i n E d i n b u r g h f o r S c o t l a n d ) A r e c o r d of a l l NHS v i s i t s goes t h e r e ( b e c a u s e t h a t is how t h e d e n t i s t s are p a i d ) I f t h e p e o p l e we i n t e r v i e w are w i l l i n g f o r us t o u p d a t e t h e s u r v e y we c o u l d add i n f o r m a t i o n a b o u t f u t u r e NHS

e x a m i n a t i o n a s t h i s s o u n d s v e r y f o r m a l a n d for some people is

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11

v i s i t s t o t h e i n f o r m a t i o n f r o m t h e i n t e r v i e w a b o u t t h e las t d e n t a l v i s i t . I n t h i s way we c o u l d k e e p an u p - t o - d a t e p i c t u r e o f t h e d e n t a l h e a l t h o f a n a t i o n a l sample o f a d u l t s .

We s h o u l d l i k e you t o p u t t h i s request t o all t h e people i n t e r v i e w e d on t h i s q u e s t i o n n a i r e w h e t h e r o r n o t t h e y are w i l l i n g t o h a v e a home d e n t a l v i s i t . I f t h e p e r s o n agrees please complete t h e b l u e D e n t a l U p d a t e s h e e t and a s k t h e r e s p o n d e n t t o s i g n i t .


People w i t h no n a t u r a l t e e t h (Document D)

I n t h i s s u r v e y t h e r e may b e s e v e r a l i n t e r v i e w s t o c o n d u c t i n o n e h o u s e h o l d , and t h e r e may b e a m i x t u r e o f y e l l o w and g r e e n q u e s t i o n n a i r e s . I f someone who h a s n o n a t u r a l t e e t h is v e r y d i f f i c u l t t o c o n t a c t and all t h e o t h e r i n t e r v i e w s ( a n d d e n t a l e x a m i n a t i o n s ) a r e c o m p l e t e YOU may c o n d u c t a n i n t e r v i e w w i t h a p r o x y . T h i s s h o u l d b e a c l o s e r e l a t i v e l i v i n g i n t h e h o u s e h o l d . T h e p r o x y will themselves h a v e b e e n i n t e r v i e w e d e i t h e r on t h e g r e e n o r y e l l o w q u e s t i o n n a i r e .

Pages 1-3

T h e s e pages f i n d o u t d e t a i l s a b o u t t h e p e r s o n ’ s d e n t u r e s , how long t h e y h a v e had t h e m , w h e t h e r t h e y wear them and w h e t h e r t h e y h a v e a n y p r o b l e m s w i t h t h e m .

Pages 4-6

We are i n t e r e s t e d t o know a b o u t t h e c i r c u m s t a n c e s s u r r o u n d i n g t h e time when t h e p e r s o n l o s t t h e i r n a t u r a l t e e t h . F o r some people t h i s w i l l h a v e b e e n a l o n g time a g o . W e r ea l i s e t h a t it m i g h t b e d i f f i c u l t t o remember b a c k b u t f o r q u i t e a l o t o f p e o p l e i t was i n f a c t a v e r y memorab le e v e n t .

A t Q23 t h e r e is a n i n t e r v i e w e r c o d e w h i c h a l lows a s k i p f o r w a r d f o r t h o s e p e o p l e who l o s t t h e i r t e e t h t e n y e a r s o r l o n g e r ago. P e o p l e who l o s t t h e i r t e e t h more r e c e n t l y are a s k e d a few more q u e s t i o n s .

Pages 7-12

These pages h a v e q u e s t i o n s t h a t are similar t o q u e s t i o n s on t h e yellow q u e s t i o n n a i r e .

1/12

1 2

P l e a s e n o t e t h a t you s h o u l d a l s o a s k r e s p o n d e n t s w i t h n o n a t u r a l t e e t h w h e t h e r t h e y w i l l agree t o a d e n t a l u p d a t e The <G> s k i p a t t h e end o f q u e s t i o n n a i r e s 1 a n d 2 is a r e f e r e n c e t o t h e d e n t a l u p d a t e s h e e t


C h i l d r e n aged 0-15 (Document C )

F o r h o u s e h o l d s t h a t c o n t a i n c h i l d r e n i n t h e age range 0-15 you w i l l h a v e e s t a b l i s h e d who t h e ' m o t h e r f i g u r e is When you a p p r o a c h t h i s p e r s o n f o r i n t e r v i e w you s h o u l d s t a r t f i r s t w i t h t h e o n e page q u e s t i o n n a i r e a b o u t t h e c h i l d r e n b e f o r e a s k i n g t h e

m o t h e r f i g u r e ' a b o u t h e r s e l f / h i m s e l f

P a g e 1

P l e a s e e n t e r t h e p e r s o n number o f each c h i l d ( t a k e n f r o m t h e h o u s e h o l d s h e e t ) a t t h e t o p o f e a r h co lumn A s k t h e age o f e a c h c h i l d

82-7 a s k s a b o u t t h e d e n t a l e x p e r i e n c e s o f each c h i l d a g e d t h r e e o r m o r e , w i t h a s e p a r a t e c o d i n g co lumn f o r e a c h c h i l d I f a l l t h e c h i l d r e n a r e u n d e r t h r e e you s k i p t o Q10 I f n o n e o f t h e c h i l d r e n a r e u n d e r t h r e e t h e n a l l t h e c o l u m n s c o n t a i n i n g a p e r s o n number s h o u l d b e u s e d I f some c h i l d r e n a r e u n d e r t h r e e and some a r e 3-15 you w i l l h a v e some c o l u m n s b l a n k f o r Q2-9 and o t h e r s c o m p l e t e d I t w i l l b e a n a d v a n t a g e t o you i f t h e c h i l d r e n h a v e b e e n l i s t e d on t h e h o u s e h o l d s h e e t i n d e s c e n d i n g age o r d e r , t h e n t h e p e r s o n n u m b e r s w i l l b e i n age o r d e r , and a l l t h e c h i l d r e n t o o y o u n g f o r t h e d e n t a l q u e s t i o n s w i l l b e i n a d j a c e n t c o l u m n s T h i s w i l l t h e n g i v e you a b l o c k o f c o l u m n s f o r w h i c h 82-9 a p p l y and a b l o c k f o r w h i c h t h e y d o n o t (We expec t t h l s is e x a c t l y how you would n a t u r a l l y d o i t w i t h o u t o u r h a v i n g m e n t i o n e d i t a t a l l ' )

Q3 T h i s q u e s t i o n does n o t h a v e p r i n t e d month p r o m p t s w h e r e a s s imi la r q u e s t i o n s on t h e o t h e r two q u e s t i o n n a i r e s d o They are o n l y m i s s i n g h e r e b e c a u s e o f l a c k o f space P l e a s e u s e t h e a p p r o p r i a t e mon th d e p e n d i n g on t h e d a t e o f t h e i n t e r v i e w and w h e t h e r you a r e t a l k i n g a b o u t a s i x month i n t e r v a l o r o n e or two yea ts

Page 2

812 A t t h i s q u e s t i o n we w a n t t o f i n d o u t w h a t k i n d s of t h i n g s m o t h e r s t h i n k can b e h e l p f u l i n a v o i d i n g d e c a y We w a n t t o g i v e them t i n e t o g a t h e r t h e i r t h o u g h t s on t h i s mat te r b u t we d o n t w a n t t o over p r e s s t h e m t o d r a g u p i d e a s T h e r e m u s t be n o

1/13

1 3

prompting of ideas. We want spontaneous responses only. You will need to know this code list well because people's spontaneous ideas will not be expressed in the order on the Questionnaire! You will a l s o , of course, need to know the distinctions between codes as you will be deciding how to code the answers. If the ideas expressed do not fit into the codes given on the questionnaire please specify them. It is likely that for some people the number of ideas expressed will be high, perhaps ten or more codes, but for the majority we expect it will be less.

1/14 14

R e l a t i o n s h i p t o Head of H o u s e h o l d -

Code L i s t

Write i n , and code

Head o f H o u s e h o l d

W i f e o f HOH

C h i l d o f HOH/wife

P a r e n t s / g r a n d p a r e n t s of HOH/wife

B r o t h e r / s i s t e r o f HOH/wife

N e p h e w / n i e c e o f HOH/uife

G r a n d c h i l d o f HOH/wife

O t h e r r e l a t i o n o f HOH/wife

O t h e r

H o u s e h o l d r e l a t i o n s h i p

Here y o u m u s t l ist a l l t h e people i n t h e h o u s e h o l d i n terms of t h e i r r e l a t i o n s h i p t o t h e HOH, e g w i f e , s o n , f a t h e r , s i s t e r , b o a r d e r , e t c Then you mus t s e l e c t a c o d e f r o m t h o s e p r i n t e d a b o v e and e n t e r t h e c o d e on t h e h o u s e h o l d s h e e t

T h e HOH always t a k e s t h e f i r s t l i n e a n d t h i s s h o u l d b e c o d e d 1 T h e o t h e r s c a n come i n a n y o r d e r T h u s t h e s e c o n d l i n e m i g h t s a y

wi fe and b e c o d e d 2 T h e n e x t l i n e s m i g h t b e ’ s o n a n d d a u g h t e r , a n d b o t h would b e c o d e d 3 Then t h e r e m i g h t b e

‘ m o t h e r - i n - l a w ’ , w h i c h would be c o d e 4 , and f i n a l l y b o a r d e r , c o d e 9

Write i n a n d c o d e t h e r e l a t i o n s h i p t o t h e HOH f o r e v e r y member o f t h e h o u s e h o l d ( i n c l u d i n g t h e H O H , c h i l d r e n and y o u n g b a b i e s ) , o n e person on e a c h l i n e Don t f o r g e t t o r i n g t h e Pers n o f o r e a c h person i n t h e h o u s e h o l d b o x , s t a r t i n g w i t h t h e HOH

1/15 i ’ 1 5

Please note the following points

* any children in the household born to or adopted by either HOH or wife or both should be coded as 'Child of HOH/wife'.

* Foster children should be coded as 'Child of HOH/wife' only if they have been living in the household for 6 months or more. If they have been living there less than 6 months, treat them as 'Other' (code 9).

* Sons-in-law and daughters-in-law of HOH/wife are 'Other relation of HOH/wife' (code 8).

* 'Cohabitee', 'girlfriend', etc. should be coded 'Other' (code 9 ) . but DO NOT probe 'wife' or 'husband' to establish cohabitation.

* 'Common-law wife' should be coded as 'wife' (code 2).

1/16 1 6

S4MpLING INSRLKTICNS

Sampling for the Adult Dental Health Survey follows the same rules and procedures as the General Hmsehold Survey. Pleise work through t h e sampling instructions t o make sure you are familiar w i t h the procedures, especially for concealed multi-household addresses, and pr+sampled multi-household addresses.

The sample is one of postal addresses produced by canputer fran the Postcode Address F i l e (PAF). The PAF is the Post Office's list of addresses (or 'delivery p o i n t s ' , as they cal l them) for Great Britain. It is a good sampling frame i n that it is as nearly as possible a canplete list of addresses and, being he ld on ccmptuer tapes, it is relatively easy t o use for drawing a sample. fran the 'small user' Postcode Address Fi le , that is the f i l e of delivery points which receive fewer than 25 ar t ic les of m l per day. t h e small user f i l e we hope t o avoid sampling large institutions and businesses. HCweVer, sane small businesses or c m r c i a l premises may be sampled and appear on your address list. Therefore you may f i n d a higher proportion of ineligible addresses i n sane quotas than i n an Electoral Register sample, particularly c i ty centre ones, where shops cculd be sampled. (Note, hmever, that you mus t ca l l a t the sampled addresses t o check for residential acccrmnodation).

I f ym have any sampling queries please ring the Sampling Implementation U n i t (SIU) Nic Croll E x t 2347.

The addresses on your list have been selected a t randan

By using only

I

1 7

?HE ADDRESS L I S T

An example of a PAF address list, reduced i n size, is included for reference (page S/3) . Working fran l e f t t o right they give the following details:

Top line

S1260 ADmT DENTAL HEALTH

INTEINIEWER

The top two lines give general information about the quota.

is self explanatory.

Again self-explanatory. w i l l be written i n by hand i n F ie ld Branch.

The interviewer's name and number

OFFICE USE

Second l i n e

AREA NO.

POsITckJN

SECTOR

This gives the date on which the address list w a s printed.

Th i s consists of a 3-digit mb??r.

Th i s shows the p o s t t m i n which the addresses are located but bear i n mind that t h i s is not always the same as the geographical location. included i n the posttown of the nearest large town or city.

T h i s shows the postcode sector i n which a l l the addresses are located, and consists of two le t te rs and two d i g i t s followed by the sector name. (The name has teen allocated by OPTS and is not meaningful t o the Post Office). 411 the sampled postcodes on t h e address list w i l l s t a r t w i t h the same le t t e r s and numbers as the sector printed here. A postcode is, i n fact , canpleted by t h e addition of two final le t te rs to the postcodes as NR3 lA& etc. Each postcode contains an average of 17 Postal addresses (that is 17 delivery p o i n t s ) .

O f t e n small tms or villages are

REGION A 2-digi t number.

The information i n the main body of the address list is presented i n 8 columns.

1. ADD. SERIAL NO Th i s is t h e 2-digi t address number.

2. ADDRESS Normallly this w i l l be the f u l l postal address. Very occasionally, the house name or number w i l l be anitted and replaced by an asterisk. If no extra information has been written i n please telephone Sampling for instructions. For "divided address" see page S/0.

3 . mx¶TAL DISTRICT)

4 . POSPCODE

There is no heading t o this column which shows the postal district of the sample3 address. This information is not always given on the PAF, and therefore on many address lists it appears only intermit tent ly . Note that entries i n this column are linked only t o the address on that l i n e (eg on the specimen address list "Canwick' applies only t o 55 Stacy Road and no other address on t h e list).

This column lists the postcode (5, 6 or 7 characters) for each sampled address.

s/2 1 8

v) . w

- 51160 CtdULT DENTAL HEALTH 1968 OFFICE USE: 0 3 1 2 8 4

AREA NO: 004 € ‘ O S ” t NORWICH SECTOR N R 3 1 / NORWICH NORTH EAST ReGION 05

ADD SERIAL NO ADDRESS POSTCODE m u W

0 1 7 IUNDELLS ROAD

0 2 13 tovES YARD ST GEDRGES STREW

0 3 23A Q.IURCH LANE

N R 3 IRA

N R 3 I A W

1% 1 0

19G 1 0

N R 3 1BP 2 19G 1 0

DIVIDED ADDRESS BOXED PART ONLY ........... ...~.......***.**.*.*...***.***..*.*.~.~****.*****..**.*....***... . 23A CHURCH LANE . ......................*~.*.~~~~~.*~~~~~~.~~~~~~.*~b~~~~*~~.~~..~~~.~~~.~4..*b

2 3 CHURCll LANE

0 4 14 GRANGEWOOD AVENUE NR3 1DE 19G 1 0

05 23-25 LONG RGW CANWICK N R 3 1DY 1% 10

06 59 RED LION STREET N R 3 1EE 19G 10

DIVIDED ADDRESS BOXED PART AND ANY PARTS NUT LISTED Oh‘ ADDRESS L I S T PLAT 1 / 5 9 RED LION STREET FLAT 3/59 RE11 LION SPREEP ...............~.............~*..~~~~~.**..~.~..~~.~.~.~~~~.~~.... .....~...~. . 59 RED LION STREET . ......... ............~*...***.*~~**.~~.~~**~~.~***~***..*..*......**.~....*~~

07 THE GATE HOUSE/ ST M A R T I N S ROAD N R 3 1EP

08 2 8 PRINCeTON GARDENS NR3 IHG

DIVIDJJD ADDRESS BOXED PART ONLY

BASEMENT n A T / 2 PRINCETON GARDENS ........ ~...........~~*.~....~.*~*.*.**.**...*.****..~.*.*.*~..*~~*~......... ..............................t.t...t~~..~..~.~.~~...*...~~.~~...~~.......

. 2 8 PRINCETON GARDENS

2 PRINCETON GARDENS

09 1 4 9 BARRACK STREET

1 0 THE COTTAGE/BEECH ROAD

* * * * * * * * * LA 1% IS NORWICH

IIAZEL GROVE N R 3 1 J D

SWANLAND N R 3 IPW

1% 11

19G 1 1

19G 1 2

19G 12

GRID REF

6 2 3 1 0 / 3 0 9 3 0

6 2 3 2 0 / 3 0 8 8 0

6 2 3 1 0 / 3 0 9 1 0

6 2 2 9 0 / 3 0 9 3 0

6 2 3 0 0 / 3 0 9 3 0

6 2 2 9 0 / 3 0 9 9 0

6 2 3 2 0 / 3 0 8 7 0

6 2 3 2 0 / 3 0 8 8 0

6 2 3 1 0 / 3 0 9 4 0

h 2 3 9 0 / 3 0 9 5 0

5. MO An entry appears i n t h i s column only i f an address occurs (MULTI- more than once i n PAF. I t is t h e f i r s t indication that an OCcuPANcl) address may be multi-occupied, that is, that more than one

household may be l i v i n g there. The number i n the column should be treated only as a rough guide t o the number of households you may expect t o find a t t h e address. There is no guarantee that t h i s number is correct and you still have t o cal l a t the address and identify the number of households l i v i n g there. addresses on page S/9.

converted into the LA name a t the bottan l e f t of t h e s h e e t .

This gives a code number for the electoral ward i n which each address is located (for office use only).

See section on multi-household

6 . LA (LOCAL This is the Local Authority code number on the PAF and is AVE-IORITI )

7. w (m)

8. GRID REF This gives the grid reference of the postcode, ( i n fact t h e f i r s t address i n the postcode). There are, on average 17 addresses i n each postcode so although the grid reference may not be the precise one for the sampled address, it w i l l only be i n an unusually widespread postcode area that the sampled address is far from the grid reference. (The use of gr id references is described i n more detail l a t e r ) .

I f t h e quota covers more than one postal sector, a separate sheet w i l l be supplied for each sector. Thus, i f three small sectors have been grouped together and the addresses selected from a l l three, the address list w i l l consist of 3 pages.

I f you have any difficulty interpreting the canputer l is t ing or i n f ind ing an address (after following the recamnended procedure) please telephone Sampling for further information ( E x t 2 3 4 7 ) . Alternatively there is an ansaphone l ine available 24 hours a day on which you can leave a message (01-831 7738). sure you have the address to hand when telephoning:

Using gr id references on PAF samples

All PAF addresses have an Ordnance Survey grid reference attached t o them. T h i s is printed out on your address list, and may be of saw help i n tracing

You need an Ordnance Survey map of your area which is fa i r ly large-scale: 1 : 50,000 or 1 : 63,000 is best. The f i r s t 5 figures of the grid reference give the reference along the bottan of the map. reference up the side of the map.

A word of caution: not a l l the grid references w i l l be canpletely accurate. There may be occasional errors i n them. Also s ince the reference is for the f i r s t address i n the post-code containing the sampled address, rather than the specific sampled address, it is a guide t o the locality of your sampled address rather than an accurate location. Hwever, we understand that 90% of addresses are within 400 metres of the grid referenced address.

Grid references may still leave you unable t o find some rural addresses and obviously they are not very use fu l i n urban areas. locating an address, please see t h e section "addresses d i f f i a l t t o find".

Make

. occasional rural addresses which are diff icul t t o locate.

The second 5 figures give t h e (See example overleaf).

I f you still have problems

s/4 20

ADDRESSES DIFFICULT To FIND

The PAF address list does not supply names of occupiers of each address. N a m e s from t h e Electoral Register sample were often used i n rural areas t o help locate obscure addresses. Experience on other surveys with PAF samples has shown tha t the mst effect ive methods of locating d i f f i c u l t addresses are:

1.

2 .

3. Phoning local Sorting Office (before 11 am).

4 .

5. Asking police.

If a f t e r consulting maps, v i s i t i ng t h e area and enquiring local ly you still cannot locate an address, there a re two alternatives:

information

Asking local people including the postman

Phoning local Post Code Enquiries (Tel No in Blue Postcode Book).

Asking at t h e local Post Office

1. Telephone t h e SIU who may be able t o provide ex t ra e i the r from the PAF or from the Electoral Register.

Check the address on the Electoral Register, t o obtain a surname, yourself. off ices.

2 . Copies a re usually held a t l i b ra r i e s and some post

You should decide which is cheaper. t h e Electoral Register involves a long journey, parking expenses etc, it would be better t o telephone HP. I f , however, you have several obscure addresses and there is a capy of the Electoral Register local ly , it w u l d probably be cheaper for you t o check this yourself. Please note this is only permissible when a l l other methods have been exhausted and it should only be necessary i n a very small number of cases i n rural areas. Make a note of any such calls on your claims form. Sane Sub Post Offices have a copy of the Electoral Register t o hand and may be willing t o help you.

Obviously i f locating an odd address i n

B l u e Postcode Books

You may a l so find it useful t o obtain local postcode books. Offices, i n theory, can supply these f r ee on request, so it should be possible t o collect one when you c a l l t o post work etc. this, we w i l l supply an introductory letter for you t o hand i n a t the Post Office. Don't make a special journey t o co l lec t a B l u e Book:

Counting Households a t Address

A t each address you should t r y t o f ind out how many households are present a t y o u x r s t call. If the address contains more than one household you should apply the procedures described below.

The t o t a l number of households y a ~ have l i s t e d should be t h e t o t a l number at the address.

Address Empty a t First Call

Ccunt an address as empty on the f i r s t call a t which you discover it is empty. i n t h e month.

Local Post

I f you have any problems wi th

Do not recall even i f you know a household(s) w i l l be moving i n l a t e r

22

ADDRESS LABELS

I n a d d i t i o n t o your address lists you w i l l be given 2 sets of s t i c k y l a b e l s - two f o r each address i n your quota.

You should stick one label i n your notebook which w i l l save you copying out t h e address by hand (and s t ick t h e other on t h e household s h e e t , see Q ' r e instruct ions) .

A l l t h e information given on t h e label w i l l also appear on your address l ist but i n a d i f f e r e n t format.

An example of t h e label you w i l l be given is shown below.

359/03 MO4

244 LCNDON ROAD HADLE IGH ******. BENFLEET WARNING SS7 2DE DIVIDED ADDRESS ******* HADLEIGH m11 CASl'LE POIITT CD /GR48110/18690

Deatils sham on label

LEFT HAND COLUMN

359/03 - Area No, and Address Serial No 244 London Road - Address Hadleigh - P o s t a l District

SS7 2DE - Postcode Hadleigh - Sector name ( a l l o c a t e d by OpcS) C a s t l e p o i n t CD

RICXT HA!! COLUMN

Benf l ee t - Post T M

- Local a u t h o r i t y name

M O 4 - Multi-occupancy ind ica to r . This w i l l appear only i f t h e figure i n t h e M.O. column on your address list is 3 or mr e

- This w i l l appear only i f t h e address is, i n f a c t , a 'Divided Address'.

DIVIDED ADDRESS *******

WD 11 - Ward code

GR58110/18690 - Grid re ference of t h e f i r s t address i n t h e postcode shared by t h e sampled s s s .

S/ l 2 3

NON-DIVIDED AND DIVIDED ADDRESSES

Most addresses are l i s t e d only once on your address list; these are non-divided addresses. (see address s e r i a l nos. 01, 02, 04, 05, 07, 09 and 10 on your example address l ist). A few addresses have more than one part listed on t h e PAF: these are divided addresses. (see address serial nos 03, 06 and 08 on your example address list). However, t h e PAF is not necessar i ly canplete so one or more p a r t s of t h e address may not be listed. This can happen both a t non-divided addresses and divided addresses. For example, a t a divided address t h e PAF may show a gap i n a sequence of numbers (eg i n a block of 5 f l a t s where only f l a t s 1, 3 and 4 are listed) or the re may be a part w i t h an alpha s u f f i x t h a t is not l i s t e d (eg '69 Main Street' and '698 Main Street' are l i s t e d but '69A Main Street ' is n o t ) .

C lea r ly we wish t o ensure t h a t those parts of an address t h a t are not l i s t e d on t h e PAF are given a chance of s e l e c t i o n , but we also want t o ensure t h a t those parts t h a t appear on t h e PAF do not get a f u r t h e r chance of s e l e c t i o n . This is t h e purpose of t h e 'DIVIDED ADDRESS' procedure.

1. Non-divided addresses

I n most cases the re w i l l be only one household a t t h e address which you should attempt to interview. H(WeVeK, t he re are two exceptions:

You may f i n d more than one household a t t h e address on t h e address list. You should list a l l such households on t h e form provided and fol low t h e appropr ia te multi-household procedure t o determine which household(s1 t o interview. I n England & Wales you should always use t h e Concealed Multi-household procedure described on pages S/10. I n Scotland you should use t h e Concealed Multi-household procedure unless t h e address has a Multi-occupancy ind ica to r of 3 or more i n which case t h e Pre-sampled Multi-household procedure should be used (see page S/13).

You may f ind a separate f l a t or bui ld ing with t h e same number as t h e address on your address list but which is not l i s t e d on your address list. For example when you go t o '7 Mandells Road' (see address s e r i a l No 01 on your example address list) you f ind:

'Upper f l a t , 7 Mandells Road' and '7A Mandells Road'

Then, i n these cases, you should telephone Sampling f o r fu r the r instructions.

i.

ii

2 . Divided addresses

There are two types of 'Divided Address' procedure:

i. BOXED PART AND ANY PARTS Nop LISPED ON ADDRESS LISP (See address serial no. 06 on your example address list).

(see address serial OS 03 and 08 on your example address list). ii. BOXED PART CNLY

24

Please be c a r e f u l t o fol low t h e instructions for each procedure as given below.

1. Boxed part and any parts not listed on address list

Check f i r s t t o see i f there are any u n l i s t e d parts at t h e address . For example, i f you f i n d a F l a t 2 , F l a t 4 and a F la t 5 at 59 Red Lion S t r e e t as well (see address serial no 06) . should list t h e household(s) a t '59 Red Lion Street' and t h e household(s) a t t h e t h r e e f l a t s ( F l a t s 2 , 4 and 5) which were not l i s t e d on your address list. Then fol low t h e appropriate multi-household procedure t o determine which households should be interviewed.

If the re are no u n l i s t e d parts of t h e address then you should attempt t o interview t h e household a t t h e address i n t h e boxed part. boxed part you should f o l l m t h e appropriate multi-household procedure.

i i Boxed par t only

You

I f you f i n d more than one household a t t h e address i n t h e

Here you should - not check t o see i f t h e r e are any u n l i s t e d parts a t t h e address . i n t h e boxed part, interview t h a t household. I f you f i n d more than one household a t t h e address i n t h e boxed part you should fol low t h e appropr ia te multi-household procedure.

I f t he re a r e any queries p lease contact SIU.

Where the re is only one household a t t h e address

MULTI-HOUSEHOLD ADDESSES

Most sampled addresses w i l l conta in ]ust one household, but sanetimes you may c m ac ross a multi-household address . This may occur, f o r example, when t h e sampled address is divided i n t o f l a t s which are not sepa ra t e ly listed on t h e PAF. About 2% of a l l addresses a r e multi-occupied but t h e propor t ion w i l l be higher i n Scotland and l a r g e cities.

The PAF i d e n t i f i e d sane probable multi-household or multi-occdpied addresses; t h e s e are indica ted on t h e address list i n t h e column headed 'M.O.' (Hulti-occupancy i n d i c a t o r ) . However, not a l l multi-household addresses can be i d e n t i f i e d i n t h i s way as sane addresses may conta in more than one household even though t h e H.O. column is blank. Also t h e M.O. i nd ica to r may d i f f e r frcm t h e actual number of households a t t h e address .

EK;LAND AND WALES

I n England and Wales you should use t h e C W E A L E D MULTI-HOUSEHOLD procedure (see page S/10) f o r ALL multi-household addresses you f i n d whether the M.O. column is blank or not.

gcoTLAND

I n Scot land however you should use t h e PRE-WLED MULTI-HOUSEHOLD procedure (see page S/13) a t a l l addresses with an H.O. i nd ica to r of 3 or more, and the

C(3NCEALED MULTI-HOUSEHOLD Procedure (see page S/10) f o r a l l o the r multi-household addresses you f i n d .

-

2 5

1. CONCEALED MULTI-HCUSEHOLD PROCEWRE [ENGLAND, W E S AND SCOTLAND1

Y o u should famil iar ise yourself w i t h the procedure before v i s i t i ng any addresses as there may not be any indication on your address list ( ie the M.O. column may be blank) tha t an address is multi-occupied.

On discovering tha t there is more than one household l iving a t the address you should take the top sheet off your p d of pink CONCEALED MLKTI-HOUSEHOLD aLECTION SHEETS (see the example on pages S/ll,S/12). s h e e t insert the serial number of t h e address concerned and a f t e r talking t o a responsible adul t a t t h e address list a l l the households l iv ing there a t your f i r s t call. The l i s t i n g procedure w i l l vary according t o the par t icular layout of the address, but it must be carried out i n the way described below so t h a t your (or another interviewer on a follow-up) can re-identify the ho&old(s) tha t w i l l be selected:

On the f ront of t h e

If the address is a block of numbered f l a t s you should simply list them i n numerical order, s t a r t i ng with f l a t 1, 2 , 3, etc.

I f the address consists of unnumbered f l a t s or bedsi t ters , whether i n a block of prpose-built flats o r a converted house, you should list the f l a t s i n a systematic way, s t a r t i ng with the f i rs t on the l e f t on t h e lowest floor and working i n a clockwise manner on each f loor .

Exclude f ran the list any f l a t s t ha t are known to be empty.

I f t h e address on your address list is marked as a 'DIVIDED ADDRESS', you should list households only a t those parts as instructed on your address l ist

On t h e back of the s h e e t there is a select ion tab le t e l l i ng you which households t o interview, according t o the number of households you find a t t h e address. on the f ront of t h e sheet. you w i l l eventually use on your schedules).

Returning Concealed Multi-household Selection Sheets

Please do not wait t o enter t h e outcane codes for the selected households i n the r ight hand column on the front of the Concealed Multi-household Selection Sleet, but attach the sheet of the Cal ls and Outcaneicontact Sheet for the - f i r s t canpleted household a t t h a t s e r i a l number and return it t o the off ice .

Extra Households per address and quota

E"D AND WALES ONLY (FOR SCOTLAND SEE PAGE S/13)

If a t any one address more than 3 households are e l i g i b l e ring SIU.

If the number of households i n your quota (excluding ine l ig ib le addresses) exceeds 39 ring SIU.

guer ies

If you have any problems i n applying these multi-household procedures, please ring the Field Officer for advice ( E x t 2283 or 2274).

ie 'BOXED PART ONLY' OK 'BOXED PART AND ANY PARTS NOT LISPED ON ADDRESS L I S T ' .

Ring the numbers of the selected households i n the left-hand column (These numbers a re - not t h e household numbers tha t -

s/10 26

EXAMPLE

(FOR USE I N ENGLAND, WALES AND SCOTLAND)

Area 1

Ser. No

TO BE RETURNED TO FIELD WITH CALLS & CONTACT/OUTCOME SHEET

0 6

1 2

C O N C m E D MULTI-HOUSEHOLD

SELECTION SHEET

L i s t of Households

eg. Location and Surnames i f a v a i l a b l e Transfer from CSC/CCO shee t

IF MOORE THAN 22 HOUSEHOLDS. R I N G S A W L I N G - E x t 2366

Procedure

1.

2.

3.

Note down t h e houaeholds on t h e t a b l e above. svs temat ica l ly . S t a r t a t t h e lowest f l o o r and work i n a clockwise d i r ec t ion .

Turn t h e ahee t o w r f o r t h e t a b l e ahowing households t o be i n t e r n e w e d . On t h e f r o n t of t h e s h e e t ring t h e number6 of t h e s e l e c t e d households..

F ina l ly t r a n s f e r code from Calls and Contact/Outcome shee t t o 'outcome' box.

This m a t te done

S l l l

2 7

EXAMPLE

2

3

4

5

6

7

8

Selection T a b l e

1.2

1.2.3

1,2,4

2.3.5

2,4,6

1,2,5

3 ,4 ,6

NUMBER OF H/HLDS FOUND AT THAT ADDRESS

16

17

18

19

20

INTERVIEW AT HOUSEHOLDS NUMBERED

- ~ ~ ~~

6,11,15

3 ,5 ,12

9,10,18

1,2,7

4,6,10

s112 2 8

2. PRE-SAMPLED PI[ILTI-HUJSMCLD PRDCEDURE (SCOPLAND ONLY)

I n Scotland any address w i t h a multi-occupancy W O . ) indicator of 3 or more is treated as a pr+sampled multi-hosuehold address. Hmver we cannot p r s s e l e c t the households for you a t these addresses because, f l a t s i n tenement blocks are not often l is ted separately on the PAF. house number and s t ree t name are given. Therefore a t each address w i t h an M.O. indicator of 3 or more we are ask ing you t o sample one rateable u n i t us ing the valuation lists held a t the Rating Office. You should v i s i t the Rating Office t o obtain the required information before calling on any of these addresses.

For each pre-sampled mlti-household address you w i l l be issued w i t h two forms:

Usually only the

1. A blue 'RATEABLE UNIT SfLECTICN SHEET' for the Selection Of rateable u n i t s (see page S/15).

selection of households (see page S/16). sheet only i f the number of rateable u n i t s a t the address is too small for one t o be selected.

The Area Number and the Address Serial No for that address w i l l be entered i n the boxes provided a t the top of both the blue and white sheets. I t is essential that you use the correct sheets for each pre-sampled multi-household address so that households are given their correct chance of selection.

11. A white 'PRE-SAMPLED MULTI-HOUSMOLD SELECTICN SIEET' for the You w i l l need t o use tbe

A. Rateable U n i t SelectAon Procedure (sco1zAND CNLY)

On the valuation lists each rateable u n i t a t an address is l isted separately and is described as 'house', 'apartment house' or 'service f l a t ' .

Example:

Entries on valuation list:

House Gordon Grl House Kane Gr2 House McKendrick 1/1 Service f l a t Haydon 1/2

When you have found the address a t the Rating Office, enter the details as they appear on the valuation list i n the box on the front of the blue Rateable U n i t Selection Sheet. number or location of each rateable u n i t so that you (or another interviewer on a follm+up) can subsequently identify the rateable u n i t ( s ) that w i l l be selected.

On the back of the blue sheet is a selection table with a range of numbers corresponding t o the number of rateable u n i t s you may have found. Against each number i n the range is the number of the rateable u n i t ( s ) a t which you are t o interview.

(See example page S/15). Be sure t o copy d c m t h e

S/13 2 9

I n the example four rateable u n i t s were found. Referring t o the selection table we see tha t rateable u n i t number 1 has been chosen so you should interview the household occupying the 'house' a t Gr 1 (Ground Floor 1). Ring the number of the rateable u n i t selected ( i n t h i s case number 1) i n the left-hand column on the - f ront of the blue sheet.

YOU might f ind that t h e number of rateable u n i t s is too small for one t o be selected.

e i t h e r

I n t h i s case an instruction printed on the blue sheet w i l l tell you:

t o v i s i t t h e address and carry out the usual pre-sampled i. multi-household procedure (see Household Selection procedure on page s/17).

need not v i s i t the address a t a l l . t h e address'.

or ii. t o carry out no interview a t the address. I n t h i s case you Code as 'NO sample selected a t

Occasionally you may find tha t the select ion table indicates tha t you should carry out interviews at two or more rateable u n i t s .

I f the address is a non-divided address and the valuation list shows tha t it has more than one par t ( i e rateable u n i t ) you should list the rateable u n i t s a t the address on the Rateable Unit Selection Sheet as usual. (This w i l l prevent your having t o make a further v i s i t t o the Rating Office). telephone Sampling t o check whether any of these rateable u n i t s are already l i s t e d on the PAF.

Special C a s e s

Then

a. If t h e address on your address list is marked 'DIVIDED ADDRESS', you should list rateable un i t s only a t those parts as instructed on your address list, ie 'BOXED PART CNLY' or 'BOXED PART AND ANY PARTS NOT LISTED ON ADDRESS L I S T ' .

b. Empty or inel igible u n i t s : Any u n i t s tha t appear on t h e valuation list as vacant should be included i n your l i s t i n g because they may have becane occupied s i n c e t h e valuation list w a s canpiled. However, i f a u n i t is marked 'dere l ic t ' exclude it from your l i s t i n g . you should check with the off icer a t the Rating Office before excluding such property).

Uni t s on the valuation list which a re non-danestic or camerc ia l ly rated (eg shops, surgeries, workshops) should be excluded fran your l i s t i ng .

I t is clear tha t i n sane cases the u n i t selected w i l l turn out i n the f i e l d t o be empty or inel igible . Treat them as you would any other empty or inel igible accarmodation - ie no interview is required.

- (Property with no rateable value is often dere l ic t , but

c. Selected u n i t contains more than one household: Occasionally you may find tha t the selected rateable u n i t contains more than one household - ie it is a concealed multi-household within a pre-sampled nulti-household address. follow the procedure described on page S/10).

I n t h i s case you should

S/14 3 0

M W L E

Houae Gorden G r 1

2 nouse Kdnt Gr 2

3 HOUSC McKendrick 1/1

TO BE RETURNED TO FIELD WITY C W S 6 CONTACT/OUTCO% SHEET

- 9

-

(FOR USE I N SCOTLAND ONLY)

RATEABLE UNIT SELECTION SHEET

4 Servrce F l a t Haydon 1 / z -

FLfFl Ser. No

-~

14

15 - 16

17

18

- 19 ~

20

2 1

22

10

11

Procedure

1.

2.

3.

4.

Copy desc r ip t ions of r a t eab le u n i t s a t t h e addreaa onto t h e t a b l e above

Turn the aheet o w x for the t a b l e ahouing t h e r a t aab le uni t ( . ) t o be contacted.

Ring t h e number(.) ae lec ted on t h e t a b l e abovc.

h a n a f c r code from Cal ls and Contact/Cutcomc mhset t o 'outcome' box.

s/r5 3 1

EXAMPLE

HIGHEST NUMBER ALLOCATED

1

2

Rateable Un i t Select ion Table MULTI-OCCUPANCY (MO) INDICATOR = 4

SELECT NUMBER( s )

Do not select a r a t eab le un i t V i s i t t h e address and use the usua l pre-sampled m u l t i - household procedure

4

5

6

7

8

9

~~

1

1

5

5 , 6

2,5

2,9

t 10 i 2,3,6

1 1 3,7

12 l,lO,ll

13 2,3,11

14 2,5,14

15 1,8,10

17 7,9,11

16 2,3,14

18 4,8,15

19 7,13,15

- Procedure

I f you are ins t ruc t ed not t o salect a r a t eab le u n i t , but t o use t h e usual pre-sampled ml t i -household procedure, then go t o t h e addresss and l ist a l l t h e households l i v i n g the re on the pre-mmpled multi-household shee t t h a t has been suppl ied f o r t h i s addresss. Se lec t t h e household(s) t o be interviewed i n t h e normal way. I f no i n t e r v i e w is required, do not visit t h e address a t a l l .

I f more than 19 r a t eab le u n i t s are found, telephone Sampling - E x t 2366.

S / l 6

3 2

B. Household Selection Procedure [ s c m ONLY1

You w i l l need t o carry out this procedure only i f the number of rateable u n i t s you have l i s t e d on the blue sheet is too small for one t o be selected and the instructions on the blue sheet t e l l you to v i s i t t h e address (see page S/14). After talking t o a responsible adult a t the address, list a l l t h e households l i v i n g there a t your f i r s t call .

The households should be l isted on the front of t h e white 'PRE-SAMPLED MUT,TI-HCUSEHdD SELECTION S E C T ' using the l i s t ing procedure described on page S/10 (see example on page S/18).

On the back of the white sheet is a selection table w i t h a range of numbers corresponding t o the nllmber of households you may have found. Against each number i n t h e range i s t h e nuriber of the household(s) a t which you are t o interview.

I n the example three households were found. Referring t o the selection table we see that household number 2 has been chosen so you should interview the household occupying the f l a t on the f i r s t floor, l e f t hand s ide . Ring the number of the household selected, i n t h i s case number 2 , i n the l e f t hand column on the front of the white sheet. ( T h i s number is not the household number you w i l l u s i n g on your schedules).

If there was only one househotd a t ser ia l number 05, no interview would be required and you would simply return a Calls and Contact Sheet for se r ia l number 05, coding outcome - 'No sample selected a t t h e address'.

I f there were eight households a t t h i s ser ia l number you would have t o interview two households, numbers 1 and 4 on your list.

However it is rare for you to be instructed to canplete no interviews a t an address, or more than one interview. I n the vast ma)ority of cases the selection table for a pre-sampled multi-household address w i l l instruct you t o interview one household only.

Special cases

a. If the address on your address list is marked as a 'DIVIDED ADDRESS', you should list households only a t those parts as instructed on your address list, ie ' W E D PART CNLY' or ' W E D PART AND ANY PARTS NOT LISTED CN ADDRESS LIST'.

b. Selected f l a t is empty or ineligible: A s far as you can, you should avoid including enpty acccmncdation on your list, but a t sane addresses (eg a block of f l a t s ) it may not always be possible t o tell whether a f l a t is empty or not. interview by using the table on the Pre-sampled Multi-household Selection sheet is anpty or ineligible, you should t rea t it as you would any other empty or ineligible accOnrmOdation - ie no interview is required.

me relevant outcane ccde should be entered on the c a l l s and Contact sheet and on the Pre-sampled Multi-household Selection Sheet.

Tf you find that t h e f l a t you selected for

c. Selected f l a t contains more than one household: find that your chosen f l a t contains more than one household - ie i t 1s a

Occasionally you may

concealed multi-household w i t h i n a pre-sampled multi-household address. I n t h i s case you should follow the procedure described on page S/10.

S/17 3 3

EXAMPLE TO BE RETURNED TO FIELD WITH CALLS 6 CONTACT/OUTCOME SHEET

(FOR USE I N SCOTLAND ONLY)

PRE-SAMPLED SELECTION SHEET MULTI-HOUSEHOLD

L i s t of Households

E Ser . No

DESCRIPTION OF HOUSEHOLDS OUTCOME CODE eg. Loca t ion and Surnames i f a v a i l a b l e

T r a n s f e r from CcC/C60 s h e e t

Procedure I F BDRE THAN 22 HOUSEHOLDS, CONTINUE ON SEPARATE SHEET

Note down the householde on t h e table abom. T h i s must be done s y s t e m a t i c a l l y . C o n s e c u t i m l y numbered f l a t s are put down i n order. the lowest floor and work i n a c lockwise direction thus:-

1. GROUND FLOOR, FRONT, L.H. SIDE

2 . GROUND M O R , BACK

3. GROUND FLOOR, FRONT, R.H. SIDE

4. FIRST PLOOR, FRONT, e t C S

NB BLCLUDE empty f l a t s

If unnumbered s t a r t w i t h

Nm t h e s h e e t 0-1 for table showing h o u s e h o l d ( s ) t o be i n t e r v i e w e d . On the f ront of the s h e e t r i n g t h e numbcr(s) of t h e s e l e c t e d h o u s c h o l d ( r ) . F i n a l l y t ransfer code from C a l l s and Contact/out.com s h e e t t o 'outcome' box. 34

s/re

EXAMPLE

1

2

SELECTION TABLE ( B )

NO INTERVIEW

1

MULTI-OCCUPANCY (MO) INDICATOR = 5

4

NUMBER OF H/HLDS FOUND AT THAT ADDRESS

4

INTERVIEW AT HOUSEHOLDS NUMBERED

7

14 4,9.11 15 7 , 9 , 1 1

If the number of households found is more than 2 0 please telephone Sampling for instructions: (Ext 2366).

35

Returning Scottish Selection Sheets

Please return a l l blue and white selection s h e e t s attached t o t h e c a l l s and Contact Sheet(s) for the - f i r s t canpleted household a t t h e address, or as soon as possible i f no household has been selected.

Extra Households per address and quota

SCOPLAND CNLY

I f a t any one address more than 3 households are e l ig ib l e ring SIU.

I f the number of households i n your quota (excluding ine l ig ib le addresses) exceeds 39 ring SIU.

Queries

If you have any problem i n applying these multi-household procedures please ring t h e Field Officer for advice ( E x t 2283 or 2274).

UNOCCUPIED AND INELIGIBLE ADDRESSES

This survey is aimed a t pr ivate households. de re l i c t , empty a t your f i r s t call or used solely for non-residential purposes are clear ly inel igible . L i k e w i s e households l iv ing temporarily a t t h e address who normally l ive elsewhere are excluded.

Ins t i tu t ions (hanes, boarding houses, hotels etc) a re a l so excluded:

Addresses which are demolished,

- an ins t i tu t ion is an address a t which four or more people s leep who are unrelated t o the manager: while they may or may not eat ccmmunally, t he establishment must be managed by t h e Owner or a person (or persons) employed for t h i s purpose.

I f there is a private household i n separate accommodation w i t h i n t he address then it is included.

SERIAL NUMBERS

The s e r i a l numbers cane fran the following sources:

Area - 3 d i g i t s ( f ran address list)

Address - 2 d i g i t s ( f ran address list)

Household - 1 d i g i t taking value 1, 2 or 3 (I i f there is only one household a t t h e address or i f a multi-household address had only one household selected. Also code 1 if there is no household present, or none selected. Code 2 or 3 for the second or third household selected a t a concealed nulti-household).

Person - 2 d i g i t s ( f ran household box on Household Sleet).

s/20 36

T h e D e n t a l I n s t r u c t i o n s

P repa r ing for t h e d e n t a l v i s i t s

The i n t e r v i e w e r s need t o know a t t h e t ime o f t h e i n t e r v i e w when t h e y can make a n a p p o i n t m e n t f o r t h e d e n t a l exam We h a v e t h e r e f o r e c o n s t r u c t e d a b a s i c t i m e t a b l e f o r t h e s h a r i n g o f d e n t a l r e s o u r c e s b e t w e e n two o r t h r e e i n t e r v i e w e r s

T t s att- the tr-se SeDt 20 - 23

M T W T h F M T W T h F S e p t * 27 28 29 30 3 4 5 6 7 Oct 1 0 11 1 2 13 14 17 18 19 20 2 1 O c t 24 25 26 27 28 3 1 1 2 3 4 Nov 7 8 9 10 11 14 15 16 17 18

Two I n t e r v i e w e r s A B A/B A B B A B/A B A T h r e e i n t e r v i e w e r s A B C A B C A B C A/B/C

n P course S e o t 27 - 3Q

H T W T h F H T W T h F O c t * 4 5 6 7 Oct 10 11 12 13 14 17 18 19 20 2 1 Oct 24 25 26 27 28 3 1 1 2 3 4 Nov 7 8 9 10 11 14 15 16 17 18

Two I n t e r v i e w e r s B A B/A B A A B A/B A B T h r e e i n t e r v i e w e r s C A B C A/B/C A B C A B

In t e rv i ewers i n v o l v e d i n t h e d e n t a l t r a i n i n g i n S o u t h p o r t w i l l all be A The o t h e r i n t e r v i e w e r s w i l l be i n f o r m e d a t t h e b r i e f i n g w h e t h e r t h e y a r e B o r C

In t e rv i ewers may make f o r w a r d a p p o i n t m e n t s f o r t h e d a t e s t h a t a r e s c h e d u l e d f o r them I f an i n t e r v i e w e r knows i n a d v a n c e t h a t s h e w i l l n o t n e e d t h e d e n t i s t on one of h e r d a y s s h e s h o u l d l e t t h e d e n t i s t know, t h u s c a n c e l l i n g h e r r i g h t t o t h a t d a t e I f a n

.

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i n t e r v i e w e r n e e d s a d d i t i o n a l access t o t h e d e n t i s t s h e s h o u l d get i n t o u c h w i t h h i m / h e r as t h e r e may b e some ' c a n c e l l e d ' d a t e s a v a i l a b l e .

T h e c a l e n d a r d a y s on w h i c h more t h a n o n e i n t e r v i e w e r h a s t o s h a r e d e n t a l r e s o u r c e s ( u s u a l l y Wednesdays ) w i l l b e a r r a n g e d on a f i r s t come f i r s t s e r v e d b a s i s . The f i r s t in terviewer t o r i n g t h e d e n t i s t t o b o o k some o f h i s / h e r time on t h o s e days ge ts f i r s t c h a n c e . No in te rv iewer s h o u l d make f i r m a p p o i n t m e n t s f o r s u c h a d a y u n l e s s s h e h a s a l ready a r r a n g e d w i t h t h e d e n t i s t t o work t h a t d a y . However a t e n t a t i v e a p p o i n t m e n t c o u l d be made and c o n f i r m e d l a t e r .

Some d e n t i s t s may b e a b l e t o t r a v e l b e t w e e n t h e i r a r eas w i t h i n o n e d a y , o t h e r s may n o t . I t w i l l be i m p o r t a n t f o r t h e i n t e r v i e w e r s t o keep t h e d e n t i s t u p t o d a t e w i t h a n y d a y s o r p a r t d a y s t h a t t h e y can r e l ease f r o m t h e i r a l l o c a t e d time so t h a t o t h e r i n t e r v i e w e r s c a n b e n e f i t . S i m i l a r l y i t is w o r t h a s k i n g t h e d e n t i s t i f h e / s h e h a s a n y ' r e l e a s e d ' time f r o m o t h e r i n t e r v i e w e r s i f some r e s p o n d e n t s c a n n o t make a p p o i n t m e n t s on y o u r q u o t a d a y s .

A t t h e b e g i n n i n g o f t h e f i e l d w o r k p e r i o d some i n t e r v i e w e r s w i l l be i n t e r v i e w i n g d u r i n g t h e p e r i o d o f t h e d e n t a l t r a i n i n g c o u r s e . They w i l l b e a b s o l u t e l y r e l i a n t on t h e c a l e n d a r d a t e s g i v e n t o them i n t . hese i n s t r u c t i o n s f o r mak ing a p p o i n t m e n t s w i t h t h e p u b l i c . Once t h e f i e l d w o r k h a s g o t u n d e r w a y and c o m m u n i c a t i o n b e t w e e n d e n t i s t s and i n t e r v i e w e r s is well e s t a b l i s h e d t h e n t h e r e may w e l l b e some t ime when t h e d e n t i s t is n o t r e q u i r e d . B u t f i e l d w o r k is u n p r e d i c t a b l e , a p p o i n t m e n t s a r e made a n d s o m e t i m e s b r o k e n , and h i g h r e s p o n s e ra tes a re a c h i e v e d b y mak ing t h e d e n t a l team a v a i l a b l e a t t h e c o n v e n i e n c e o f t h e p u b l i c . T h e d e n t i s t s are e x p e c t i n g t o b e a v a i l a b l e f o r t h e s u r v e y on t h e a f t e r n o o n s a n d e v e n i n g s t h r o u g h o u t t h e f i e l d w o r k p e r i o d . They w i l l a l s o , i n e x c e p t i o n a l c i r c u m s t a n c e s b e a v a i l a b l e i n t h e m o r n i n g s and a t w e e k e n d s .

D e n t i s t s and i n t e r v i e w e r s s h o u l d meet u p i n t h e area 15 m i n u t e s b e f o r e a n exam. I t is s e n s i b l e t o p a r k o n e car and t r a v e l t o t h e sample a d d r e s s i n t h e o t h e r . S i n c e t h e i n t e r v i e w e r knows w h e r e s h e is g o i n g it would seem eas i e r , o t h e r t h i n g s b e i n g equal, t o g o i n h e r c a r .

T h e d e n t i s t w i l l be t o l d t h e minimum of i n f o r m a t i o n necessary f o r t h e c o n d u c t o f t h e d e n t a l exam. He / she w i l l n o t b e t o l d a n y d e t a i l s a b o u t t h e r e s p o n s e s t o t h e q u e s t i o n n a i r e .

D/2 3 8

The dental visit

T h e in te rv iewer is much more u s e d t o t a l k i n g t o t h e genera l p u b l i c i n t h e i r own homes t h a n t h e d e n t i s t is I t w i l l b e t h e i n t e r v i e w e r t h e r e f o r e who p l a y s t h e l e a d i n g r o l e i n p u b l i c r e l a t i o n s terms a t t h e d e n t a l v i s i t S h e w i l l h a v e met t h e f a m i l y , i n t e r v i e w e d them and p e r s u a d e d a t l e a s t o n e of them t o h a v e a d e n t a l e x a m i n a t i o n

On a r r i v a l a t t h e r e s p o n d e n t s home t h e i n t e r v i e w e r w i l l make t h e n e c e s s a r y i n t r o d u c t i o n s T h e i n t e r v i e w e r w i l l i n t r o d u c e t h e d e n t i s t as t h e s u r v e y d e n t i s t n o t b y name W h i l e t h e d e n t i s t s e t s u p t h e e q u i p m e n t t h e i n t e r v i e w e r w i l l b e a b l e t o c h a t t o t h e r e s p o n d e n t ( s ) I t is b e t t e r f o r t h e d e n t i s t i f h e / s h e i s d r a w n i n t o as little o f t h e smal l t a l k as p o s s i b l e a n d t r i e s n o t t o t a k e p a r t i n t h e g e n e r a l c h a t t e r b e c a u s e h e / s h e m u s t n o t get i n v o l v e d i n a d e t a i l e d d i s c u s s i o n o f t h e r e s p o n d e n t ' s d e n t a l problems T h e d e n t i s t i s o n l y t h e r e t o car ry o u t t h e s u r v e y e x a m i n a t i o n a n d c a n o n l y g i v e v e r y g e n e r a l a d v i c e s u c h as ' i f YOU a r e a t all w o r r i e d a b o u t y o u r t e e t h you s h o u l d g e t i n t o u c h w i t h y o u r d e n t i s t E x p e r i e n c e h a 5 shown t h a t i t is b e s t f o r t h e d e n t i s t t o m a i n t a i n as low a p r o f i l e as p o s s i b l e T h e home d e n t a l e x a m i n a t i o n t a k e s b e t w e e n 10 a n d 15 m i n u t e s , t h e t i m e v a r i e s d e p e n d i n g on t h e number o f t e e t h and t h e c o m b i n a t i o n s o f p a s t d e n t a l t r e a t m e n t t h e p e r s o n h a s had T h e d e n t i s t c a r r i e s o u t t h e e x a m i n a t i o n w i t h s i m p l e b a s i c d e n t a l i m p l e m e n t s E x a m i n a t i o n s a r e now s t a n d a r d l y c a r r i e d o u t w i t h t h e d e n t i s t w e a r i n g r u b b e r g l o v e s The d e n t a l e q u i p m e n t w i l l all be s t e r i l i s e d As r e c o r d e r you w i l l n e e d t o wri te down t h e i n f o r m a t i o n g i v e n by t h e d e n t i s t i n t h e a p p r o p r i a t e p l a c e on t h e d e n t a l c h a r t You w i l l a l s o g i v e t h e d e n t i s t v a r i o u s p r o m p t s as t o w h a t comes n e x t i n t h e e x a m i n a t i o n You d o n o t i n f a c t n e e d t o know much a b o u t t h e d e n t a l m e a n i n g s o f t h e t h i n g s on t h e c h a r t i n o rder t o be a b l e t o d o t h e r e c o r d i n g , b u t we h a v e a lways f o u n d t h a t recorders h a v e i n s a t i a b l e c u r i o s i t y a n d c a n t bear t o car ry o u t t h e t a s k w i t h o u t knowing w h a t i t all means! We g i v e you m o r e d e t a i l l a t e r i n t h e i n s t r u c t i o n s , and a t t h e b r i e f i n g

T h e s u r v e y d e n t i s t s u s e p o r t a b l e e q u i p m e n t f o r t h e home d e n t a l e x a m i n a t i o n s T h i s d o e s n o t t a k e u p much space a n d is c a r r i e d i n a small a t t a c h e case, o r b a g The d e n t i s t h a s a p o r t a b l e l i g h t w h i c h w o r k s b y b a t t e r y and f a s t e n s t o h i d h e r h e a d r a t h e r l i k e a m i n e r s lamp T h e d e n t i s t w i l l n e e d t o k e e p a spare s e t of b a t t e r i e s a n d b u l b s h a n d y A t n o p o i n t w i l l t h e d e n t i s t n e e d t o u s e t h e r e s p o n d e n t s e l e c t r i c i t y or water s u p p l y

T h e d e n t i s t h a s t e n s e t s of s t e r i l i s e d e q u i p m e n t Do n o t make m o r e t h a n n i n e e x a m i n a t i o n a p p o i n t m e n t s i n o n e d a y u n l e s s YOU know t h a t y o u r d e n t i s t can s t e r i l i s e t h e e q u i p m e n t l o c a l l y , i n

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w h i c h case t h e r e w i l l n e e d t o be a b r e a k i n t h e s e q u e n c e o f a p p o i n t m e n t s ! The maximum number o f e x a m i n a t i o n s on o n e d a y i n t h e p i l o t was f o u r t e e n .

The e x a m i n a t i o n is u s u a l l y c o n d u c t e d w i t h t h e r e s p o n d e n t s i t t i n g on a n u p r i g h t k i t c h e n o r d i n i n g c h a i r , b u t i t c a n b e d o n e i n a n ea sy c h a i r . T h i s h a s t o be d e c i d e d t a k i n g a c c o u n t of t h e c o n v e n i e n t l o c a t i o n i n t h e home and t h e d e n t i s t ’ s p r e f e r e n c e i f t h e r e is a c h o i c e .

T h e d e n t i s t w i l l n e e d some space, p referab ly on a t a b l e , t o l a y o u t h i s / h e r e q u i p m e n t . You, as t h e r e c o r d e r , w i l l n e e d t o h a v e s u f f i c i e n t s e c u r e space t o b e a b l e t o c o m p l e t e t h e c h a r t l e g i b l y . You n e e d t o a d v i s e t h e d e n t i s t i n a d v a n c e a b o u t t h e l i k e l y p r e s e n c e o f sma l l c h i l d r e n and d o g s as t h e s e may a f f e c t w h e r e h e / s h e s e t s o u t t h e e q u i p m e n t .

The i n t e r v i e w e r w i l l h a v e b e e n ab le t o e x p l a i n t o t h e r e s p o n d e n t a t t h e end o f t h e i n t e r v i e w w h a t k i n d o f space and f a c i l i t i e s t h e d e n t i s t w i l l n e e d . The d e n t i s t w i l l n o t n e e d t o use e i t h e r t h e b a t h r o o m o r t h e k i t c h e n i n p r e p a r i n g f o r t h e e x a m i n a t i o n . H e / s h e w i l l h a v e e v e r y t h i n g t h a t h e / s h e r e q u i r e s .

A l l t h e a d u l t s i n t h e h o u s e h o l d who h a v e some o f t h e i r n a t u r a l t e e t h w i l l b e a s k e d i f t h e y w i l l h a v e t h e home e x a m i n a t i o n . I t is o b v i o u s l y more e c o n o m i c i f a l l o f t h e d e n t a l e x a m i n a t i o n s i n one h o u s e h o l d are c a r r i e d o u t a t t h e same v i s i t . T h i s w i l l n o t always be p o s s i b l e . I t is more i m p o r t a n t t o o b t a i n a l l t h e e x a m i n a t i o n s t h a n t o o n l y make one v i s i t t o t h e h o u s e h o l d .

I t may well b e t h a t some a p p o i n t m e n t s are b r o k e n and j o u r n e y s w a s t e d . P l e a s e make new a p p o i n t m e n t s w h e r e v e r p o s s i b l e . In g e n e r a l t h e i n t e r v i e w s w i l l b e c o n d u c t e d i n a d v a n c e o f t h e d e n t a l exam. I f however someone is a t home a t t h e time o f t h e d e n t a l v i s i t who h a s n o t b e e n i n t e r v i e w e d b u t is w i l l i n g t o h a v e t h e d e n t a l e x a m i n a t i o n f i r s t t h i s is a c c e p t a b l e . If t h e i n t e r v i e w e r a n d r e s p o n d e n t would p re fe r t o d o t h e i n t e r v i e w f i r s t t h e n t h e d e n t i s t c o u l d b e a s k e d t o make h i m s e l f / h e r s e l f scarce f o r a w h i l e . T h i s c o u l d i n v o l v e s i t t i n g i n t h e car, g o i n g f o r a w a l k o r , i f t h e c i r c u m s t a n c e s a re r i g h t , w a t c h i n g TV.

T h e d e n t i s t s w i l l f i n d t h a t t h e r e is i n e v i t a b l y some w a i t i n g t ime b e t w e e n home v i s i t s . So i t would b e as w e l l t o h a v e a book t o r e a d i n t h e ca r . If t h e r e is a gap b e t w e e n t h e d e n t a l v i s i t s b u t t h e r e are o t h e r s a m p l e h o u s e h o l d s w i t h i n e a s y r e a c h t h e i n t e r v i e w e r c o u l d u s e h e r time p r o f i t a b l y b y i n t e rv i ewing f u r t h e r o r m a k i n g a p p o i n t m e n t s f o r i n t e r v i e w s .

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When t h e d e n t a l e x a m i n a t i o n s a t a n a d d r e s s are c o m p l e t e d , a t l e a s t f o r t h a t v i s i t , i t is a d v i s a b l e f o r t h e in te rv iewer t o c o n c l u d e t h e v i s i t S h e is much more u s e d t o d o i n g t h i s t h a n t h e d e n t i s t a n d i t a l s o h e l p s t o a v o i d t h e s i t u a t i o n i n w h i c h a d e t a i l e d d e n t a l d i s c u s s i o n c o u l d be a t t e m p t e d b y t h e r e s p o n d e n t T h e d e n t i s t is w o r k i n g on t h e s u r v e y b u t c a n n o t g ive i n d i v i d u a l d e n t a l a d v i c e t o t h e sample members , t h e s u r v e y d e n t i s t can o n l y g i v e general a d v i c e suggest ing t h a t t h e p e r s o n s h o u l d v i s i t t h e i r own d e n t i s t i f t h e y are a t a l l w o r r i e d a b o u t t h e i r d e n t a l h e a l t h

When t h e i n t e r v i e w e r and d e n t i s t h a v e l e f t t h e a d d r e s s and a r e b a c k i n t h e car b u t n o t v i s i b l e f r o m t h e a d d r e s s t h e y s h o u l d c h e c k o v e r t h e c o m p l e t e d exam c h a r t t o make c e r t a i n t h a t i t is l e g i b l e and t h a t t h e r e h a v e b e e n n o m i s u n d e r s t a n d i n g s O n c e i t h a s l e f t y o u r h a n d s i t w i l l be c o m p u t e r i s e d , t h e r e is v e r y l i t t l e c h e c k i n g t h a t we can do a t h e a d q u a r t e r s t o a l e r t us t o a n y p r o b l e m s , o r s o l v e any a m b i g u i t i e s T h i s is p a r t i c u l a r l y t h e case i f t h e r e h a s b e e n a n a l t e r a t i o n on t h e c h a r t Very o c c a s i o n a l l y , f o r i n s t a n c e i f t h e r e had b e e n some d o u b t a b o u t w h i c h p a r t i c u l a r t e e t h were m i s s i n g , t h e i n t e r v i e w e r a n d t h e d e n t i s t m i g h t f e e l t h a t t h e c h a r t would b e c l e a r e r i f r e - w r i t t e n T h i s s h o u l d o n l y b e d o n e i n e x c e p t i o n a l c i r c u m s t a n c e s and s h o u l d b e d o n e w i t h t h e d e n t i s t r e a d i n g o u t t h e c o d e s I f t h i s is e v e r necessa ry t h e i n t e r v i e w e r m u s t r e t u r n b o t h c h a r t s t o t h e o f f i c e , w i t h t h e dud o n e c l e a r l y n a r k e d '

4 1

T h e d e n t a l t r a i n i n g

T h e team o f s u r v e y d e n t a l examiners is b r o u g h t t o g e t h e r f o r t h e d u r a t i o n o f t h e s u r v e y t o carry o u t a s p e c i f i c d e n t a l e x a m i n a t i o n i n p a r t i c u l a r circumstances. I t is i m p o r t a n t t h a t all members o f t h e team are ca r ry ing o u t t h e work i n t h e same way so t h a t t h e r e s u l t s o f t h e s u r v e y c a n b e compared f o r d i f f e r e n t g r o u p s i n t h e sample i r r e spec t ive o f w h i c h d e n t i s t d i d t h e e x a m i n a t i o n . I n o r d e r t o a c h i e v e t h i s t h e members o f t h e s u r v e y team g o on a t r a i n i n g c o u r s e . Documents are p r e p a r e d g i v i n g t h e c r i t e r i a f o r e a c h p a r t o f t h e d e n t a l e x a m i n a t i o n , t h e d e n t i s t s l ea rn a n d a b s o r b t h i s i n f o r m a t i o n p r i o r t o t h e t r a i n i n g c o u r s e . Then t h e y a t t e n d a t r a i n i n g c o u r s e a t S o u t h p o r t . Here t h e y d i s c u s s t h e s u r v e y d e n t a l e x a m i n a t i o n r e q u i r e m e n t s w i t h t h e t u t o r s , t h e y also prac t i ce car ry ing o u t t h e examina t ion a n d , a t t h e e n d o f t h e c o u r s e t h e y d o a t e s t w h i c h shows how similar t h e y a r e , o n e t o a n o t h e r , i n t h e c o n d u c t of t h e e x a m i n a t i o n .

T h e r e w i l l b e n e a r l y 70 d e n t i s t s i n t h e s u r v e y d e n t a l team. T h i s is t o o l a rge a team t o t r a i n all t o g e t h e r and so t h e r e w i l l b e two c o u r s e s , r u n n i n g f r o m T u e s d a y t o F r i d a y on s u c c e s s i v e weeks i n S e p t e m b e r .

One of t h e mos t d i f f i c u l t aspec t o f o r g a n i s i n g t h e a d u l t d e n t a l h e a l t h s u r v e y s is t o f i n d a l o c a t i o n f o r t h e d e n t a l t r a i n i n g w h e r e t h e r e a r e s u f f i c i e n t numbers of a d u l t s who would be p r e p a r e d t o be t h e p e o p l e who are d e n t a l l y examined b y t h e team o f d e n t i s t s . We are v e r y p l e a s e d t h a t f o r t h e 1988 s u r v e y t h e OPCS o f f i c e a t S o u t h p o r t h a s agreed t o t a k e p a r t . The d i s c u s s i o n s e s s i o n s of t h e t r a i n i n g c o u r s e w i l l t a k e p lace i n a S o u t h p o r t h o t e l , b u t t h e p r a c t i c a l s e s s i o n s w i l l b e a t Smed ley Hydro ( t h e OPCS S o u t h p o r t O f f i c e ) . T h e t r a n s p o r t b e t w e e n l o c a t i o n s w i l l b e l a i d on b y t h e d e n t a l c o u r s e o r g a n i s e r s .

To maximise t h e b e n e f i t o f t h e t r a i n i n g c o u r s e and o p t i m i s e i ts v a l u e f o r money, we h a v e t h e d e n t i s t s w o r k i n g i n p a i r s and r e c o r d i n g f o r e a c h o t h e r i n t u r n on t h e f i r s t f u l l d a y o f t h e t r a i n i n g c o u r s e ( W e d n e s d a y ) . I n t h e e v e n i n g o n e interviewer per d e n t i s t j o i n s t h e c o u r s e . T h e d e n t i s t s and i n t e r v i e w e r s are i n t r o d u c e d a n d d o some dummy r e c o r d e r p rac t ice t o g e t h e r . I n t h e m o r n i n g o f t h e f o l l o w i n g d a y ( T h u r s d a y ) h a l f t h e d e n t i s t and r e c o r d e r p a i r s go o f f f o r p rac t ice s e s s i o n s w h i l e t h e o t h e r s are b r i e f e d a b o u t t h e f i e l d a r r a n g e m e n t s f o r t h e d e n t a l e x a m i n a t i o n s . I n t h e a f t e r n o o n t h e programme is reversed.

On t h e n e x t m o r n i n g ( F r i d a y ) t h e d e n t i s t and r e c o r d e r p a i r s c a r r y o u t a s e t o f e x a m i n a t i o n s w i t h n o d i s c u s s i o n or t r a i n i n g comments b e i n g made. The c o u r s e t h e n f i n i s h e s and t h e d e n t a l e x a m i n e r and recorder n e x t meet u p i n t h e sample area t o c o n d u c t t h e s u r v e y e x a m i n a t i o n s .

D/6 4 2

A t t h e ma in s t a g e t h e r e w i l l g e n e r a l l y b e two i n t e r v i e w e r s w o r k i n g w i t h e a c h d e n t i s t , a n d o c c a s i o n a l l y t h r e e O n l y o n e of t h e i n t e r v i e w e r s w i l l n e e d t o go t o t h e t r a i n i n g c o u r s e The o t h e r s w i l l meet t h e d e n t i s t i n t h e f i e l d w o r k a r ea a n d h a v e some p r a c t i c e on some dummy f o r m s b e f o r e s t a r t i n g on t h e s u r v e y I t may be p o s s i b l e t o a r r a n g e f o r t h e d e n t i s t t o h a v e a m e e t i n g w i t h a l l h i s / h e r i n t e r v i e w e r s a t t h i s s t a g e t o f a c i l i t a t e t h e I n t r o d u c t i o n s and t o p l a n e f f e c t i v e l y t h e s h a r i n g o f t h e d e n t a l e x a m i n e r s a v a i l a b i l i t y We s u g g e s t t h a t t h e Monday f o l l o w i n g t h e d e n t i s t ’ s t r a i n i n g c o u r s e s h o u l d b e u s e d f o r m e e t i n g and p r a c t i s i n g I n e a c h team i n t e r v i e w e r A w i l l b e t h e p e r s o n who g o e s t o t h e d e n t a l t r a i n i n g c o u r s e a t S o u t h p o r t The p r a c t i c e m e e t i n g w i l l use h e r c a l e n d a r d a t e , e i t h e r on S e p t 2 6 t h o r O c t 3 r d

4 3

I n s t r u c t i o n s f o r d e n t a l recording

U e have w r i t t e n o u t , i n d e t a i l , what t h e d e n t a l c h a r t i s about and how you f i l l i t i n . I t looks and sounds s u c h more c o m p l i c a t e d i n words than i t i s i f you c o u l d j u s t see a d e m o n s t r a t i o n . Once you have been through a p r a c t i c e c h a r t i t w i l l a l l f a l l i n t o p l a c e e a s i l y . We hope t o be a b l e t o send you a t aped v e r s i o n so t h a t you can hear how t h e d e n t a l examiner and r e c o r d e r work t o g e t h e r , b u t i n case t h a t f a l l s through w e have p r e p a r e d a back-up v e r s i o n i n p r i n t !

T h e d e n t a l c h a r t is t h e d o c u m e n t on w h i c h a l l i n f o r m a t i o n r e q u i r e d a t t h e d e n t a l v i s i t is r e c o r d e d . T h e i n f o r m a t i o n is r e c o r d e d i n p e n c i l , b u t you a l s o h a v e a h i g h l i g h t e r p e n f o r d r a w i n g some l i n e s . I f you n e e d t o make an a l t e r a t i o n d u r i n g t h e exam d o t h i s b y a l t e r i n g c l e a r l y o r c r o s s i n g o u t . Check all c h a r t s when b a c k i n y o u r c a r t o make s u r e t h e y are c l ea r .

Some i n f o r m a t i o n w i l l be e n t e r e d b y t h e i n t e r v i e w e r b e f o r e t h e d e n t a l v i s i t . T h i s i n f o r m a t i o n w i l l come f r o m t h e i n t e r v i e w and w i l l c o m p r i s e o n l y t h e i n f o r m a t i o n e s s e n t i a l t o e n s u r e t h a t t h e d e n t a l e x a m i n a t i o n i n f o r m a t i o n is a t t a c h e d t o t h e c o r r e c t i n t e r v i e w b y t h e c o m p u t e r , t h a t t h e i n d i v i d u a l b e i n g examined h a s h i s / h e r e x a m i n a t i o n r e c o r d e d on t h e c o r r e c t d e n t a l c h a r t r a t h e r t h a n t h a t o f a n o t h e r f a m i l y member, and t h a t t h e d e n t i s t h a s t h e d e n t a l i n f o r m a t i o n n e c e s s a r y f o r c o n d u c t i n g t h e e x a m i n a t i o n .

The s e r i a l number e n a b l e s t h e c o m p u t e r t o l i n k a l l t h e d o c u m e n t s t o g e t h e r and so it is e s s e n t i a l t h a t t h i s is e n t e r e d cor rec t ly!

Sex and d a t e o f b i r t h are t h e items w h i c h i d e n t i f y t h e member o f t h e h o u s e h o l d and t h e c o r r e c t d e n t a l c h a r t . The i n t e r v i e w e r s h o u l d u n o b t r u s i v e l y c h e c k t h a t t h e d a t e o f b i r t h on t h e c h a r t is t h a t o f t h e p e r s o n a b o u t t o b e examined w h i l e t h e d e n t i s t is p repa r ing f o r t h e e x a m i n a t i o n .

Whe the r t h e p e r s o n h a s e v e r had a d e n t u r e a n d w h e t h e r t h e p e r s o n is e x t r e m e l y n e r v o u s are b o t h c h a r a c t e r i s t i c s t h a t it is i m p o r t a n t f o r t h e d e n t i s t t o know i n a d v a n c e .

T h e i n f o r m a t i o n t o be t r a n s f e r r e d t o t h e d e n t a l c h a r t h a s b e e n g a t h e r e d t o g e t h e r on t h e r e l e v a n t q u e s t i o n n a i r e i n t h e c l a s s i f i c a t i o n s e c t i o n .

I f t h e person h a s had d e n t u r e s b u t h a s n ' t g o t them now o r d o e s n ' t w a n t t o wear them t h e n t h e d e n t i s t w i l l c o n d u c t t h e e x a m i n a t i o n as t h o u g h t h e d e n t u r e d o e s n o t e x i s t .

4 4

If a p e r s o n who d o e s n t no rma l ly wear t h e i r d e n t u r e is p r e p a r e d t o wear it f o r t h e d e n t a l e x a m i n a t i o n t h e d e n t i s t w i l l i n c l u d e i t We s h a l l know f r o m t h e q u e s t i o n n a i r e w h e t h e r t h e d e n t u r e i s n o r m a l l y worn o r n o t

T h e i n f o r m a t i o n collected i n t h e d e n t a l examinat ion

B e f o r e d e s c r i b i n g i n d e t a i l how you and t h e d e n t i s t work as a team i n c a l l i n g o u t c o d e d d a t a f o r t h e exam and r e c o r d i n g i t , we w i l l d e s c r i b e t h e c o n t e n t o f t h e e x a m i n a t i o n

A p e r s o n may h a v e u p t o 32 t e e t h and t h e mouth c a n c o n v e n i e n t l y b e d i v i d e d i n t o q u a d r a n t s f o r r e c o r d i n g p u r p o s e s b e c a u s e t h e r e a re 16 t e e t h i n e a c h jaw and t h e y a r e symmetr ical ly a r r a n g e d i n m i r r o r images f r o m t h e c e n t r e l i n e o f t h e f a c e D e n t i s t s number t h e t e e t h f r o m t h i s c e n t r e l i n e , s t a r t i n g a t one T e e t h 1 t o 3 a re i n c i s o r s and c a n i n e s , and a r e b i t i n g t e e t h T e e t h 4 t o 8 are p r e - m o l a r s and m o l a r s , and a r e c h e w i n g o r g r i n d i n g t e e t h T h e l a s t m o l a r , t h e 8 , is o f t e n c a l l e d t h e wisdom t o o t h

F o r t h e s u r v e y d e n t a l e x a m i n a t i o n t h e d e n t i s t is t r a i n e d t o a lways e x a m i n e t h e t e e t h i n t h e same o r d e r , s t a r t i n g w i t h t h e b a c k t o o t h on t h e u p p e r l e f t , w o r k i n g r o u n d t o t h e b a c k t o o t h on t h e u p p e r r i g h t , d r o p p i n g down t o t h e b a c k t o o t h on t h e l o w e r r i g h t and w o r k i n g r o u n d t o t h e b a c k t o o t h on t h e l o w e r l e f t T h e f o r m is l a i d o u t i n t h i s way w i t h t h e t o o t h n u m b e r s shown

P r e s e n c e The f i r s t t h i n g t h e d e n t i s t d o e s i s t o i d e n t i f y r o u n d t h e mouth w h i c h t e e t h a re p r e s e n t A t t h i s s tage a n y o n e who wears a d e n t u r e w i l l s t i l l b e wearing it The d e n t i s t c a l l s o u t t h e t o o t h number f o l l o w e d b y o n e o f t h e c o d e s P , H, U , o r C T h i s means t h a t t h e t o o t h i s e i t h e r p r e s e n t , m i s s i n g , u n r e s t o r a b l e o r c rowned

Spaces. Then t h e d e n t i s t l o o k s a g a i n a t a l l t h e t e e t h t h a t h a v e b e e n r e c o r d e d as m i s s i n g He s a y s w h e t h e r o r n o t t h e m i s s i n g t e e t h h a v e b e e n r e p l a c e d b y a t o o t h on a d e n t u r e , o r b y a d e n t a l b r i d g e (1 e a f i x e d d e n t u r e ) , w h e t h e r t h e r e is a space w h e r e t h e t o o t h h a s b e e n l o s t o r w h e t h e r t h e s t a n d i n g t e e t h h a v e moved a n d n o s p a c e r ema ins The d e n t i s t u s e s t h e c o d e s D , B , N, o r S , meaning d e n t u r e , b r i d g e , n o space o r space

If t h e p e r s o n h a s a d e n t u r e he/<@e is t h e n a s k e d t o t a k e it o u t ( I t is a good i d e a f o r t h e r e c o i d e r t o a p p e a r e n g r o s s e d i n t h e r e c o r d i n g a t t h i s p o i n t o f t h e e x ' a m i n a t i o n b e c a u s e r e s p o n d e n t s may be a b i t s e l f - c o n s c i o u s a b o u t t a k i n g t h e i r t e e t h o u t i n f r o n t of t h e r e c o r d e r , and t h e recorder may b e u n u s e d t o t h e c h a n g e i n a p p e a r a n c e o f someone who h a s rem-oved a f r o n t t o o t h d e n t u r e )

D/9 4 5

D e n t u r e bearing areas. A t t h i s p o i n t t h e d e n t i s t e x a m i n e s t h e a reas o f t h e mouth t h a t s u p p o r t t h e d e n t u r e t o see i f t h e y a r e h e a l t h y .

S u r f a c e s . T h i s s e c t i o n o f t h e e x a m i n a t i o n is a b o u t t h e c o n d i t i o n of t h e n a t u r a l t e e t h . Back t e e t h a r e l i k e c u b e s w i t h f i v e s u r f a c e s p r o t r u d i n g from t h e g u m . F r o n t t e e t h , w h i c h a re b i t i n g t e e t h , d o n o t h a v e a large g r i n d i n g a r ea , so t h e y o n l y h a v e f o u r s u r f a c e s . You w i l l see t h a t t h e g r i d is b a s e d on f i v e s u r f a c e s f o r t h e b a c k t e e t h b u t f o r t h e f r o n t t e e t h t h e g r i n d i n g s u r f a c e h a s b e e n b l a n k e d o u t . T h e words on t h e l e f t , t h a t l o o k a b i t l i k e a f o r e i g n l a n g u a g e , are d e n t a l w o r d s t h a t o n l y t h e d e n t i s t h a s t o w o r r y a b o u t . N e i t h e r you n o r t h e d e n t i s t h a s t o s a y them. They j u s t make i t c l ea r t o t h e d e n t i s t w h i c h o r d e r mus t b e u s e d f o r e x a m i n i n g t h e s u r f a c e s . ( T h e y mean t h e s i d e n e a r e s t t h e f r o n t o f t h e m o u t h , t h e g r i n d i n g s u r f a c e , t h e s i d e n e a r e s t t h e b a c k o f t h e m o u t h , t h e s i d e n e a r e s t t h e t o n g u e , t h e s i d e n e a r e s t t h e c h e e k . )

When t h e d e n t i s t h a s l o o k e d a t each s u r f a c e o f a t o o t h h e / s h e t h e n also l o o k s a t i ts r o o t , o r a t l e a s t t o s ee i f a n y o f t h e r o o t is v i s i b l e and w h a t c o n d i t i o n i t is i n .

T h e l e t t e r s o f t h e c o d e s t h a t t h e d e n t i s t c a n u s e i n t h i s s e c t i o n are shown on t h e r i g h t hand s i d e o f t h e c h a r t . 0 ( w h i c h t h e d e n t i s t w i l l a lways c a l l o u t as z e r o ) means t h e r e is n o t r e a t m e n t o r d i s e a s e t h a t n e e d s t o b e r e c o r d e d . A G S a r e t h e l e t t e r s u s e d when t h e r e is a f i l l i n g on t h e s u r f a c e o f a t o o t h o r on t h e r o o t . T h e s e l e t t e r s i n d i c a t e d i f f e r e n t f i l l i n g materials s u c h as amalgam, g o l d and s y n t h e t i c ma te r i a l s . I f a s u r f a c e h a s some d e c a y o r has a b r o k e n f i l l i n g t h a t n e e d s r e p l a c i n g t h e n t h e c o d e s X o r Y w i l l b e used. I f t h e r o o t is v i s i b l e t h e n it w i l l be s c o r e d R and i f t h e r e a r e s i g n s o f wear on t h e r o o t t h e d e n t i s t w i l l u s e t h e code W .

I t is p o s s i b l e f o r two c o n d i t i o n s t o a p p l y t o o n e t o o t h s u r f a c e o r r o o t . I n t h e s e s i t u a t i o n s t h e d e n t i s t w i l l s a y e a c h c o d e , j o i n i n g them w i t h a n ' a n d ' . No s u r f a c e o r r o o t is a l l o w e d t o h a v e more t h a n two c o d e s . When two c o d e s a re g i v e n t h e n two l e t t e r s h a v e t o be r e c o r d e d i n t h e same b o x .

Gums. The e x a m i n a t i o n i n c l u d e s a n a s s e s s m e n t o f t h e h e a l t h o f peop le ' s gums as w e l l as t h e i r t e e t h , and t o d o t h i s t h e d e n t i s t w i l l l o o k a t two s i t e s on e a c h t o o t h t o see i f t h e r e are any gum p r o b l e m s . When t h i s h a s b e e n d o n e f o r e a c h t o o t h i n o n e q u a d r a n t h e / s h e w i l l l o o k b a c k o v e r t h e w h o l e q u a d r a n t . T h i s is b e c a u s e some p e o p l e h a v e gums t h a t b l e e d a l i t t l e i f p r e s s u r e is p u t on t h e m . The d e n t i s t w i l l wan t t o see i f t h e small amount o f p r e s s u r e i n v o l v e d i n t h e gum a s s e s s m e n t h a s r e s u l t e d i n a n y b l e e d i n g . The d e n t i s t n e e d s t o assess t h i s i m m e d i a t e l y t h a t e a c h

D/10 4 6

q u a d r a n t is e x a m i n e d because t h e b l e e d i n g , i f t h e r e is a n y , i s v e r y m i n o r a n d d i s s a p p e a r s b y t h e time t h e w h o l e mouth is e x a m i n e d o r when t h e r e p o n d e n t s w a l l o w s

O c c l u s i o n . T h i s s e c t i o n o f t h e e x a n i n a t i o n is a b o u t how t h e t e e t h a r e p o s i t i o n e d i n t h e mouth and w h e t h e r t h e y meet t o g e t h e r as t h e y s h o u l d

D e n t u r e s . F o r t h o s e p e o p l e w i t h d e n t u r e s t h e d e n t i s t h a s a l o o k a t t h e d e n t u r e w h i c h is s t i l l . a t t h i s stage, o u t of t h e mou th

A s t e r i s k . T h e d e n t i s t can say a s t e r i s k ’ a t any time d u r i n g t h e e x a m i n a t i o n t o i n d i c a t e t h a t h e / s h e w a n t s t o make a more d e t a i l e d comment a b o u t some d e n t a l f e a t u r e , t h e r e c o r d e r w r i t e s a n a s t e r i s k on t h e c h a r t a t t h i s p o i n t A t t h e end o f t h e e x a m i n a t i o n t h e r e c o r d e r d r a w s t h e d e n t i s t s a t t e n t i o n t o t h e f a c t t h a t h e / s h e w a n t s t o make a comment a n d t h e d e n t i s t w r i t e s on t h e f o r m when t h e exam is f i n i s h e d I f n o a s t e r i s k h a s b e e n c a l l e d d u r i n g t h e exam t h e r e c o r d e r c h e c k s w h e t h e r t h e d e n t i s t w a n t s t o make a comment

T h i s d e s c r i b e s , o v e r a l l , t h e c o n t e n t o f t h e d e n t a l e x a m i n a t i o n T h e a c t u a l r o u t i n e f o r t h e e x a m i n a t i o n and r e c o r d i n g p r o c e d u r e i s d e s c r i b e d b e l o w

Recording t h e d e n t a l e x a m i n a t i o n

T h e c h a r t i n g o f t h e d e n t a l e x a m i n a t i o n is a team a c t i v i t y f o r t h e d e n t i s t a n d t h e r e c o r d e r T h e p r o c e d u r e t h a t h a s b e e n d e s i g n e d c o m b i n e s s e v e r a l i m p o r t a n t f e a t u r e s I t p r o v i d e s t h e d e n t i s t w i t h a p r o m p t f o r t h e n e x t t a s k t o b e c a r r i e d o u t I t p r o v i d e s f e e d b a c k a s t o when t h e r e c o r d e r is r e a d y t o c o n t i n u e I t r e s u l t s i n a s i m p l e two-way c o m m u n i c a t i o n system t h a t s o o n b u i l d s i n t o a s m o o t h , a c c u r a t e and e f f i c i e n t r e c o r d i n g me thod

T h e i n f o r m a t i o n is c a l l e d o u t b y c o d e so t h a t t h e person b e i n g e x a m i n e d is n o t aware o f t h e c o n t e n t o f t h e e x a m i n a t i o n The d e n t a l e x a m i n a t i o n is f o r s u r v e y p u r p o s e s o n l y and is n o t p a r t o f a n y treatment s y s t e m The r e s p o n d e n t is n o t t h e p a t i e n t o f t h e s u r v e y d e n t i s t a n d t h e r e f o r e i t is n o t e t h i c a l f o r t h e d e n t i s t t o d i s c u s s t h e p e r s o n s d e n t a l s t a t e o r d i v u l g e t h e c o n t e n t o f t h e d e n t a l e x a m i n a t i o n If a s k e d t h e d e n t i s t w i l l j u s t g ive general d e n t a l a d v i c e t o t h e r e s p o n d e n t

T h e d e n t i s t s w i l l , t h e m s e l v e s , h a v e t o b e r e c o r d e r s f o r e a c h o t h e r d u r i n g t h e e a r l y p a r t of t h e i r t r a i n i n g course, t h e y w131 t h e r e f o r e be i s s u e d w i t h t h e same i n s t r u c t i o n s f o r r e c o r d i n g as t h e i n t e r v i e w e r s

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When t h e e x a m i n i n g d e n t i s t is r e a d y t o b e g i n t h e e x a m i n a t i o n t h e r e c o r d e r g ives t h e p r o m p t PRESENCE. T h e d e n t i s t t h e n says o u t l o u d t h e number of e a c h t o o t h f o l l o w e d b y t h e l e t t e r c o d e t h a t i s a p p r o p r i a t e , i . e . 8P ,7P ,6M,5P ,4C, e t c . T h i s c o n t i n u e s f o r e a c h of t h e p o s s i b l e 32 t e e t h l o c a t i o n s . A t t h i s s tage o n l y t h e l e t t e r s P ,M,U,and C are p e r m i s s i b l e .

When t h i s is complete and t h e r e c o r d e r is r e a d y t o g o on s h e says SPACES. F o r each t o o t h t h a t was r e c o r d e d M u n d e r p r e s e n c e t h e d e n t i s t w i l l l o o k t o see w h e t h e r t h e m i s s i n g t o o t h h a s b e e n r e p l a c e d , a n d i f s o how. F o r e a c h m i s s i n g t o o t h t h e d e n t i s t w i l l s ay t h e t o o t h number and t h e space c o d e , w h i c h c a n o n l y be D , B , N , o r S , i . e . suppose all t h e ' 6 ' are m i s s i n g and a l l o t h e r t e e t h a r e p r e s e n t , t h e d e n t i s t would s a y s o m e t h i n g l i k e '6S, 6S, 6N, 6". Once t h i s h a s b e e n d o n e t h e t e e t h t h a t a re m i s s i n g w i l l s t a n d o u t q u i t e c l e a r l y on t h e c h a r t as t h e r e w i l l b e i n f o r m a t i o n a b o u t t h e m i n t h e 'spaces' row whereas o t h e r t e e t h w i l l be b l a n k .

L I N E S . A t t h i s p o i n t i n t h e e x a m i n a t i o n t h e r e c o r d e r , u s i n g t h e h i g h l i g h t e r p e n p r o v i d e d , d r a w s a v e r t i c a l l i n e f r o m e a c h t o o t h w i t h a ' space ' c o d e down t h r o u g h t h e r e m a i n i n g b o x e s on t h e c h a r t . T h e s e l i n e s s h o u l d g o r i g h t down t o t h e b o t t o m of t h e p a g e , ( b u t w i t h p r a c t i c e s h o u l d n o t o b l i t e r a t e t h e ' d e n t u r e a r e a ' c o d i n g box when f r o n t t e e t h a r e m i s s i n g ) . S i n c e t h e t e e t h f o r w h i c h l i n e s h a v e b e e n d r a w n are m i s s i n g t h e r e is n o i n f o r m a t i o n t h a t c a n be r e c o r d e d a b o u t t h e s t a t e o f t h e i r s u r f a c e s o r a b o u t t h e g u m s a r o u n d t h e m . T h e s e t e e t h w i l l n o t be m e n t i o n e d a g a i n by t h e d e n t i s t . He / she w i l l o n l y be c a l l i n g o u t t h e n u m b e r s of t h e t e e t h still i n t h e m o u t h . I f you h a v e d rawn a l i n e t h r o u g h t h e t e e t h t h a t h a v e a l r e a d y b e e n l o s t you w i l l b e a b l e t o a v o i d t h e s e a r e a s o f t h e c h a r t when r e c o r d i n g t h e c o n d i t i o n of t h e t e e t h t h a t a r e p r e s e n t . I t t a k e s a l i t t l e w h i l e t o d o t h i s , e s p e c i a l l y i f a l o t o f t e e t h a r e m i s s i n g , b u t it is i m p o r t a n t t h a t y o u r l i n e s d o n o t s t r a y i n t o a d j o i n i n g c o l u m n s . T h e d e n t i s t w i l l wait u n t i l you a re r e a d y and h a v e g i v e n t h e n e x t p r o m p t b e f o r e going on w i t h t h e e x a m i n a t i o n . ON THE TAPE THERE I S A LONG SILENCE WHILE THE RECORDER DRAWS THESE LINES. THIS SHOULD GIVE YOU TIME TO DRAW THE LINES WHEN YOU DO YOUR PRACTICE CHART. I F YOU ARE A FAST LINE DRAWER BE PATIENT, THE EXAM WILL START AGAIN I N DUE COURSE!

If t h e r e s p o n d e n t h a s a p a r t i a l d e n t u r e t h e n t h e d e n t i s t w i l l a t t h i s s t age b e a s k i n g f o r t h e d e n t u r e t o be t a k e n o u t .

When b o t h o f you are r e a d y t h e r e c o r d e r can prompt w i t h t h e words DENTURE AREAS. I f t h e r e is no d e n t u r e f o r t h e u p p e r jaw t h e d e n t i s t w i l l s a y ' 9 ' , i f t h e r e is a d e n t u r e t h e d e n t i s t w i l l s a y e i t h e r ' z e r o ' o r '1'. T h r o u g h o u t t h e d e n t a l c h a r t we h a v e c o n s i s t e n t l y u s e d t h e p r e - c o d e -0' when t h e r e is no comment t o b e made and '1' when t h e r e is some comment t o b e made. The d e n t i s t w i l l always c a l l ' 0 ' p r e - c o d e s and ' 0 ' c o d e s as ' z e r o ' . When

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t h e r e c o r d e r and d e n t i s t a r e p r a c t i s e d a t w o r k i n g t o g e t h e r t h e r e c o r d e r may, when t h e c i rcumstances a r e o b v i o u s p r o m p t ‘ D e n t u r e a r eas n i n e n i n e and t h e n go on t o t h e n e x t s e c t i o n

T h e p r o m p t f o r t h e n e x t s e c t i o n i s SURFACES. The a r r o w on t h e c h a r t s h o w s you t h e d i r e c t i o n i n w h i c h t h e d e n t i s t w i l l examine and you w i l l r e c o r d The d e n t i s t w i l l c a l l o u t t h e t o o t h number o f t h e t o o t h b e i n g e x a m i n e d , and w i l l t h e n c a l l o u t t h e c o d e s f o r t h e c o n d i t i o n of t h e t o o t h s u r f a c e s He / she w i l l n e v e r men t ion t h e names o f t h e s u r f a c e s They a r e on t h e c h a r t t o r e m i n d t h e d e n t i s t a t t h e t r a i n i n g s t age w h i c h o r d e r t o u s e , and t o i n f o r m anyone a n a l y s i n g t h e s u r v e y d a t a a f t e r w a r d s w h i c h c o d e s r e f e r t o w h i c h s u r f a c e s The d e n t i s t w i l l c a l l o u t f i v e c o d e s f o r t h e b a c k t e e t h and f o u r f o r t h e f r o n t t e e t h When h e / s h e h a s c a l l e d o u t t h e t o o t h number and t h e s u r f a c e c o d e s f o r a p a r t i c u l a r t o o t h t h e d e n t i s t w i l l s a y Roo t and t h e n c a l l o u t t h e r o o t c o d e b e f o r e g o i n g on t o t h e n e x t t o o t h I f a s u r f a c e is b o t h f i l l e d and d e c a y e d t h e d e n t i s t w i l l c a l l o u t two p i e c e s o f i n f o r m a t i o n f o r t h e same s u r f a c e You w i l l b e a b l e t o r e c o g n i s e t h i s b e c a u s e t h e d e n t i s t w i l l j o i n t h e two c o d e s t h a t a r e f o r t h e same s u r f a c e w i t h and He/she w i l l say f o r example, 5 , z e r o , z e r o , A a n d X, A , z e r o , Root z e r o

The d e n t i s t w i l l c a l l o u t s u r f a c e and r o o t i n f o r m a t i o n f o r a l l t h e t e e t h p r e s e n t i n t h e mouth The t o o t h n u m b e r s o f t h e m i s s i n g t e e t h w i l l n o t be c a l l e d b u t you w i l l n o t b e expec t ing a n y i n f o r m a t i o n a b o u t t h e s e b e c a u s e you w i l l h a v e a l r e a d y d r a w n a l i n e t h r o u g h them w i t h y o u r h i g h - l i g h t e r pen

F o r t u n a t e l y f o r t h e p u b l i c many o f t hem h a v e mos t o f t h e i r n a t u r a l t e e t h , many o f w h i c h a r e h e a l t h y T h i s i s n o t s u c h good news f o r t h e d e n t a l r e c o r d e r a s t h e r e is more s u r f a c e d a t a t o w r i t e down’ T h e d e n t i s t w i l l also h a v e more t o c a l l o u t and t h e e x a m i n a t i o n may end up r a t h e r l i k e a t o n g u e - t w i s t e r T h e r e is o n e p a r t i c u l a r s i t u a t i o n i n w h i c h t h i s can occur a n d f o r w h i c h w e h a v e a p a r t i a l s o l u t i o n If t h e d e n t i s t assesses t h a t a l l t h e s u r f a c e s o f a t o o t h a r e s o u n d h e / s h e would a c c o r d i n g t o o u r i n s t r u c t i o n s s a y ’ 4 , z e r o z e r o z e r o z e r o z e r o , Root z e r o ’ I f t h e d e n t i s t is a b l e t o make t h i s assessment i n s t a n t l y t h e n h e / s h e can say ‘ 4 , a l l z e r o r o o t z e r o T o s p e e d u p t h e r e c o r d i n g of t h i s a b b r e v i a t e d c a l l t h e r e c o r d e r can w r i t e a z e r o i n t h e f i r s t s u r f a c e b o x a n d r u n a l i n e t h r o u g h as f a r as t h e r o o t box T h e r o o t b o x m u s t be s e p a r a t e l y c o d e d z e r o I t is t h e t e e t h i n t h e f r o n t of t h e mou th t h a t are t h e m o s t l i k e l y t o h a v e a l l s o u n d s u r f a c e s I f t h e d e n t i s t is n o t i n a p o s i t i o n t o make an e a r l y assessment of t h e w h o l e t o o t h t h e n he m u s t c a l l a l l t h e s u r f a c e s s e p a r a t e l y e v e n i f i n t h e end t h e y a r e a l l z e r o T h e r e c o r d e r m u s t f o l l o w t h e d e n t i s t and r e c o r d t h e v e r s i o n t h a t t h e d e n t i s t c a l l s

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Some p e o p l e who w i l l h a v e a s u r v e y d e n t a l e x a m i n a t i o n w i l l h a v e a c o m b i n a t i o n o f n a t u r a l t e e t h and d e n t u r e s . T h e number o f n a t u r a l t e e t h t h a t a r e p r e s e n t may b e as f e w as f o u r o r i t may b e more t h a n t w e n t y ; so i n some cases you w i l l h a v e large s e c t i o n s o f t h e d e n t a l c h a r t c r o s s e d t h r o u g h w i t h h i g h l i g h t e r .

The n e x t s e c t i o n h a s t h e p r o m p t GUNS, UPPER BUCCAL.(pronounced b u c k l e ) . The d e n t i s t w i l l make a n a s s e s s m e n t a t t h i s p o i n t as t o w h e t h e r t h e r e are any r e a s o n s why t h i s p a r t o f t h e e x a m i n a t i o n d o e s n o t a p p l y t o t h i s p a r t i c u l a r r e s p o n d e n t . If t h i s is t h e case t h e r e s p o n s e t o y o u r p r o m p t w i l l b e ' n i n e n i n e ' , a n d you w i l l r i n g t h e 99 i n t h e box and move on t o t h e n e x t s e c t i o n (OCCLUSION),

I f d u r i n g t h e course o f t h e e x a m i n a t i o n t h e d e n t i s t d e c i d e s t h a t t h e res t o f t h e gum a s s e s s m e n t s h o u l d n o t b e d o n e h e / s h e w i l l s a y ' n i n e n i n e ' and you w i l l r i n g t h e 99 i n t h e b o x and g o on t o t h e n e x t s e c t i o n o f t h e e x a m i n a t i o n .

F o r t h e gum a s s e s s m e n t t h e d e n t i s t l o o k s a t a p a r t i c u l a r s i t e and c a l l s o u t two n u m b e r s . The f i r s t w i l l be f r o m t h e r a n g e 0,1,2, t h e s e c o n d e i t h e r 8 o r 9 . I f f o r some d e n t a l reason t h e a s s e s s m e n t c a n n o t b e made on an i n d i v i d u a l t o o t h t h e d e n t i s t w i l l call o u t ' s i x s i x ' . As w i t h t h e s u r f a c e i n f o r m a t i o n t h e a s s e s s m e n t w i l l o n l y be made a r o u n d t e e t h t h a t are s t i l l p r e s e n t . (You w i l l h a v e a l r e a d y p u t a l i n e w i t h t h e h i g h - l i g h t e r t h r o u g h t h o s e t e e t h t h a t are m i s s i n g . )

T h e d e n t i s t w i l l assess two s i t e s per t o o t h , and h e / s h e w i l l c a l l t h e t o o t h number f o l l o w e d b y p a i r s o f n u m b e r s f o r e a c h o f t h e s i t e s assessed. E a c h box m u s t h a v e TWO n u m b e r s w r i t t e n i n i t , and e a c h t o o t h w i l l have two b o x e s t o f i l l i n .

F o r example t h e f i r s t p a r t o f t h e gum a s s e s s m e n t would s o u n d l i k e t h i s , '8 z e r o 8 o n e n i n e , 7 z e r o 8 zero 8 , 6 o n e 8 o n e 8, 5 one 9 one 9 , 4 z e r o 9 z e r o 9 , . . . . . ' and would be r e c o r d e d l i k e t h i s on t h e c h a r t .

8 7 6 5 4 08 08 18 19 09 19 08 18 19 09 e t c .

When t h e d e n t i s t h a s completed t h e f i r s t quarter o r q u a d r a n t of t h e mou th t h e r e c o r d e r m u s t p r o m p t GIRG. ( s h o r t f o r g i n g i v i t i s a n d p r o n o u n c e d J i n j ) . T h e d e n t i s t w i l l t h e n g o b a c k over t h a t par t o f t h e mou th t o assess w h e t h e r t h e gums are b l e e d i n g a t a l l . He/she w i l l c a l l o u t t h e t o o t h number f o l l o w e d b y two c o d e s .

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T h e s e c o d e s w i l l b e 0 o r 1 ( c a l l e d as z e r o a n d o n e ) u n l e s s t h e a s s e s s m e n t c a n n o t b e made f o r a p a r t i c u l a r t o o t h i n w h i c h case t h e c o d e s w i l l be 66

I t may b e u s e f u l i f t h e r e c o r d e r g i v e s a n e x t r a p r o m p t of GUHS a t t h i s p o i n t , a n d t h e n t h e d e n t i s t w i l l b e r e m i n d e d t o go on t o t h e gum a s s e s s m e n t f o r t h e n e x t q u a d r a n t ( T h i s is a n o p t i o n a l p r o m p t . see how i t g o e s w i t h your d e n t i s t )

When t h e s e c o n d q u a d r a n t gum assessment is f i n i s h e d t h e r e c o r d e r s h o u l d p r o m p t G I N G , when t h i s a s s e s s m e n t is c o m p l e t e d t h e r e c o r d e r s h o u l d p r o m p t LOWER L I N G U A L . T h i s is t o r e m i n d t h e d e n t i s t t h a t h e / s h e m u s t c h a n g e f r o m l o o k i n g a t t h e c h e e k s i d e o f t h e t e e t h i n t h e u p p e r j a w t o l o o k i n g a t t h e t o n g u e s i d e o f t h e t e e t h i n t h e l o w e r jaw When t h e d e n t i s t h a s f i n i s h e d t h e gum assessment f o r t h e t h i r d q u a d r a n t t h e r e c o r d e r p r o m p t s G I N G again When t h e d e n t i s t h a s f i n i s h e d t h e g i n g i v i t i s a s s e s s m e n t i t may b e u s e f u l t o p r o m p t GUMS t o t a k e t h e d e n t i s t b a c k t o t h e f o u r t h q u a d r a n t , a g a i n t h i s p a r t i c u l a r p r o m p t is o p t i o n a l Don t f o r g e t t o p r o m p t G I N G a t t h e a p p r o p r i a t e moment f o r t h e l a s t q u a d r a n t

I n t h e n e x t s e c t i o n o f t h e e x a m i n a t i o n you d o n o t need t o p r o m p t t h e s e c t i o n a s a w h o l e , i n s t e a d you s h o u l d p r o m p t t h e i n d i v i d u a l p a r t s of t h e o c c l u s a l a s s e s s m e n t T h e f i r s t p r o m p t w i l l be OVERJET T h i s is t h e h o r i z o n t a l d i s t a n c e f r o m t h e u p p e r f r o n t t e e t h t o t h e l o w e r f r o n t t e e t h w h e n t h e back t e e t h are c l o s e d t o g e t h e r For some p e o p l e t h i s measurement is n e g a t i v e ( i e t h e f r o n t l o w e r t e e t h a r e i n f r o n t o f t h e u p p e r t e e t h ) T h e f i r s t i n f o r m a t i o n t h e d e n t i s t g i v e s i s ' p l u s o r m i n u s and you s h o u l d w r i t e t h e s i g n i n t h e box Then a mi l l ime te r m e a s u r e m e n t is given U s u a l l y t h i s m i l l i m e t e r m e a s u r e m e n t w i l l b e a s i n g l e f i g u r e b u t t h e m e a s u r e m e n t c o u l d b e , s a y , 15 mm and room h a s b e e n a l l o w e d f o r 2 d i g i t s I f t h e number is a s i n g l e d i g i t p l ease i n c l u d e a l e a d i n g z e r o T h e r e a r e some c i r c u m s t a n c e s i n w h i c h t h e o v e r j e t m e a s u r e m e n t c a n n o t b e made , f o r e x a m p l e i f t h e p e r s o n h a s l o s t t h e i r f r o n t t e e t h I f t h e d e n t i s t c a n n o t c a r r y o u t t h e m e a s u r e m e n t h e / s h e w i l l s a y ' n i n e n i n e ' a n d you w i l l r i n g SS, t h e - d o e s n o t a p p l y c o d e

T h e p r o m p t f o r t h e n e x t a s s e s s m e n t 1,s CONTACT. T h e d e n t i s t w i l l look t o see i f t h e f r o n t t e e t h r u b o r ' t o u c h t h e gum of t h e o p p o s i t e jaw when t h e t e e t h are t o g e t h e r T h e d e n t i s t s r e p l y t o y o u r prompt w i l l b e ' z e r o , ' o n e ' o r ' 9 ' , a n d you w i l l r i n g as a p p r o p r i a t e

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T h e n e x t p r o m p t w i l l b e ANTERIOR CROSSBITE. The d e n t i s t w i l l l o o k t o see i f t h e f r o n t t e e t h g e n e r a l l y meet t o g e t h e r as t h e y s h o u l d , and w i l l r e p l y w i t h one o f t h e c o d e s z e r o , 1 o r 9 . I f t h e c o d e is '1' t h e n h e / s h e w i l l a l s o say w h i c h t e e t h a r e a f f e c t e d and you w i l l r i n g t h e 1 i n t h e a p p r o p r i a t e b o x ( e s ) .

Your next p r o m p t w i l l b e POSTERIOR CROSSBITE. T h i s is a similar a s s e s s m e n t f o r b a c k t e e t h . The d e n t i s t w i l l r e s p o n d as b e f o r e and i f a '1' h a s b e e n ca l l ed h e / s h e w i l l also c a l l o u t w h i c h k i n d s o f t e e t h a r e a f f e c t e d .

T h e nex t p r o m p t is DISPLACEHENT UPPER. T h e d e n t i s t w i l l l o o k a t t h e uppe r t e e t h and m e a s u r e t h e l a rges t area o f n o n - a l i g n m e n t o f t h e t e e t h i n t h e a r c h . He / she w i l l s a y z e r o o r a mil l ime te r m e a s u r e m e n t . T h i s m e a s u r e m e n t w i l l u s u a l l y b e a s i n g l e f i g u r e number . I f so please i n c l u d e a l e a d i n g z e r o . I f t h e d e n t i s t c a n n o t d o t h i s m e a s u r e m e n t h e / s h e w i l l s a y ' n i n e n i n e ' . When t h e d e n t i s t h a s g i v e n you a m e a s u r e m e n t f o r t h e u p p e r jaw you s h o u l d p r o m p t LOWER and w r i t e i n t h e a p p r o p r i a t e c o d e f o r t h e l o w e r j aw .

T h e n e x t p r o m p t w i l l b e OPENING. A t t h i s s t a g e o f t h e e x a m i n a t i o n t h e d e n t i s t a s k s t h e r e s p o n d e n t t o open t h e i r m o u t h s as w i d e a s p o s s i b l e and m e a s u r e s t h e d i s t a n c e b e t w e e n t h e t e e t h . T h i s m e a s u r e m e n t w i l l a l w a y s be d o u b l e f i g u r e s and is q u i t e l i k e l y t o b e i n t h e r a n g e 35-55111171.

The l a s t o f t h e o c c l u s a l p r o m p t s is CLICK. T h e d e n t i s t l i s t e n s t o see i f t h e r e s p o n d e n t ' s jaw c l i c k s when t h e y o p e n and c lose t h e i r m o u t h s . The d e n t i s t ' s r e s p o n s e w i l l b e z e r o , 1 o r 9 .

T h e n e x t s e c t i o n o f t h e e x a m i n a t i o n is t h e d e n t i s t ' s a s s e s s m e n t of t h e d e n t u r e . I f t h e p e r s o n h a s n o d e n t u r e t h e r e c o r d e r says DENTURE NINE NINE, r i n g s t h e two c o d e 9's t o i n d i c a t e t h i s and g o e s on t o t h e n e x t s e c t i o n . I f t h e r e is a d e n t u r e b u t o n l y i n one jaw t h e r e c o r d e r r i n g s ' 9 ' f o r t h e jaw w i t h no d e n t u r e , and prompts UPPER/LOWER DENTURE as appropr i a t e a n d records t h e r e l e v a n t i n f o r m a t i o n f o r t h a t d e n t u r e c a l l e d o u t in c o d e b y t h e d e n t i s t . I f t h e r e is a d e n t u r e f o r b o t h jaws t h e r e c o r d e r s h o u l d p r o m p t UPPER DENTURE and t h e d e n t i s t s h o u l d s h o u t o u t a l l t h e r e l e v a n t i n f o r m a t i o n f o r t h e u p p e r d e n t u r e f i r s t a n d t h e n t h e r e c o r d e r s h o u l d p r o m p t f o r LOWER DENTURE. T h e r e c o r d e r s h o u l d g i v e t h e f o l l o w i n g i n d i v i d u a l p r o m p t s : TYPE, HATBRIAL, SUPPORT, DAM. HY. REP. T h e d e n t i s t s h o u l d r e s p o n d w i t h t h e r e l e v a n t c o d e f o r e a c h p r o m p t . S i n c e t h e d e n t i s t is l o o k i n g a t t h e d e n t u r e a t t h i s s tage r a t h e r t h a n in t h e mouth h e / s h e may w e l l g l a n c e a t t h e c h a r t t o see w h a t t h e c o d e s are o r e v e n c a l l o u t t h e i n d i v i d u a l d e n t u r e p r o m p t s . T h e d e n t i s t and r e c o r d e r w i l l soon get t o know w h a t is t h e b e s t system f o r t h e m .

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T h e n e x t p r o m p t t h a t t h e r e c o r d e r u s e s is ASTERISK I f t h e d e n t i s t h a s a l r e a d y c a l l e d a s t e r i s k a t some e a r l i e r p a r t o f t h e e x a m i n a t i o n t h e r e c o r d e r w i l l h a v e w r i t t e n a n a s t e r i s k a t t h a t p a r t o f t h e e x a m i n a t i o n as a r e m i n d e r a n d a t t h e end of t h e e x a m i n a t i o n t h e d e n t i s t w i l l w r i t e a n y comments on t h e c h a r t If n o s u c h p o i n t h a s b e e n made d u r i n g t h e e x a m i n a t i o n t h e r e c o r d e r c h e c k s w h e t h e r t h e d e n t i s t d o e s i n f a c t w a n t t o make a comment

B y f o l l o w i n g t h i s r o u t i n e t h e d e n t a l e x a m i n a t i o n i s c a r r i e d o u t i n a s t r u c t u r e d w a y , w i t h t h e r e c o r d e r and d e n t i s t w o r k i n g t o g e t h e r t o h e l p e a c h o t h e r and t h e i n f o r m a t i o n b e i n g communica ted so t h a t i t i s n o t o b v i o u s t o t h e r e s p o n d e n t w h a t t h e c o n t e n t o f t h e e x a m i n a t i o n is

I f t h e d e n t i s t makes a m i s t a k e i n t h e o r d e r , o r t h e i n t e r v i e w e r n e e d s t h e d e n t i s t t o s t o p t h e n s h e m u s t s h o u t o u t q u i c k l y t o s t o p t h e exam as soon as p o s s i b l e I f t h e r e c o r d e r h e s i t a t e s b e f o r e i n t e r r u p t i n g t h e exam w i l l g o on and t h e n t h e r e is much more t o r e - d o So i f you n e e d t h e d e n t i s t t o s t o p say s o l o u d l y and c l e a r l y AT O N C E '

T h e d e n t i s t may f i n d t h a t h e / s h e n e e d s t o c h a n g e a n e a r l i e r a s s e s s m e n t i n t h e l i g h t o f a d e c i s i o n a b o u t a n o t h e r t o o t h I n t h i s case t h e d e n t i s t w i l l go b a c k , s t a t e e x a c t l y w h a t t o o t h and w h a t c o d e n e e d s c h a n g i n g and r e - d o a n y p a r t o f t h e exam t h a t n e e d s c h a n g i n g

T h e d e n t a l c h a r t m u s t b e c h e c k e d i n t h e ca r a f t e r t h e e x a m i n a t i o n t o make s u r e t h a t any a l t e r a t i o n s on t h e c h a r t ( h o w e v e r t h e y h a v e a r i s e n ) a r e c l e a r I f a n a l t e r a t i o n is u n c l e a r n o - o n e i n t h e o f f i c e is g o i n g t o b e a b l e t o t e l l w h a t you i n t e n d e d

P r a c t i s i n g t h e r e c o r d i n g

You m i g h t f i n d it h e l p f u l , o n c e you h a v e r e a d t h r o u g h t h e r e c o r d i n g i n s t r u c t i o n s , t o t a k e o n e o f t h e b l a n k exam c h a r t s f r o m y o u r b r i e f i n g s e t and m a r k a l l t h e PROMPT w o r d s w i t h t h e h i g h l i g h t e r You w i l l s o o n g e t t o know w h i c h t h e y are

We h a v e t ape r e c o r d e d t h r e e e x a m i n a t i o n s P l e a s e l i s t e n t o t h e tape w h i l e you are l o o k i n g a t a c o m p l e t e d c h a r t s , u n t i l you f e e l y o u a re f a m i l i a r w i t h t h e method o f r e c o r d i n g Then r e - w i n d t h e t a p e and h a v e a g o on t h e b l a n k c h a r t s , t h e n c h e c k y o u r r e c o r d i n g a g a i n s t t h e 3 c o m p l e t e d c h a r t s

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A d m i n i s t r a t i o n a n d F i e l d P r o c e d u r e s

S t u d y t i m e

F o u r h o u r s s t u d y time h a s b e e n a l l o w e d and m o s t o f t h i s s h o u l d be s p e n t p r i o r t o t h e b r i e f i n g You w i l l n e e d t o

f a m i l i a r i s e y o u r s e l f w i t h t h e i n s t r u c t i o n s

l i s t e n t o t h e t a p e d i n t e r v i e w - t h i s is meant m a i n l y f o r newer i n t e r v i e w e r s t o g i v e you a n i d e a of wha t t h e i n t e r v i e w s o u n d s l i k e , b u t w e s u g g e s t all o f you r e c o r d t h e i n t e r v i e w on t h e a p p r o p r i a t e s c h e d u l e s f r o m y o u r b r i e f i n g s e t , and n o t e a n y q u e r i e s you w i s h t o b r i n g u p a t t h e b r i e f i n g

l i s t e n t o t h e d e n t a l e x a m i n a t i o n s i d e o f t h e t a p e w h i l e l o o k i n g a t t h e c o m p l e t e d exam c h a r t s , t h e n , when you f e e l you a r e r e a d y , h a v e a g o y o u r s e l f on t h e 3 b l a n k c h a r t s p r o v i d e d Then c o m p a r e y o u r c h a r t w i t h t h e c o m p l e t e d examples The b r i e f i n g w i l l c o v e r t h e d e n t a l e x a m i n a t i o n p r o c e d u r e i n d e t a i l b u t t h e more f a m i l i a r you a r e w i t h i t , t h e ea s i e r t h e b r i e f i n g w i l l b e f o r you

B e c a u s e o f t h e n e e d f o r c o v e r i n g t h e d e n t a l e x a m i n a t i o n s and d i s c u s s i n g a d m i n i s t r a t i v e a r r a n g e m e n t s r e g a r d i n g t h e d e n t i s t s , time f o r b r i e f i n g t h e s c h e d u l e w i l l b e l i m i t e d T h e t a p e d i n t e r v i e w is n o t meant t o b e a b r i e f i n g o f t h e s c h e d u l e I t h a s o b v i o u s l y had t o b e made b e f o r e t h e b r i e f i n g s , b u t we h o p e i t may se rve t o p i n p o i n t t h e o c c a s i o n a l p r o b l e m i n w h a t is b a s i c a l l y a s t r a i g h t f o r w a r d s c h e d u l e So d o n t b e a f r a i d t o ask a b o u t a n y t h i n g w h i c h i s n o t c l e a r , a n y s h o r t c o m i n g s i n t h e i n t e r v i e w are n o t t h e r e t o t r a p you t h e l i k e l i h o o d is t h a t t h e y were n o t c l ea r t o us i n f i e l d b r a n c h a t t h e time i t was d o n e

P l e a s e r e t u r n t h e t apes t o y o u r r e g i o n a l o f f i c e a f t e r l i s t e n i n g t o t h e m as many t imes as you w i s h B u t p l ease i n d i c a t e who t h e s e n d e r is Anonymous t apes a r e n o t welcome when w e l l o v e r 100 h a v e t o b e a c c o u n t e d f o r

Pie ldwor k

T h e s u r v e y h a s b e e n c o s t e d on t h e a s s u m p t i o n t h a t i n t e r v i e w e r s w i l l , on average, c o m p l e t e t h e e q u i v a l e n t o f f o u r u n i t s o f work p e r w o r k i n g d a y A u n i t is d e f i n e d as t h e c o m p l e t e d i n t e r v i e w s

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5 4

f o r a h o u s e h o l d , o r t h e c o m p l e t e d e n t a l e x a m i n a t i o n s f o r a h o u s e h o l d . T h i s means t h a t t h e number o f d a y s you work s h o u l d n o r m a l l y ( i . e . i f y o u r q u o t a is o f average s i z e ) b e r e s t r i c t e d t o 15. I f you a r e g o i n g t o n e e d t o b e i n t h e area f o r more t h a n 15 d a y s p l ease p h o n e i n t o d i s c u s s t h i s w i t h t h e F i e l d O f f i c e r o r y o u r R e g i o n a l Manager b e f o r e h a n d .

Progress R e t u r n

U s u a l l y f o r a n a d h o c s u r v e y we are a s k i n g YOU t o s e n d i n a w e e k l y p r o g r e s s r e t u r n f o r t h e f i r s t 4 weeks o f f i e l d w o r k . T h i s i s n e c e s s a r y i n o r d e r t o g i v e us some i d e a o f p r o g r e s s d u r i n g t h e awkward time when i n t e r v i e w e r s d i s a p p e a r i n t o l i m b o b u t are u n a b l e t o s e n d b a c k much b y way o f c o m p l e t e d w o r k , s i n c e t h e d e n t a l e x a m i n a t i o n s c a n n o t s t a r t u n t i l a t l eas t a f o r t n i g h t a f t e r you h a v e b e e n b r i e f e d . P l e a s e h e l p t o r e a s s u r e us t h a t i n t e r v i e w s a re t a k i n g place by s e n d i n g i n y o u r w e e k l y r e t u r n . We t h i n k o n l y f o u r r e t u r n s a r e n e c e s s a r y and O c t o b e r 1st - 4 F i n a l - r e f e r s t o t h e r e t u r n s . We d o n o t expec t work t o b e f i n i s h e d b y t h e n !

P l e a s e n o t e t h a t you s h o u l d s e n d a r e t u r n t o y o u r R e g i o n d u r i n g t h e f i r s t 4 weeks e v e n i f YOU w i l l n o t b e d o i n g a n y f i e l d w o r k , w h e t h e r t h i s is b e c a u s e you w i l l b e i n S o u t h p o r t o r f o r some o t h e r r e a s o n . B u t p l e a s e keep i n t o u c h w i t h y o u r R e g i o n i f t h e r e is a gap i n y o u r work on t h e s u r v e y . a f t e r t h i s .

Work R e t u r n

A l l d o c u m e n t s f o r a h o u s e h o l d s h o u l d be r e t u r n e d t a g g e d t o g e t h e r ; m u l t i - h o u s e h o l d s a t t h e same a d d r e s s c a n b e d e s p a t c h e d s e p a r a t e l y . P l e a s e t ag t h e d o c u m e n t s i n t h e f o l l o w i n g o r d e r

< B > H o u s e h o l d s h e e t - ( w h i t e ) < C > Q u e s t i o n n a i r e 3 - ( p i n k ) c D > Q u e s t i o n n a i r e 2 - (green) <E> Q u e s t i o n n a i r e 1 - ( y e l l o w ) <G> D e n t a l Update s h e e t - ( b l u e ) < F > D e n t a l c h a r t - ( w h i t e )

Keep a l l d o c u m e n t s o f one t y p e t o g e t h e r . T h i s is a d e p a r t u r e from t h e s t a n d a r d SSD p r o c e d u r e o f k e e p i n g all i n f o r m a t i o n r e l a t i n g t o e a c h p e r s o n t o g e t h e r .

A l l t h e d e n t a l c h a r t s w i l l b e p u n c h e d f i r s t , and t h e n t h e o t h e r d o c u m e n t s i n t h e o r d e r < B > t o <G>. T h e h o l e i n t h e d e n t a l c h a r t < F > h a s b e e n p l a c e d i n t h e t o p l e f t - h a n d c o r n e r so t h a t when t h e s e t o f t a g g e d d o c u m e n t s is t u r n e d o v e r t h e f r o n t o f t h e d e n t a l c h a r t is u p p e r m o s t and c a n b e e a s i l y p u n c h e d , f o l l o w e d b y t h e n e x t one.

A/2 55

We e x p e c t t o h a v e a t l e a s t o n e l o t o f work e a c h week , o n c e you have s t a r t e d t h e d e n t a l e x a m i n a t i o n s , so, a s a b o v e , k e e p i n t o u c h w i t h y o u r R e g i o n i f you a r e n o t w o r k i n g

C h e c k s b e f o r e d e s p a t c h

B e f o r e r e t u r n i n g y o u r work c o u l d you p l e a s e c h e c k t h a t t h e s e r i a l no h a s b e e n e n t e r e d on a l l d o c u m e n t s and t h a t i t m a t c h e s t h e o n e p r i n t e d on t h e s t i c k y l a b e l on t h e h o u s e h o l d s h e e t E a c h p e r s o n n o on t h e h o u s e h o l d s h e e t s h o u l d h a v e o n e o f t h e c o d e s r i n g e d in e a c h o f t h e 4 s e c t i o n s , and t h e number o f s c h e d u l e s and c h a r t s e n c l o s e d s h o u l d m a t c h t h o s e r i n g e d a s b e i n g p r e s e n t on t h e h o u s e h o l d s h e e t

F i e l d dates

T h e v e r y l a s t d a y o f f i e l d w o r k is 1 8 t h November T h e r e i s a b s o l u t e l y n o c h a n c e o f e x t e n s i o n s beyond t h i s b e c a u s e t h e d e n t i s t s w i l l no l o n g e r be a v a i l a b l e I n f a c t , we e x p e c t t h a t m o s t of you w i l l b e f i n i s h e d well b e f o r e t h a t d a t e

T r a v e l a n d s u b s i s t e n c e f o r S o u t h p o r t

D e t a i l s o f t h e h o t e l and w h a t and how t o c l a im f o r t h e S o u t h p o r t v i s i t a r e e x p l a i n e d s e p a r a t e l y f o r t h o s e o f you g o i n g t o S o u t h p a r t

T ime a l l o w a n c e f o r p l a n n i n g , a d m i n i s t r a t i o n , e t c

s t u d v time 4 h o u r s ( o n c e o n l y )

p l a n n i n g & p r e p a r a t i o n 2 h o u r s per q u o t a

c h e c k i n g & d e s p a t c h i n c l u d i n g c o d i n g o f o c c u p a t i o n 10 m i n s per c o - o p e r a t i n g u n i t

Q u e r i e s

I f you h a v e any q u e r i e s p l e a s e t e l e p h o n e

Hadge B r a i l s f o r d F i e l d Ext 2203 J o a n B a r k e r F i e l d Ext 2274 Nic C r o l l SIU Ext 2347 J e f f M a r t i n R e s e a r c h Ex t 2400

A/3

5 6

S1260

ADULT DENTAL HEALTH 1988

Glossary of d e n t a l terms

B r i d g e

A d e n t a l b r i d g e r e p l a c e s m i s s i n g t e e t h . I t d i f f e r s f r o m a d e n t u r e b e c a u s e i t is p e r m a n e n t l y f i x e d i n t h e mou th . T h e m i s s i n g t e e t h t h a t a r e r e p l a c e d on t h e b r i d g e a r e s i m i l a r t o t e e t h on a d e n t u r e .

C a r i e s

C a r i e s is t h e word t h e d e n t a l p r o f e s s i o n u s e when t h e y a r e t a l k i n g a b o u t d e c a y .

Crown

A crowned t o o t h is a t o o t h t h a t h a s a l l t h e s u r f a c e s r e p l a c e d b y a j a c k e t o r c rown b e c a u s e t h e o r i g i n a l t o o t h was e x t e n s i v e l y damaged o r d i s e a s e d . The r e p l a c e m e n t crown is p e r m a n e n t l y f i x e d t o t h e r o o t o f t h e o r i g i n a l t o o t h .

F i ssu r e sea 1 a n t s

F i s s u r e s e a l a n t s a r e p l a s t i c c o a t i n g s t h a t are a p p l i e d v e r y t h i n l y t o t h e s u r f a c e s o f t e e t h t o p r e v e n t o r a r r e s t d e c a y . They a r e u s e d p a r t i c u l a r l y on t h e c r e v i c e s ( f i s s u r e s ) i n t h e b a c k p e r m a n e n t t e e t h . I t is a p p r o p r i a t e t o a p p l y them t o c h i l d r e n ’ s t e e t h f a i r l y s o o n a f t e r t h e t e e t h a r e t h r o u g h (between t h e ages o f s e v e n a n d f o u r t e e n ) i f t h e c h i l d is s u b j e c t t o decay.

F l u o r i d e t r e a t m e n t

F l u o r i d e h e l p s t o s t r e n g t h e n t h e e n a m e l on t h e t e e t h and t h e r e b y h e l p s t o p r o t e c t t e e t h f r o m t h e r a v a g e s o f d e c a y . T h e r e are a number o f ways i n w h i c h a p e r s o n can augment t h e i r i n t a k e o f f l u o r i d e . F l u o r i d e e x i s t s n a t u r a l l y i n water b u t t h e amount va r i e s f r o m a rea t o area.

F l u o r i d e may b e added t o t h e water as a p u b l i c h e a l t h measure.

F l u o r i d e is a n i n g r e d i e n t i n v i r t u a l l y all t o o t h p a s t e s .

F l u o r i d e t a b l e t s can b e added t o t h e l i q u i d i n t a k e o f b a b i e s and c h i l d r e n .

F l u o r i d e mou thwashes o r r i n s e s h a v e b e e n t r i e d .

F l u o r i d e ge l c a n b e a p p l i e d t o c h i l d r e n ’ s t e e t h b y d e n t i s t s as a p r e v e n t i v e measure.

5 7

'Ihe conduct of the examination and c r i t e r i a for the assessments

The Cr i te r ia should be studied i n conjunction w i t h the exarmnation form.

Sex, Date of B i r t h , Dental Status, Disposition a d Serial N W r w i l l be

cmpleted by the Interviewer before entering the house.

IF ?HE PATIBC HAS lXNNRES THEY WILL BE ASKED TO WEAR ?HpI FOR TiIS PART

OF THE EXAMINATION.

1 W S l 7 X X O F T B E T E F I R

Permanent teeth w i l l be examined i n the follcwing order:

Upper l e f t - upper r ight - lower r ight - lower left

Every t o o t h shown on the chart should be given one of the following

d e s (ie ccde a l l 32 teeth) :

P - Present

M - Missing

U - Broken down kooth and def in i t e pulp involvement

C - Crown or tenprary crown.

Notes:

1 codes P and M. ?he use of these d e s , where the true desig-

nation of a tooth may be i n dcubt, needs saw c lar i f ica t ion .

The following suggestions m y help:

a.

b.

E s t m t e gap s izes , allowing fo r d r i f t i ng .

Look behind the last standing tooth.

another tooth there?

Look a t the t i ssue i n spaces.

considerable closure of t h i s space already?

Examine the form of the tooth; eg i n t h e upper jaw, th i rd

mlars are smaller and have a less well-defined cusp pattern.

Could there have been

c. Is it heaped up, indicating a

d.

e.

f .

Look at the other quadrants.

Ask the pat ient about loss of teeth. 5 8

L

g. If there is doubt about the identification of the last

standing tooth then score the tooth as the second molar, not

as the third.

If there is a deciduous tooth present in the arch then its

successor will be scored as M.

h.

2 Code C. This is FULL c m . Threequarter cr- are d e d as

fillings. In this case use code P.

M in the

REPIACENENT OF MISSING TEEZW (Spaces)

Every tooth which has been classified ction above, will

be additionally coded into one of the following categories:

D - The tooth has been replaced by a denture or prosthesis which can be removed frm the muth.

B - The tooth has been replaced by a bridge or prosthesis which cannot

IE removed f;Cm the mouth.

N - No space. S - space.

Notes:

Category N will be used when the remaining space is equal or less

than f the width of the missing tooth, and for a l l missing third

mlars.

AT THIS POINT IN ME EXAMI"1CN ME PATIENT WILL BE ASKED To RENOW2

THEIR DEKNRES.

2 mnuREBEARINGAREAs

then the patient has removed the denture(s), the denturebearing areas

will be examined. Zhe examiner will assess whether, in his minion, the

5 9

3

denture i t s e l f is having a destruct ive e f f ec t on these tissues.

those conditions related to the wearing of p a r t i a l dentures w i l l be

assessed, eg marked periodontal destruction, t i l t i n g of teeth and

caries on teeth adlacent to the denture.

partial dentures w i l l not be recorded, eg traumatic u lcers , denture

storrati t is .

as f o l l m :

Only

Conditions CDmron to f u l l or

'Ihe findings w i l l be recorded separately f o r each jaw

not affected = 0 (zero)

affected = 1

no denture = 9

Note:

In the s i tua t ion where a flabby ridge ex i s t s beneath a f u l l upper or

lwer denture oppmed by either natural teeth or a p a r t i a l denture,

this is recorded i n this section as 'affected'.

I F I N IXXTBT, SCORE ll3w.

3 cRmTsuRFA(Ts

The tee th which are present w i l l be re-exanuned i n the order given

before. Each w i l l be r e i d e n t i f i e d (to ensure correct r e d e s ) and

each surface coded i n the order, mesial, occlusal, d i s t a l , l ingual,

hccal and root.

categories :

0 - The surface is soud.

The corona1 surfaces are recorded i n the follcwirq

(None of the criteria under X are

applicable, and the surface is not filled). (0 is ca l led out as

zero )

A -The surface is restored w i t h anralgam.

G - The surface is restored with gold.

s -The surface is restored with a synthetic f i l l i n g material.

G O

4

X - The surface has decay present or a temporary dressing.

The surface is regarded as decayed i f , i n the opinion of the

examiner, after visual examination, there is a caricus cavity. If

doubt e x i s t s

unless the point enters the lesion the surface w i l l be recorded as

sound. (0)

it w i l l be investigated with the probe supplied and

Y - The surface has a missing restorat ion, or the restorat ion is

chipped or cracked and needs replacing, but there is no recurrent

caries.

Notes:

a.

b.

C.

d.

e.

f.

g.

Where a coronal surface has been restored w i t h mre than me

type of f i l l i n g material only code the material which occupies

the largest area.

the code for the f i l l i n g material, (chcsen as i n a. i f

necessary) on a coronal surface may be mlt icoded with X.

Chipped or cracked f i l l i n g s which need replacemnt are mlti-

coded with the symbol fo r the major restorat ive material

together with Y.

mere a f i l l i n g fran one surface encroaches on another, eg an

occlusal f i l l i n g

f i l l i n g is charted as being present

which it extends.

New caries a t the junction of a f i l l ing and the tooth is charted

as code X i f the criteria for mde X are fu l f i l l ed .

multiccded as f i l l i n g and caries.

With rotated tee th identify the anatanical surfaces of the tooth

when coding, and not those related to'its new position.

Veneers should be scored S - synthetic material and asterisked.

with buccal or lingual extensions, then the

on a l l surfaces on t o

This is

6 1

5

h. A ccmposite restoration/fissure sealant d i n a t i o n on p t e r i o r

teeth should be scored S and asterisked.

IF IN D3UBT. SCORE UW.

4 mmAcE

'Ihe condition of the - root surface w i l l be examined and recorded i n the

following categories:

0 - K) root surface evident on visual examnation. (called cut as zero)

R - root surface visible but scud.

W - the root surface has obvicus signs of abrasion or other type of

May be m l t i c d e d w i t h one of A, G, S, X or Y. wear.

A - the surface is restored w i t h amalgam.

G - the surface is restored w i t h gold.

S - the surface is restored with a synthetic material.

X - the tooth has a decayed mt surface.

Y - the mt surface has a defective restoration which needs replacing

but there is r n recurrent caries.

Notes:

a. Active carious lesions i n root surfaces are yellow/orange, tan

or l ight b r m i n colour. Arrested carious lesions tend t o be

dark, s a n e t m s alrrost black. A visual exarmnation cnly is

required for an exposed root surface.

Areas of abrasion or erosion i n a t surfaces rarely beme

caricus because they are generally kept clean and are free of

plaque. Root caries frequently mcurs

rarely beneath calculus.

which obstruct the examination procedWe shculd be remxred.

Surfaces covered e n t i r e l y by calculus are considered scud.

The code chosen for the f i l l ing mte r i a l on a mt may be

mlticcded w i t h X or Y.

b.

t e d a t h plaque, tmt

A c m l a t i o n s of supragingival plaque

6 2

6

c. Abrasion is scored W when there is obvicus notching,

particularly at the cervical margin.

can be multicoded with one of A, G , S, X or Y.

take priority).

A maximm of two codes per root is allowed.

a filling may only be multicoded with X or Y in the absence of

wear (W).

Where a root has been restored with mre than one type of

filling material only code the material which occupies the

largest area.

Toothwear on a root

(X or Y

d. The code chosen for

e.

IF IN IXUBI, SCORE Low.

5 PERIQEU?U& STATUS

If for any reason no periodontal examination is conducted the examiner

should say 'Nine Nine'.

cannot be cunpleted the exaniner should say 'Nine Nine' at the point he

decides not to continue. If an individual tooth can not be

If a periodontal examination is started but

periodontally assessed, for example a tooth that is unrestorable, code

the individual tooth as 66.

Method of assessment.

Pocket depth, calculus and gingivitis are to be recorded separately at

two points on each tooth using the W O PI" probe.

be assessed from the tuccal aspect and lawer teeth fran the lingual

aspect. Each tooth will be assessed mesially and distally and both

measurements recorded.

Upper teeth are to

63

Teeth w i l l be examined i n the f o l l w i n g order:

Upper l e f t buccal - upper r igh t buccal - lower r igh t lingual - 1-r l e f t lingual.

Pocket depth and calculus w i l l be recorded f o r two sites on each tcoth

u n t i l a quadrant is q l e t e .

s t a r t i ng with the f i r s t tooth i n the quadrant examined.

Gingivit is w i l l then be assessed

Cr i t e r i a for assessment and osding.

Pocket Depth

0 - All of the black portion of the probe is v is ib le (cal led m t as

zero 1

1 - Only part of the black portion is v is ib le

2 - None of the black portion is vis ib le

CalNlUS

8 - absent

9 - present ( e i the r sub or supra gingival)

Gingivi t is

0 - no bleeding following pocket measurement (called at as zero)

1 - bleeding f o l l w i n g pocket measurement

Notes:

a. W n measuring pockets , hold t h e measuring probe with a l l gh t grasp

s d l a r to the manner of holding a pencil, balanced well i n the hard,

so it can be m e d a d directed by very mall forces.

6 4

8

b. Keep the end of the probe in contact with the tooth surface. Pain to

the patient during probing is indicative of too heavy a probing force.

c. Maintain contact with the tcoth while passing the probe in an apical

direction until resilient stop of the soft tissue attachment is felt.

This may easily be distinguished from the sudden hard stop of

subgingival calculus or a ledge on a restoration.

d. Try and keep the periodontal probe as vertical as passible.

oblique angle of the probe has to be accepted in order to reach the,

mid-line of the interdental area where the tissue loss is usually

greatest.

A slight

Imagine y m are aiming the probe at the apex of the root.

e. Keep light contact with the tooth as you withdraw the probe in order to

ensure that no CHlculus has been missed.

Record the absence or presence of any sub or supra gingival calculus at

each site inediately after measuring the pocket.

not re-probe the site.

f. As each quadrant is mnplete, and before the patient swallows, look

back and record gingivitis as the presence of bleeding.

blood will run along the gingival margin fran one site to another.

Gingivitis should be recorded as present even if you cannot be sure

whether the blood is from that tooth or its neighbour.

in doubt assign the lower score.

Occasionally

Otherwise, if

6 5

9

6 OCctlTSICN

The occlusal assessment shculd be made only when there is sufficient

posterior support for the subject t o maintain a consistent occlusion.

The assessnent is t o be made with the denture a t , and the t e e t h i n the

intercuspal position.

should ca l l o u t 'Nine N i n e ' .

sane aspects of occlusion and not for others.

The following features are t o be recorded.

If no assessment can be made the examiners

An assessment may be possible for

Incisor overjet

This is the horizontal distance i n mns between the labial

surfaces of the upper and the lower incisors.

If upper central incisors are absent , code as 'not assessed'(99).

If the overjet is p i t i v e , or the overjet is zero, enter a '+I.

If the overjet is reversed, record '-I.

Measure th; overjet, w i t h the gauge supplied, a t the centre of

the incisal edge of the single most praninent upper central incisor.

If the measurement f a l l s between marks on the gauge, record the

lover nark.

Inciso-ginglval contact

Assess the anterior segments of the upper and the lower arch for

contact between the incisal edges of the teeth and the gingivae of the

teeth i n the opposing arch.

If there is no such amtact, record 'none'.

If there is inciso-gigival contact, record 'saw'.

I f m assessrent can be made, r e a d ' 9 '

6 6

10

Anterior Crossbite

An anter ior crassbi te is defined as a permanent upper cent ra l or

lateral incisor occluding l ingually to an opposing lower tooth.

I f none of the upper incisors is instanding, record 'none'.

I f no assessnent can be made, record '9'.

If any upper incisor is instanding, record 'sane' and t i c k the

teeth involved.

Posterior Crossbite

A p t e r i o r crossbite occurs when an upper canine tooth, or the

buccal cusp of an u p p r premolar or molar tooth, occludes l ingually to

the buccal cusp of the opposing lower tooth.

when the pa la ta l cusp of an upper premlar or mlar tooth occludes

buccally to the buccal cusp of the opposing lower tooth is also

regarded as a posterior crassbite.

The reverse s i tua t ion ,

I f there is no posterior crossbite, record 'none'.

I f there is a posterior crossbite, record"sane' and t i c k the

teeth involved.

If no assessnent can be mde, record '9'.

Maxinnnn Displacement of Contact Points of Incisor Teeth

Examine the anter ior teeth, fran the mesial contact point of one

canine tooth to the mesial contact point of the canine tooth on the

other side.

distance between two contact points tha t would normally be adjacent.

Record only labic-lingual displa-nts, or mesio-distal overlapping of

contact points, not spacing of the teeth.

displacement of contact points separately i n the upper arch and i n the

lower.

the l a t e r a l incisor.

Measure, w i t h the gauge provided, the largest single

Measure the maxhm

I f a canine tooth is missing do not assess the d i s t a l contact of

67 If no assessment can be made, record 99.

11

MaxuUnn *mw Indica te , with yaJr index f inge r , the l e v e l a t h i c h the i n c i s a l

edge of the u p p r c e n t r a l i n c i s o r s crffises t h e teeth or gingivae of the

opposing arch.

possible and measure, w i t h t he gauge provided, t h e d i s t a n c e frcm the

i n c i s a l edges of t h e upper c e n t r a l i nc i so r s t o your index f inge r .

Ask the sub jec t to open h i s h e r m u t h as widely as

Record the measurement i n the space provided on the examination

f om.

I f M measurement c a n be made, record '99'.

Click fmn nil on opemn~ or Closing kuth

If the tenporomandibular j o i n t clicks or creaks vhen the subject

opens or closes the mwth during the ccurse of the examination, then

record 'some'.

If no click or creak is heard, record 'none'.

If M measurement can be made, record ' 9 '

The dentures, including those full dentures cpposed by n a t u r a l t e e t h or

a partial denture w i l l then be examined and the following recorded for

each:

(1) Denture Type

P a r t i a l - (1) Full - ( 2 )

6 8

12

( ii) Denture Material

Metal - Those dentures where the major canponent of the

f i t t i n g surface is metal not including those whose

only metal canponent is clasps (1)

Plastic - Dentures whose major caqonent is p l a s t i c ( 2 )

(iii) Denture Support

Tooth borne - Dentures w i t h bounded saddles and rests (1)

Tissue borne - Dentures without rests (2 )

Tooth and

Tissue borne - Centures wi th rests and free-end saddles (3)

( i v ) State of Denture 'daan/age'

The denture is intact , there is no damage (0) (cal led out as

zero )

The denture is in need of repair eg fractured, tooth missing

or selfmended (1)

( v l Denture Hygiene 'hy/giene need'

I f , i n the den t i s t ' s opinion, there is no debris on the denture

ie no plaque, calculus and staining, record as the denture

having no hygiene need ( 0 ) (called out as zero)

I f there is debris record as having s ~ n e need of a t ten t ion with

respect to hygiene (1)

I f the denture is clean apart f ran recent food debris , score 0.

6 9

13

(vi) Replacanent (Dentists' opinion)

No replacement required - None (0) (called out as zero)

Replacement required - Sane (1)

8 A s I F R I S K S ( D ~ 1 s I s ' ~ )

The dentist will be asked if he wishes to rake any carments.

they will be recorded on the back of the form by the dentist.

If so,

FOR MAMPLE

Impacted wisdcm teeth and/or pericoronitis

Rotated incisor teeth

Supernumerary teeth

Hrpodontia

Developnent anomalies of enamel/dentine

Clefts of lip a&or palate

Gingival hyperplasia

Abscesses

Diseases of oral mcous membrane

Muccsal trauma

Resin bonded bridge

If the periodontal exarmnation has mt been fully carried out please

give reasons.

7 0

S1260 - ADULT DENTAL HEALTH

'

CODING ISSTRUCTIONS

7 1

S 1260

General Ins t ruc t ions

ADULT DENTAL HEALTH

1. As t e s t data was run on t h i s survey p r i o r t o main s t age coding a computing

master has already been prepared by Survey Branch. Consequently Data Prep

and SB do not need a coding master from PAB, and s ince t h e quest ionnaires

a r e f a i r l y s t ra ightforward PAB w i l l dev ia te from our standard p r a c t i c e and

code only from wri t ten i n s t r u c t i o n s without reference to a coding master.

2. It i s normal prac t ice t o i n d i c a t e on t h e coding master how t o deal with " N o

Answers". On t h i s survey unless i n s t r u c t e d otherwise leave N A s blank.

3. The main PAB coding t a s k s w i l l be t o recode "other spec i fy ' answers and t o

code the answers t o the open quest ions . Continuity and consis tency w i l l

be checked by t h e canputer edit but i f you happen t o spo t any cont inui ty

e r r o r s w h i l e coding do correct them.

4. Whether a question is singlecoded or multicoded w i l l be ind ica ted i n the

coding in s t ruc t ions , a s w i l l t h e number of allowable multicodes eg MAX MC =

3. I f exceeded the f i rs t allowable number of codes w i l l be keyed, unless

t h e r e a r e s p e c i f i c i n s t r u c t i o n s eg p r i o r i t y co2ing.

5 . It is not necessary t o put i n leading zeroes before ages, sums of mney

etc. This w i l l be done automatical ly by a Data Prep program. However

p lease " r igh t adjust" any f igu res .

6. R e m e m b e r to r i n g any codes you record. A l s o although you a r e no t to check

interviewer coding f o r c l a r i t y , i f you do not ice any c a r e l e s s l y ringed

codes do make t h e coding c l e a r for Data Prep.

7 . Flag when specifying and r e f e r r i n g quer ies . Use blue f l ags ; s t i c k on s i d e

of page; p u t question numher.

Note:

number order.

Flagging is very important as schedules w i l l not be s to red i n s e r i a l

1 7 2

8 . The coding in s t ruc t ions will ind ica te whether or not o t h e r 'other' answers

have t o be l i s t e d . I f l i s t i n g see note 7.

9. Code t h e midpoint of ranges.

10. 'Don't knows.leave a s NAs unless otherwise in s t ruc t ed .

11. In gene ra l , i n s t r u c t i o n s a r e given only fo r t h e s p e c i f i c ques t ions where

You are r e q u r e d to (relcode answersbut do glance through each schedule as

you are c o a n g for c-nts, explanatory notes which s e e m to c o n t r a d i c t the

t h e precode ringed. These should be r e fe r r ed to S/V.

THE DOCUMENTS

White:

Pink:

Green:

Y e l l o w :

White:

Note: - a.

b.

Household s h e e t

Chi ldren ' s s h e e t

Adult w i t h no na tu ra l t e e t h

Adult with some na tura l t e e t h

Dental Exarmnation cha r t

Each household's documents are tagged toge ther , i n t h e o rde r agreed w i t h

Data Prep.

4 d i g i t canputer number.

The documents for each household have also been stamped w i t h a

Each household, depenang on i t s s i z e , composition, presence or absence of

n a t u r a l t e e t h and degree of co-operation w i l l have a f f e r e n t combinations

of t h e above documents. For each co-operating household t h e r e should be a

household shee t and a t l e a s t one green or yellow schedule.

2

7 3

YELLOW QUESTIONNAIRE

PEOPLE WITH NATURAL TEETH

QE(a1 what other trouble do you have?

Applies if Q8 Hain is coded 1.

Code from the following frame

MC - Receding gum s .................................................. 1

- eg 'Receding, that's why some of my teeth are loose'/'receding

and exposing the base of my teeth'/'shrinking of gums on lower

teeth'

Pyorrhoea/gingivitis ........................................... 2

eg 'Fyorrhoea, has to go for treatment every 2 months'/ - 'Pyorrhoea - he wasn't sure if this was anything to do with

gums '

......................................... Ulcers/boils/abscesses 3

eg 'ulcers (exp) soreness - sort of white spots on gums, very

uncomfortable and painful'/'Slight ulcer with top denture' -

Other specify .................................................. 4

List with serial number and flag.

Gums/teeth-sensitive/hurt ...................................... 5

- Inc 'Toothache', 'gum trouble'

EXC 'Wisdom teeth' code 4

- Note: If mention that gums are bleeding at this question (re)code

Q6 to Code 1. y -&,, car, 3 L . w r:) QCIL Q1 b& I

-

NOTE M A X M C = 4 4 7 4

Treatment had over whole l i f e t i m e ......... E

Include any treatment obtained abroad.

Examine the answers a t code ( 5 ) r e c o b n q where p s s l b l e i n t o codes ( a )

- ( r ) or i n t o the following a d h t i o n a l codes. I f e i t h e r (or bo th ) of

t hese codes appl ies (apply) it w i l l be necessary t o draw t w o boxes and

e n t e r and r i n g the appropriate Yes 1 code. (See computing mas ter . )

Any NAs will be dealt with au tomat ica l ly by SB b u t do not f o r g e t t o

amend codlng of ( 5 ) from 1 t o 2. Ust all answers remainzng a t code

( 5 ) w i t h s e r i a l number and f l a g them.

Gum t reatment .......................................

eg Gum c u t away because of i n f e c t i o n , gum t reatment , -

........... t

some k ind of

a l l e rgy ; several gum f l a p s r a i sed and repos i t ioned; su rge ry on t h e

gums, Cut gums back t o expose t h e t e e t h underneath, t a r ta r removal

every 6 weeks, bu i lds up and a f f e c t s t he gums.

exclude cases where t h e answer seems t o i n d i c a t e t h a t t h e r e was

nothing wrong with t h e g u n s and anything done to them was

because of something covered by (a)-(r).

e9 Operation t o cu t t h e gum and remove an abscess (1 = 1 ) ;

gums cut and 9 s t i t c h e s f o r e x t r a c t i o n of t e e t h ( f = 1,

s = 1 ) .

-

Root treatment .................................................. U

. Note: I. Had a cap before t h e crown should be (relcoded (m) = l and -

code (s) recoded t o 2.

I

11. Something p u t i n too th , a covering f o r enamel should be

(re)coded (1) = 1 and code ( 5 ) recoded t o 2 -

7 5

g16(e) What do you remember most v iv id ly?

Applies i f Q16 main coded 1.

Code from t h e following frame:

sc Good/positive experience .......................................... 0 1

-

9 'The r e l i e f of having an abcess drained: 'how n ice my new crown

looked'

inc lude experiences which w e r e n e i t h e r good nor bad

3 ' I w a s j u s t su rp r i sed not t o need anything done a f t e r 7 years ' ...

MC

Bad experience with gas/extract ion with gas ....................... 0 2

-

5 'When 4 years o l d and had gas it w a s a d i s a s t e r , never fo rgo t t en

it'; 'remember l y i n g on bed when given gas, go ing dizzy and when

I g o t home how s i c k I f e l t ( + code 1 4 ) ' ; 'having gas when having

3 t e e t h removed as a ch i ld I remember a l o t of blood (+ code 1 2 1 ' ;

' they t r i e d t o pu t m e under with gas and I wouldn't go under'

inc lude 'Had gas ex t r ac t ion and they began t o remove my t e e t h

before I w a s ou t '

Bad experience with ( ex t r ac t ion o f ) wisdom t e e t h .................. 03

5 t reatment fo r impacted wisdom tooth ; wisdom t e e t h taken ou t i n

hosp i t a l with r e s u l t a n t f a c i a l s w e l l i n g ( + code 13).

Note a. If informant had bad experience when wisdom t e e t h were - ext rac ted using gas,codes 0 2 and 03 should be MC.

b. Exclude t h e ev t rac t ion of 'bad t e e t h ' n e s

6

7 6

MC

Bad experience w i t h ex t r ac t ions ................................... 0 4 -

3 'Having my t e e t h taken out was awful , t h e pain was unbearable'

( + code 1 3 ) i ' t h e bleeding when I had the to ~ f * tooth o u t a t

the back t o l e t t h e other ones through'(+ coocl 1 2 )

exclude ex t r ac t ions w i t h gas (code 0 2 )

ex t r ac t ions of wisdom t e e t h (code 03).

Bad experience with in jec t ions /needles ............................ 05

3 'Doctor t o l d me I ' d had a h e a r t a t t a c k caused by the i n j e c t i o n

(+ code 16) ; ' a f t e r i n j e c t i o n a t f ron t upper t h e pain went r i g h t

up my nose' (+ code 13) ; 'he kept on i n j e c t i n g m e ins tead of

waiting for them t o work': 'I ha ted needles when I was a l a d '

include cases where +njec t ions d i d not work

3 ' I once had a too th taken out before the gum w a s r e a l l y frozen

(+ code 0 4 )

exclude in j ec t ions given for general r a the r

anaes the t i c ( W3-r 1 7 )

Bad experience because no anaes the t i c given ....

than loca l

.................. 06

3 ' A long t l m e ago they gave m e a f i l l r n g rn th no anaes the t i c and

he h i t a nerve and I h i t t h e r o o f ' ( + code 13) ; ' I got a f i l l i n g

without a n anaes the t i c t h a t i s t h e most v iv id '

Bad experience with f l l l i n q s ...................................... 07

3 'Get t ing 7 f i l l i n g s a l l a t t h e same tune vas awful ' ; ' t h e way

t h e d e n t i s t d r i l l e d i n the too th t o r epa i r i t and t h e p a i n '

( + code 13)

6a

7 7

MC - Bad experience w i t h abcesses ...................................... 0 8

3 'I had a n abcess when I was young and it r e a l l y h u r t '

(+ code 13) i ' I had an abcess and root treatment and it went

wrong and i t poisoned my sys tem' (+ code 16) ; ' the d e n t i s t

screwed something up in to the abcess through t h e gum and I'll

never forge t the p a i n ( + code 13)

Bad experience w i t h crowns ....................................... , . 09

3 'Losing a crown. it fel l off a l o t of times'; 'he d idn ' t seem

t o be able t o make a crown which f i t t e d properly ( + code 1 6 ) -

Bad experience with dentures ...................................... 1 0

% 'I d i d n ' t l i k e having the impressions ( f o r dentures) I j u s t f e l t

very s i c k ( + code 14) ; ' they took t h e impressions but t h e p l a t e

d i d n ' t f i t p rope r ly ' (+ code 16)

Fear /d is l ike of denta l instruments ................................ 11

5 'I w a s about 7 he tooktceth out with crocodi le pliers/RJ

Those p l i e r s ' ; ' j u s t t h a t ho r r ib l e burning s m e l l when your

t e e t h are d r i l l e d '

include references t o d i s l i k i n g noise of t h e dri l l

exclude references t o needles and in j ec t ions (code OS)

drills e tc b r r & u \ g (cad- 16)

Blood ............................................................. 1 2 -

3 'When my t e e t h were f i l l + t h e r e was a l o t of p a i n and a l o t

of bleeding ' (+ codes 07, 13)

6b

7 8

Pain .............................................................. 13 -

3 'When I had an abcess it h u r t ' ( + code 08)

w a s v e r y p a i n f u l ' ( + code 0 7 )

; 'my f i r s t f i l l l n g

i n c l u d e any r e f e r e n c e to s w e l l i n g or b r u i s i n g on t h e f a c e

F e l t s i c k / d i z z y / f a i n t ............................................. 14

9 'They s a t m e i n t h e c h a i r and h e w a s p u l l i n g away and I f a i n t e d '

(+ code 0 4 ) ; ' t h e gas made m e feel ill and s i c k ' (+ code 0 2 )

i n c l u d e 'Having gas for e x t r a c t i o n s I took a l o n g t i m e to come

r o u n d ' ( + code 0 2 )

Problem w i t h d e n t i s t ; a t t i t u d e / b e h a v i o u r .......................... 15

9 ' I got s lapped across t h e f a c e by t h e d e n t i s t for c r y i n g ' ; ' t h e

d e n t i s t w a s an old man who adn't t rea t c h i l d r e n w e l l ,

h e p r e s s e d the mask on and t o l d m e o f f f o r f i g h t i n g him and h e

forced it over my mouth ' (+ code 0 2 ) ; 'army d e n t i s t w a s murder

how/you j u s t go i n , s2t down, t e e t h o u t ( + code 04) ; ' t h e

d e n t i s t swore a t m e '

cn c l u d e r e f e r e n c e s t o informantr running away/running o u t of

- t h e d e n t i s t ' s surgery t o escape t r e a t m e n t

ec~ 'I h a t e d needles when I was a lad and I r a n o u t of t h e d e n t i s t

l e a v i n g my mother - t h e r e w a s no way I w a s g o i n g to l e t him

touch m e ( + code 05)

e x c l u d e r e f e r e n u s to t h e d e n t i s t ' s p r o f e s s i o n a l competence

(code 16)

Problem w i t h / c r i t i c i s m of t r e a t m e n t ............................... 16

i n c l u d e r e f e r e n c e s t o t r e a t m e n t t u r n i n g o u t to be unexpected ly

d i f f i c u l t , something going w r o n g , in formant becoming

ill a f t e r t rea tment . 7 9

6C

MC

I6 -

3 ' I was once given an in j ec t ion and my hea r t raced and I f e l t

dizzy, it was because it had been in jec ted i n t o a blood vesse l

d i r e c t l y ' ( + codes 05, 14 ) ; ' I had a tooth pul led and a f t e r had

a sore th roa t and within a week a blood v i rus .. ( + code 04) ;

'a bad experience with ex t rac t ions - he couldn't p u l l it so he

had to s p l i t it i n t o 4 pieces (+ code 0 4 ) i ' t he dri l l broke

while he was doing a f i l l i n g ' ( + code 0 7 )

I

include cases where the informant queried whether the treatment

was correct/necessary

2 'The removal of f i r s t tooth ... I heard the o the r d e n t i s t say

"This too th should never have come out" ' ; 'he pul led t h e wrong

ones out and f i l l e d the wrong ones'

Other ( spec i fy ) ................................................... 17

include only bad denta l experiences not coded elswhere eg - 'toothache nes ' ; ' toothac p r i o r t o treatment ' ;

'pul l ing o u t a f r o n t too th myself because the re w a s no

d e n t i s t ava i lab le '

List with s e r i a i nunbet and f lag .

Note a. I f m m t h e n one experience given code j u s t one only.

If i n doubt r e f e r t o S/V.

-

b. M a x i m u m MC = 4

Refer t o S/V i f you wan t to use more than 4 codes.

6d

8 0

Q17(a) How many na tu ra l t ee th have you got? ......................

i

Q17(b) Interviewer check

A t both quest ions re ferences t o crowns should be included b u t

br idges should be excluded.

Q17(e) Were your wisdom tee th removed i n h o s p i t a l or a t t h e d e n t i s t s ?

This ques t ion should be singlecoded. I f both codes 1 and 2 are

ringed recode t o 3.

Q 2 4 ( a ) What problems do you have w i t h your dentures?

r n C d

Applies if Q24 i s coded 1 - A

Code from t h e following frame n c

Dentures move, a r e loose , don ' t meet, don ' t f i t p roper ly - NEC .... 1

e g top ones f a l l down; bottom worn down and don ' t meet proper ly ; - dentures move and clank together ; bottom ones a r e loose and

keep moving; bottom p l a t e i s a l i t t l e loose; don ' t f i t p roper ly .

NB Do no t use t h i s code if the r e s u l t of loose dentures i s codeable - - elsewhere,

eg L o s e top p l a t e gives m e u l c e r s (code 3 ) - -

However t h i s code can be MC with o the r codes i f separate reasons were

given f o r t o p and bottom p l a t e s .

Uncomfortable/sore gums/plate rubs ................................ 2

eg sore gums because of t h e s lackness of my denture ; if I was

e a t i n g apples it would hu r t , can ' t explain t h e y ' r e l u s t

uncomfortable; burning f ee l ing in my gums; I b i t e the s i d e of my

mouth when I ' m e a t i n g which is uncomfortable; bottom ones are

t i g h t on t h e gums they d ig i n t o o t i g h t .......

-

7 81

MC - G e t u l c e r s ........................................................ 3

eg they a r e worn down so they produce ulcers and s l i p when ea t ing ;

ge t u l c e r s when e a t nuts ; due to s l a c h e s s , occasional u l c e r s ;

occas iona l ly I g e t an u lcer forming on my bottom gum and

probably because denture loose and gums rub.

-

Can't chew/bite w e l l .............................................. 4

a I c a n ' t t ake a good b i t e of anything; I can ' t chew corn on t h e

cob; when come t o b i t e anything s o f t or hard dentures won't

meet properly t o b i t e properly.

G e t food under p l a t e .............................................. 5

seeds are a problem, you need t o wash your dentures af terwards;

I sometimes get something underneath the bottom set; t h i n g s l i k e

nuts ge t under them.

i n c l anything with seeds i n it n.e.c. -

Denture is worn down .............................................. 6

eg t h e t e e t h themselves are a b i t worn dw-n; they are g e t t i n g very

t h i n and I c a n ' t a f f o r d to replace them; they ' re not as sharp

now so when I e a t m e a t it takes a long t i m e chewing.

-

J&T- has medica1,disorder 'which causes problems with dentures .i. 7

eg have discomfort e a t i n g and dr inking - s u f f e r s from mul t ip l e - s c l e r o s i s and c a n ' t s tand denture i n ; have a problem because of

medication - swell ing on t h e gum which causes i r r i t a t i o n ;

had to have a l l gums s t i t c h e d , have been unable t o wear bottom

dentures; under bottom p l a t e I ' ve got an extra b i t of gum.

Other ............................................................. 8 - .-+:\U, C L+C % iLL I iil i L ~ ~ ~ L , ~ , 3 , List w i t h serial number and f lag. <b.,. c . 4 -3 c;ci.d,: :+

h' L.2 c.2 c . L - i :i. < 111 ,, ; > .iL < '

8 2 ' Note Maximum MC = 4 -

R

Q 2 6 W what is it about t he way your t e e t h look t h a t makes you not

s a t i s f i e d ? -


Code from t h e following frame.

Crooked/slanting/protrudinq/irregular t e e t h ....................... 1

( i e chrec t ion in which t e e t h have grown)

5 'The f a c t t h a t they a r e crooked'; 'Bottom ones a r e beginning

t o c ros s s l i g h t l y ' ; 'They a r e s l i g h t l y s q u n t ' ; 'Teeth over lap ' i

'They're t h e mst crooked and awkward rooted set you could come

across , they grow i n all ways'; 'They slope t o one s i d e ' ; 'It

is t he f e e l they a r e s l an t ing , no t t he looks'; 'Protrudmg (exp)

t h e f r o n t top two t e e t h s t i c k out somewhat'; 'Two f ront ones

s t i c k ou t a b i t ' ; 'Some of them are b e n t ' ; 'Like t h e m to look

s t r a i g h t e r when I s m i l e ' ; 'They a r e i r r e g u l a r in t h e f r o n t ' ;

'Top and bottom a r e crowded, not s t r c i g h t and even'; 'They a r e

uneven'; 'The one a t front is out of lme ' ; 'They curve inwards'

Also include: 'The bottom ones were coming up in s ide t h e t o p

ones. They don ' t meet properly. Never had a r e a l b i t e ' .

Gaps/space between t ee th / t ee th rmssinq ............................ 2

9 'Don't l i k e space be tween them'; 'Spaces ( u p ) I p r e f e r my

t e e t h t o be toge ther without spaces ' : 'Just feel self-

conscious with gaps a t t h e f r o n t ' ; 'The l a r g e gap between my

f ron t t e e t h annoys m e ' ; ' I ' ve got gaps between them'; ' I have

had t o have so many ou t i t has s p o i l t t h e appearance' ; 'Lost

one or two'

S ize of teeth/shape of t e e t h ...................................... 3

( r e small t e e t h / b i g teeth/polnted t e e t h

5 'Too s h o r t (exp) very small l i t t l e t e e t h , would l i k e b igger

t e e t h ' ; 'They a r e s m a l l ' , 'Qu te a l o t of gum, would l i k e

bigger t e e t h ' ; 'One a t f r o n t is a b i t po in ted ' ;

s i d e top f r o n t - they a r e a b i t l i k e a fang'

'Two t e e t h a t

9 8 3

XC - Broken/chipped t e e t h .............................................. 4

3 'Broken too th ' ; ' I have one broken a t t h e f r o n t ' ; ' A too th a t

t h e f r o n t is chipped'; ' I was kicked i n the face as z c h i l d and

ever s i n c e had a V o u t of my t ee th , a n i c k i n the f ront '

Colour of t e e t h - s t a i n e d h e e d cleaning ........................... 5

% 'I don ' t t h ink they are white enough'; 'Could be b r ioh te r and

whi te r ' ; 'They look yellow'; 'They are a b i t discoloured' ;

'The colouring.

'I smoke and t h e y ' r e discoloured now'; 'They are brown';

'I smoke and s t a i n them'; 'Not a l l same colour, some yellow,

some white ' ; ' Ju s t need cleaning badly' ; 'Don' t look clean.

look brownie-yellow'

They compare unfavourably with f i lm stars';

F i l l i ngs / co lou r of f i l l i n g s ....................................... 5

9 'Lot of f i l l i n g s ' ; 'Can see two f i l l i n g s on f r o n t t e e t h ' ;

' I ' ve got a f i l l i n g h i c h doesn ' t look very becoming';

'They've got a l o t of f i l l i n g s i n t h e f ron t t ee th and t h e

f i l l i n g s are very obvious because t h e colour doesn ' t match';

'Rather metall ic (how) too many f i l l i n g s ' ; 'The f i l l i n g s a t

f r o n t - they a r e a d i f f e r e n t colour -re yellowy t h m t h e

o t h e r s ' ; 'The f i l l i n g s a ren ' t good, they ' re a d i f f e r e n t co lour ,

' . they are t a rn i shed '

A l s o include: ".'Need r e € i l l i n g ' ( n e s )

caps

Decayed t e e t h b a d t e e t h / t e e t h going black ......................... 7

3 'They a r e i n poor condi t ion (exp) pieces of decay are obvious

when I t a l k or s m i l e ' ; 'My'teeth a r e a l l going bad'; 'One a t

t h e f r o n t i s going black and t h a t doesn ' t look n i ce ' ; 'They ' re

decayed'; ' I could do w i t h them a l l ou t (how) t h e f ront ones

a r e bad

Also inc lude : 'They need f i l l i n g '

84 10

MC - Other ( s p e c i f y ) ................................................... 8

Note Max HC = 4

'i -. :\ L d art& - 5 - E - o"-lasL..

Q35-53 Apply o n l y i f t h e l a s t d e n t a l v i s i t was i n t h e UK. Watch o u t f o r er

i n t e r v i e w n o t e s and s p e c i f i e d answers which i n d i c a t e t h a t t h e X code

above Qs 35 should be r i n g e d . Recode t h i s s e c t i o n as necessary . 4

9 3 5 ( c ) Code 7. The c o n t i n u t y is t o Q54-

As above*notes and s p e c i f i e d answers should i n d i c a t e i f t h e i n t e r v i e w e r

has gone wrong. Recode as necessary .

The l a s t t i m e you went t o t h e d e n t i s t what made you go? Q36

h o t e t h a t t h i s q u e s t i o n 1s p r i o r l t y s inglecoded.

E x m n e t h e answers a t code 3 recodmg where p o s s i b l e i n t o e i t h e r code

1 or code 2. L i s t a l l a n s w e r s remaining a t code 3 w i t h serial number

and f l a g them.

Note: a. l n c l u d e i n code 1 trouble wi th d e n t u r e s , crowned t e e t h a s - w e l l as n a t u r a l t e e t h .

eg. Tooth came o f f d e n t u r e s ; a crown f e l l off -

Also i nc lude "abscess" a t code 1

b. Include i n code 2 a l l non-urgent d e n t a l t r e a t m e n t

e g wanting t o have look of t e e t h m p r o v e d eg wanted

something done abou t t h e gaps; t r o u b l e w i t h gums

eg bad b r e a t h - gum i n f e c t i o n ; c l e a n i n g , s c a l i n g , p o l i s h i n g

eg To see t h e h y g e n i s t t o have a c lean

C . Znclude i n code 3 i f i n f o r m a n t was p r e g n a n t ; s e t t i n g a

good example t o h e r c h i l d r e n ; going w h i l e e l i g i b l e f o r f r e e

t r e a t m e n t .

1 1

85

Q3a In t h e v i s i t ( s ) you had t o t h e d e n t i s t what did you have done?

Examine t h e answers a t t h e "other" code recoding where possible in to

t h e e x i s t i n g precodes or i n t o the following new codes.

List a l l answers remaining a t the spec i fy code with s e r i a l number and

f l a g .

For examples of the following new codes, and the p r inc ip l e s guiding

t h e i r use see ins t ruc t ions a t Q15(s ) . Refer to computing master for

where to p l ace t h e codes and note as a t Q15 it is necessary to draw two

boxes only when a t least one of t h e new codes appl ies .

'

Gum t r ea tmen t ..................................................... ROot t reatment .................................................... Note Anything done by a denta l hygenist should have been included a t . Q38: 'Tee th cleaned by hyqenis t ' should n o t have been spec i f ied .

(Relcode 'Teeth scaled ' t o 1 and recode ' O t h e r t reatment ' t o 2. 9\LLJ, ~ bf"""" ($a. a &L-) ci - 1\9c-) ik/L-.(n -iLL-l

- Q39 W a s your treatment under t h e NHS, w a s it p r iva t e or w a s it somethinp

else? -

Examine t h e answers a t code8 recoding i n t o one of codes 1-7 or i n t o

t h e following addi t iona l code. L c J1 C r W L r c i L crmGu\u\b dr c u d e P u s Lcrcc U-

-.Icy Q C O C ~ J -JccL Pk, G a d d c a i C e r , . 15- .+ U L u p c d z . d - - .

Ex- LL i r r o d s

w k C b Q d W3-r I L C JI -.W. rtfncLnLly cls +uoJyj aL.JLAd wocr U ? b & k p- * 9 L

& 7

w ~ c rue- crrf uu W h I -3 or Vud: Gt.

- rub& Did no t know what t o expect ....................................... 5

<- P-3 n-= - Q4 3 How d i d you choose t h a t p a r t i c u l a r den ta l p rac t i ce?

Examine t h e answers a t code 5 recoding where poss ib l e i n t o codes 1-4 or

i n t o t h e following addi t iona l codes.

MC - No choice ......................................................... 6

9 Airforce d e n t i s t ; was i n youth custody; school dental c l i n i c - normal v i s i t s arranged by school, when you were pregnant you

were s e n t t o the denta l dept, only d e n t i s t ava i l ab le or a b l e

t o take the informant a s a p a t l e n t .

exclude M u m chose it (code 1 )

Emergency d e n t i s t ................................................. 7

9 Needed emergency t rea tment once and have continued going t h e r e ;

w a s on a f i sh ing hol iday and went t o l o c a l p r a c t i c e d e n t i s t ;

had toothache so went t o d e n t l s t who had an emergency s e r v i c e

By chance ......................................................... 8

Wallung p a s t and popped i n ; cnose it from Yellow Pages;

s a w t h e door and walked i n

Lady d e n t i s t ...................................................... 9

5 Picked a war=?., wanted a l rdy dez-tist and I picked her from

Yellow Pages ( + code 8 )

Note t h e followinq:

a. flax MC = 4

b. Include i n code 2 'Recommended'; s o c i a l con tac t ; fe l low musician

a d e n t i s t ; d e n t i s t IS a f r lend , followed o ld d e n t i s t t o new

P r a c t i c e ; d e n t i s t I went t o emgra ted and t h i s chap took ove r

p r a c t i c e ; i t was my wife ' s d e q t l s t when we got married

1 3

8 7

Q44(a) Why will you change your dental practice next time?

Applies if Q44 main is coded 2 .

Code from the following frame

MC - No longer convenient for informant ................................ 0 1

Informant has moved/changed his job/it's too far/takes too long

to get there/will go to dentist rest of family go to

Dentist has moved/retired/died .................................... 02

................... m Informant is dissatisfied with dental treatment 03

Include complaints that the dentist was rough/

made mistakes

Informant doesn't like the dentist personally ..................... 04

Incl: don't like his manner .-

It's difficult to get an appointment .............................. OS

The dentist is always booked up/can't see

the infonnant/so will go to another

Informant just never goes regularly to dentists ................... 06 Goes to the closest one/the one who would do the

treatment first/when he needs it

SC

Idst visit was extraordinary, not the informant's usual dentist ... 07

Incl: "My own dentist has been dentist since I was 7 or 8 .

- ..

- - I just went to works dentist once", "The one I went to last c

time was in an emergency, not my regular dentist.

MC

other ............................................................. 0 8

List with serial number and flag. -

1 4 88

HC

N o longer belong i n system ........................................ 09

- I n c l Last d e n t i s t a t school/work/army

-

Heard of b e t t e r d e n t i s t ........................................... 1 0

Note Max MC = 4. -

!&E How far i s t h e d e n t a l p r a c t i c e f r o m home/work/college?

Examine t h e answers a t code 9 r e c o h n g where possrble i n t o o n e of codes

1-8.

N o t e I f d e n t i s t came t o t h e i n f o r m a n t - eg Community D e n t i s t , School D e n t i s t r e c o d e t o 1.

L i s t a l l answers remaining a t code 9 w i t h s e r i a l number and f l a g t h e n .

Q 5 T ( a ) What h a s made you qo more/less o f t e n

Applies i f Q51 main coded 1 or 3.

MORE OFTEN (CODE 1 AT Q 5 1 )

HC - Have (more) t r o u b l e w i t h t e e t h h e g l e c t e d t e e t h so neee more

t r e a t m e n t now/have (more) t r o u b l e w i t h gums ....................... 1

2 'Toothache ' ; ' I keep l o s i n g f i l l i n g s ' ; 'Because of h a v i n g

trouble with my t e e t h and having t o have them o u t ' ; 'The las t

c o u r s e of t rea tment i s t h e l o n g e s t I ' v e e v e r a t t e n d e d .

It used t o be j u s t 1 or 2 v i s i t s b u t now 4 or 5 ' ; 'My t e e t h

got n e g l e c t e d and so t h e y go i n t o a bad s ta te and needed a

l o t more t r e a t m e n t ' ; 'Because I l e f t it so long I need t o go

mre o f t e n ( e x p ) I need nqre t r e a t m e n t now'; ' F a l s e t e e t h have

needed changing - d i d n ' t go when had my own t e e t h '

15 8 9

HC - More d e n t a l l y aware/want t o keep my t e e t h ......................... 2

3 ' I want t o keep my t e e t h and have rea l ized t h a t I ' l l have t o

go r egu la r ly i f I want to keep them'; 'Last t i m e had a l o t

of t reatment so made me f e e l it would be better t o keep them

i n o rde r and save t h e few I've got l e f t ' ; ' I ' m ge t t i ng more

s e n s i b l e about my t e e t h ' ; 'Because i n t h e pas t when I had

longer breaks I had to have q u i t e expensive t reatment so I go

r e g u l a r l y now': 'I want t o have good t ee th , I don ' t want to

have f a l s e t e e t h ' ; 'Because I r ea l i zed it was important,

better to go regu la r ly ' ; 'Trying t o keep my bottom t e e t h ' ;

' I ' m g e t t i n g older and I r ea l i ze I can ' t a f fo rd to neglec t my

t e e t h '

Less f r igh tened of dent i s t / t rea tment now .......................... 3

'They're very nice - the treatment is good - t h e i n j e c t i o n s

and t h e gas wre m d e r n (exp) doesn ' t bother me now - used t o

bother m e ' ; 'Not so frightened of t h e cocaine they use apt t h e

Dental hosp i t a l bu t 5 years ago I wouldn't yo t o the d e n t i s t

because I was scared of the gas'

- Note Do not multicode codes 3 and 4. Code 3 has p r i o r i t y .

Have a good d e n t i s t now ............................................ 4

3 'Because I have a good d e n t i s t ' ; 'The d e n t i s t i s very good and

I don ' t mind going t o him. There's lots of d e n t i s t s I cou ldn ' t

s tand - he won't con you. There's no going b a c k to h i m 3 weeks

af terwards because t h e f i l l i n g has dropped o u t and h e ' s kind

and gen t l e ' ; 'Because he ' s how he is , h e ' s p a t i e n t and he

doesn ' t hu r t , he ' s t h e bes t I 've ever been to ' .

Note Only use t h i s code if t h e informant says he has a good d e n t i s t - now and the re is no ind ica t ion t h a t t h e informant was a f r a i d of

d e n t i s t s . Code 3 has p r i o r i t y over t h i s code.

16 9 0

MC

Other ............................................................. 5 -

- b s t with s e r i a l number and f lag.

More incent ive to go ( a p a r t from code 2 ) ........................ 6

3 'The d e n t i s t sends a renunder ' ; 'Because t h e d e n t i s t s e n d s

reminders t o me now and it makes me make t h e e f f o r t t o go ' ,

'My w i f e pushes m e now'; ' I go with t h e chi ldren - I have t o

show

'New d e n t i s t suggest an apporntment a t t h e end of my t rea tment '

a n example t o them,; 'Go before I ' m 2 1 while i ts f r e e ' ;

Note. Max MC = 4 -

LESS OPPEN (CODE 3 AT 051 )

MC - Have ................................. 1

9 'Because 5 years ago I had a tooth o u t and a f i l l i n g whereas

now they seem t o have s e t t l e d and t h e r e ' s nothlng wrong wlth

them'; ' I ' v e needed nothing doing - nothing 's bothered me';

' I don ' t seem t o be having as much toruble with t e e t h aching

a s I used t o ' ; 'Because I never have any t r o u b l e ' ; 'Didn't

see any necess i ty t o go, t h e r e ' s no a s c o l o u r a t i o n and I ' v e

had no p a i n ' , 'Not necesary'

Note This code has p r i o r i t y over code 3. -

Have fewer t e e t h l e f t ............................................ 2

9 ' I go less and l e s s as I lose m o r e of my own t e e t h ' , 'Because

I 've got l e s s t e e t h ' ;

own so I don ' t g e t problems'

'Just because I haven ' t many t e e t h of my

- Note If t h e informant says he has only a few t e e t h and they don ' t

cause t rouble do n o t multicode w i t h code 1. U s e code 2 only.

17 9 1

HC - C a n ' t be bothered/got o u t of the habit/Don't know/no reason ....... 3

3 ' I don ' t know - I 've j u s t grown out of t h e habi t .

pu t t i ng it o f f ' ; 'Nothing i n p a r t i c u l a r ' ; 'Don't know';

'Can't be bothered'; ' I 've got out of t h e hab i t of going I suppose'

I j u s t keep

Also i n c l 'Coesn't send m e a card '

Note Do no t multicode codes 1 and 3. I f t h e informant says he c a n ' t

be bothered and t h a t he has no t rouble with h i s t ee th , use

code I only.

Do not multicode codes 3 and 4. Give p r i o r i t y to code 4.

Scared/afraid of dent i s t s / scared of i n j e c t i o n s .................... 4

3 ' I was always fr ightened and it seemed to get worse and I j u s t

stopped going'; 'Anxiety more than anything else'; 'Fear of

t h a t i n j ec t ion . Find a s ge t t i ng o lde r gums no t so t h i ck and

i n j e c t i o n hu r t s a l i t t l e more, unless gums are harder ' ;

'Because put off by d e n t i s t (due to bad exper ience) '

Lack of time/would go i f surgery open a t d i f f e r e n t hours .......... 5

3 'What with children and t h a t I don ' t have so much t i m e ' ;

' I haven't got t h e time r e a l l y now I ' m working'; ' J u s t don ' t

have t i m e I used t o ' ..

Inc 'Di f f icu l ty i n ge t t i ng a n appointment' -

Also i n c 'Inconvenience of wai t ing '

D i f f i c u l t t o ge t t o t h e dentist/make t h e journey .................. 6

2 'More or less because I l i v e f u r t h e r away from d e n t i s t '

A l s o i n c 'Not w e l l enough to go' ..

18 9 2

MC

Too ex9ensive .................................................... 7 -

3 ' C o s t . I c a n ' t a f f o r d to 90 v e r y o f t e n ' ; ' I t h i n k i t was t h e

p r i c e ' ; 'Because I c a n ' t a f f o r d it '

Don't have a r e g u l a r d e n t i s t / d e n t i s t r e t i r e d ..................... 8

3 'Because t h e d e n t i s t i s n ' t t h e r e . I ' v e g o t f a i t h i n h i m ' ;

'Because my d e n t i s t r e t i r e d (exp) h e ' s packed up c m p l e t e l y

and I ' v e got t o f i n d someone t o t a k e m e in'

Inc ' D i f f i c u l t y to f i n d a good d e n t i s t ' - Other ............................................................. 9 -

L i s t w i t h s e r i a l number and f l a g .

Q52(b) Why d i d you n o t go r e g u l a r l y a t t ha t t ime?

Applies i f Q52(a) coded 1.

Code from t h e f o l l o w i n g frame.

S c a r e d / a f r a i d of d e n t i s t s / d o n ' t l i k e t h e thought of go in9

t o t h e d e n t i s t .................................................... 0 1

3 ' I have a f e a r of d e n t r s t s ' , 'Because I ' m f r i g h t e n e d of t h e

d e n t i s t (mean) a lways got to get f i l l i n g s done wi th i n ~ e c t i o n

and i t ' s t h e i n ~ e d i o n t h a t gets m e and I c a n ' t s t a n d it

w i t h o u t ' ; 'Thought of going - what h a s t o be done - l u s t

thought of d e n t i s t s ' ; ' I h a t e d e n t i s t s (exp) t h e y ' r e sadrstic

d e v i l s ' ; ' I ' m t e r r i f i e d of d e n t i s t s ' ; 'Re luc tance based on

childhood e x p e r i e n c e s ' ; ' I ' m too f r i g h t e n e d . I d o n ' t l i k e

having my t e e t h messed around w i t h .

my mouth'; ' I am a baby ( e x p ) when I s l t in t h e c h a i r I ' m

shaking w i t h f r i g h t . I ' m a f r a i d of being h u r t ' ; ' I ' m s c a r e d

of t h e gas '

D o n ' t l i k e anyone t o u c h i n g

Inc ' N o t f a i t h i n d e n t i s t ' - 9 3

19

MC - Have no touble with my teeth....................................... 02

r 'I don't have touble with my teeth'; 'I can't see the point

of going if I don't think there's anything wrong'; 'Never

thought it necessary - my teeth have always been pretty good and I clean them regularly'; 'I don't have much trouble with

my teeth so why should 1'; 'No pain so I don't go'; 'I only

go when I have trouble'

9 A

Also include 'My teeth are alright so I don't want to waste

dentist's time'; 'I don't want to burden the

dentist if there's nothing wrong. I'd feel I

was wasting his time'; 'I'm satisfied with the

state of my teeth'

Note This code has priority over codeO3. - Apathy/Laziness/Don't bother/Don't think about it/

Don't know/No reason .............................................. 03

3 'Laziness that's all'; 'Just never bother'; 'Can't be

bothered'; 'Never think about it'; 'I don't know'; 'None

really'; 'Not taking enough interest'; 'Sheer neglect of

myself'

NOTE DO NOT MULTICODE CODESO;? ANDCU. IF THE INFORMANT SAYS THAT HE

IS LAZY/CA"T.BE BOTHERED ETC AND THAT HE HAS NO TROUBLE WITH

HIS TEETH, USE CODEa? ONLY.

DO NOT MULTICODE CODES03 ANDOl.

GIVE PRIORITY TO CODE01.

Lack of time/would go if surgery opened at different hours ........ 0 4

'Think it is lack of time'; 'Don't have the time'; 'It's

having the children and being so busy with them'; 'I haven't

time - I'm working 10 hours a day'; 'I can't get any time off

work'; ' I work all hours, they're shut when I'm available'

20 9 4

MC - A f r a i d t h e d e n t i s t w i l l f i n d t r o u b l e t h a t t h e informant

didn ' t know h e had or w i l l cause t r o u b l e or damage t h e

t e e t h ............................................................. 0 5 -

3 'Scared h e w i l l t a k e my t e e t h o u t and t h e r e is n o t h i n g wrong

wi th my t e e t h ' , 'They s ta r t p r o d d m g and poking and they f i n d

you have a bad t o o t h where you never h e w you had a bad t o o t h ' ;

' I got f e d up because they seem to d e l i b e r a t e l y f i n d something

to d o ' ; 'Proddmg r u n s t h e enamel',

N o t worth it now .................................................. 0 6

3 ' I ' ve o n l y got t h e o n e t o o t h and three broken stumps so a t my

age t h e r e i s n o p o i n t i s t h e r e ' ; 'Because I have v e r y few t e e t h

of my own'; 'Seems no p o i n t for I o n l y have a few t e e t h l e f t of

my own'; ' I ' m t o o o ld t o b o t h e r now'; ' I ' m g e t t i n g on a b i t now

and I r e a l l y d o n ' t t h i n k t h e ones I 've got l e f t are worth

s a v i n g ' ; ' I l u s t d o n ' t t h i n k i t ' s worth It, t h e y ' v e g o t t h a t

bad i t ' s all o u t n e x t t i m e I go ' .

NOTE I F THE INFOIWANT SAYS HE HAS ONLY A FEW TEETH AND THEY W N ' T - CAUSE TROUBLE DO NOT MULTICODE WITH CODEOZ. USE CODE06 ONLY.

D i f f i c u l t t o get an appoin tment /can ' t get an appointment for

j u s t a check-up ................................................... 07

3 'You c a n ' t g e t a d e n t i s t f r e e f o r a check up.

go when you've got t r o u b l e , t h e y ' r e so f u l l up ' ; 'The d e n t i s t

always seems so b u s y '

Y o u can o n l y

I n c 'Wait ing a r o u n d ' -

D i f f i c u l t t o get t o t h e dent i s t /make t h e 2ourney .................. 0 8

3 'The d e n t i s t I u s e LS r i g h t o u t i n t h e c o u n t r y and a f f i c u l t

t o g e t t h e r e by p u b l i c t r a n s p o r t ' ,

' I t ' s difficult to get t h e r e because t h e r e a r e n ' t any b u s e s '

' H e is too f a r away';

9 5 A l s o inc 'Not w e l l enoug\ to go'

2 1

MC - Too expensive ..................................................... 09

3 'Too dear ' ; 'Financial (exp) too expensive'; ' C o s t is too

much.

r egu la r ly ' ; ' I j u s t can ' t a f f o r d to go now I have a family'

I c a n ' t a f fo rd it'; 'Money - t oo expensive t o go

Other (Specify) ................................................... 10

- Inc l don ' t want t o have f i l l i n g s / e x t r a c t i o n s (no f ea r

mentioned); doesn'f send rpminder; no NHS d e n t i s t i n a r ea , U d L h

5-z\ c.L.L,,u p re"" cLLLG:&-.J i hx- --, 5 <<.< e -k

-&I .U;< 50 k.j&>$ j L L J -.K

N o t r eg i s t e red with a d e n t i s t because of l i f e s t y l e /

circumstances a t t h e time 11 n ......................................... % ' I d idn ' t bother while I was a t un ive r s i ty ' ;

'during t h e w a r it w a s very d i f f i c u l t ' . d L ; L . : ,+L--,

, &L C L .Lz I

Note Max MC = 4 - Qm Why did you go r e g u l a r l y a t t h a t time?

Applies i f Q53(a) coded 1.


CA ' M u m took m e ; 'when I w a s a c h i l d I got taken ' ; 'when I w a s

a t school my parents s e n t m e ' ; ' I w a s i n t h e army, they made

you'; ' w e were seen by t h e school d e n t i s t ' lJ+ c.ppsL+%d .*

-Lcr - 6" '&"j +\-cou, C L " ; L G

include Went a s a c h i l d ; when a t school cLb n

2 2 9 6

HC

Wanted t o look a f t e r my t e e t h ...................................... 2

-

3 'Told it w a s a good t h i n g to go r e g u l a r l y ' ; ' I got a n a b cess

and t h a t made m e t h i n k about my t e e t h ' ; ' I wanted to look

a f t e r my t e e t h a s f a l s e ones a r e n ' t a s good as your own'

D e n t i s t s e n t reminder c a r d ........................................ 3

% 'The d e n t i s t s e n t a no te every 6 months so I w e n t ' ; 'They used

to send t h e appointment through'

Had more t i m e / f e w e r comrmtments ................................... 4

2 'Always used t o go r e g u l a r l y b u t because of work I c a n ' t go

r e g u l a r l y now' , 'I w a s a s t u d e n t and now I don't have t h e

time and I ' d p r e f e r n o t t o take t h e t i m e o f f work ' ; ' I seemed

t o have mre t i m e b e f o r e I got married'

i n c l u d e E a s i e r t o get t o a d e n t i s t (because o n e nearby)

Needed/wanted/was r e c e i v i n g treatment ............................. 5

9 ' I last went r e q c l a r l y when I w a s q e t t i n g t h e f i l l i n g s ' ; ' I

went to get my t r e a t m e n t every 6 months for a good 5 y e a r s ' ;

' I used t o keep gr in&ng my t e e t h in my sleep and had t o keep

having t h e s u r f a c e s f i l l e d '

Treatment was f r e e ................................................ 6

a 'Because i t was free b e f o r e I w a s 18'; 'when I w a s p r e g n a n t it

w a s f ree t h e n '

i n c l u d e 'p regnant ' nes a . 'f ,_ -., -

(I;- ... .,I,--- i c'-c', I - c .c < - c - . r 9 LL L, . . .... . - /

Was t a k i n g t h e family ............................................. 7

'Used t o go and take t h e c h i l d r e n ' ;

w h e n I made them f o r t h e c h i l d r e n and got i n t o t h e h a b i t of

' I made t h e appoln tments 3

g o i n g ' ; ' I took t h e family t h e n and I g o t checked too' 9 7

MC - Other ............................................................. 8 -

List with s e r i a l number and f l a g .

Note Max MC = 4 - 9 5 3 ( c ) Why i s it t h a t you have never been for regular d e n t a l check ups?

Applies i f Q53(a) i s coded 2 .

Code from t h e frame a t Q52(b).

E How of t en do you clean your t e e t h nowadays?

Examine t h e answers a t code 6 recoding where possible i n t o one

of codes 1-5. - .

List a l l answers remaining a t code 6 with s e r i a l number and f l a g

them.

Note 1. Always once sometimes t w i c e = code 3 - Twice, sometimes three t i m e s per day = code 4.

2. I f informant c leans dentures only, n o t n a t u r a l t e e t h

spec i fy answer a t code 6.

E 2 A t what time of day do you clean your t e e t h ?

Examine t h e answers a t code 8 recoding where possible into

codes 1-7.

L s c & ccrrOiu.5 ;-c-cnu;5 ~ r ' w ~ - r 8 A-=. Note Max MC = 4 -

Q56(a) What do you use?

Examine t h e answers a t code 5 recoding where poss ib l e i n t o

codes 1-4 or i n t o t h e following add i t iona l codes.

MC

Dental d i sc los ing t a b l e t s ......................................... 6

-

9 8 2 4

HC - Dental chewing gum ................................................ 7

Sensodyne or smokers' too thpas te .................................. 8

Note: a . Hax MC = 4 - b. Include a t code 5 anything used t o c lean dentures;

improve b rea th freshness: powder t o make the t e e t h sh ine

c. ' y u n hassagers ' = code 2

d. 'small head brush' = code 4.

959(b) What do you pu t your t r o u b l e down t o ?

Applies i f Q59 main i s coded 1.


MC

Bad ea t ing h a b i t s (now or i n t he p a s t ) ............................ 1

-

3 'Ate l o t s of sweets when I was a youngster ' ;

'sugar conterrt i n food w e e a t i n B r i t a i n ' ,

' I have a l o t of 3unk food'

Dental neglec t (by informant) ..................................... 2

3 ' I d i d n ' t c lean my t e e t h r egu la r ly as a boy', ' l ack of c l ean ing

them, l ack of educat ion when I was growing up ' ; ' l ack of den ta l

treatment when I w a s younger'

include Not gone t o t h e d e n t i s t r egu la r ly

Bad/lack of advice from d e n t i s t ................................... 3

9 ' I ' ve go t very t h i n enamel on my t e e t h and i f I ' d been t o l d

when I was younger i t might have he lped ' ; ' a f t e r root t rea tment

I was t o l d t o plug the hole but i t d i d n ' t d r a i n '

E f fec t of dentures ............................................... 4

3 ' P a r t i a l dentures wear aga ins t gums and eventua l ly cause

i r r i t a t i o n '

2 5

MC

Genetic weakness/medical problem .................................. 5

%

- ' I j u s t have bad t e e t h ' ; 'my f i l l i n g s f a l l ou t may be i t s

because I have s o f t t e e t h ' ; 'I i n h e r i t e d bad t e e t h ' ; ' t he

t rouble i s I have t o o many top t e e t h , they a r e a l l toge ther '

E f f e c t of pregnancy ............................................... 6

9 'Have had t rouble with my t e e t h ever s i n c e I had the ch i ld ren '

E f fec t of an accident ............................................. 7

5 'When I was 13 a f i s h bone got s tuck i n one of my t e e t h and

caused decay'; ' f e l l off a roof and damaged my mouth'

include 'Bad luck' nes

MC

Other .............................................................. 9 -

-

List with s e r i a l number 2nd flzg.

Note Max MC = 4 . -

p63(b) What i s t h e name of t h e place f u r t h e s t from here t h a t you have l ived?

Applies i f Q63 main coded 2 o r 3.

Examine t h e answers and code from t h e following frame of count ies :

Note a . abroad precode = 99, p r in t ed on schedule - b. NA = code 98

C. Unable t o code a s inadequate information = code 97.

26 i O Q

ENGLAND

sc Avon .............................. 0 1

Bedfo rdsh i r e ...................... 02

B e r k s h l r e ......................... 0 3

Buckinghamshire ................... 0 4

Cambridgeshire .................... 05

C h e s h i r e .......................... 06

C leve land ......................... 07

Cornwall .......................... 08

Cumbria ........................... 09

Derbysh i r e ........................ 10

Devon ............................. 11

D o r s e t ............................ 12

Durham ............................ 13

E a s t Sussex ....................... 1 4

Essex ............................. 15

G l o u c e s t e r s h i r e ................... 16

Greater London .................... 17

Greater Manchester ................ 18

Hampshire ......................... 19

Here fo rd L Worcester .............. 20

I i e r t f o r d s h r e ..................... 21

Humberside ........................ 22

Isle of Wiqht ..................... 23

Kent .............................. 24

L a n c a s h i r e ........................ 25

L e i c e s t e r s h i r e .................... 26

L i n c o l n s h i r e ...................... 27

Merseyside ........................ 28

Nor fo lk ........................... 29

Northamptonshire .................. 30

Northumberland .................... 3 1

North Yorksh i r e .................. 32

Nottinghamshire ................... 33

O x f o r d s h i r e ....................... 34

S h r o p s h i r e ........................ 35

Somerset .......................... 36

South Yorkshire ................... 37

S t a f f o r d s h l r e ..................... 38

S u f f o l k ........................... 39

Sur rey ............................ 40

Tyne L Wear ....................... 41

Warwickshire ...................... 4 2

West M d l a n d s ..................... 4 3

West Sussex ...................... 44

W e s t Yorksh i r e .................... 45

W i l t s h i r e ......................... 4 6

N IRELAND

A n t r i m ............................ 88

Armagh ............................ 89

Fermanagh ......................... 9 1

Londonderry ....................... 92

SOUTHERN IRELAND/EIRE ............. 94

Down ............................. 90

Tyrone ........................... 9 3

WALES - Clwyd ............................ 4 7

Dyfed ............................. 4 8

Gwent ............................. 4 9

Gwynedd .......................... 5 0

Hid Glamorgan ..................... 51

Powys ............................. 52

South Glamorgan ................... 5 3

W e s t Glamorgan .................... 54

27 101

SCOTLAND

sc Aberdeen .......................... 55

Angus ............................. 56

Argyll ............................ 57

Ayr ............................... 58

Banff ............................. 59

B e r w i c k ........................... 60

Bute .............................. 61

Caithness ......................... 62

Clackmannan ....................... 63

Dumfries .......................... 64

Dunbarton ......................... 65

East Lothian ...................... F i f e .............................. Inverness ......................... Kincardine ......................... Kinross ........................... Kinkcu dbrisht .................... Lanark ............................ Midlothian ........................ Moray ............................. Nairn ............................. Orkney ............................ Peebles ............................ Perth ............................. Renfrew ............................ Ross and Crmarty ................. Roxburgh .......................... S e l k i r k ........................... S t i r l i n g .......................... Sutherland ........................ W e s t Lothian ...................... Wigtown ........................... Zetland ...........................

66

67

68

69

70

71

72

73

74

75

76

77

78

.79

80

81

82

83

84

85

86

87

28 1 0 2

GREATER LONDON

c i t y of London

Barking LB

B a r n e t LB

Bexley LB

B r e n t LB

B r m l e y LB

camden LB Croydon LB

E a h n g

E n f i e l d LB

Greenwich LB

Hackney LB

HammersnUth LB

Haringey LB

Harrow LB

Havering LB

Hillingdon LB

Hounslow LB

I s l r n g t o n LB

Kensington and Chelsea LB

n n g s t o n and C h e l s e a LB

angston-upon-Thames LB

Lambeth LB

Lewisham LB

Merton LB

Newham LB

Redbridge LB

mchmond-upon-Thames LB

Southwark LB

S u t t o n LB

Tower H a m l e t s LB

Waltham F o r e s t LB

Wandsworth LB

Westminster LB

LOCAL AUTHORITIES

( f o r r e f e r e n c e )

29 1. 0 3

GRCEN QUESTIONNAIRE

PEOPLE WITH NO NATURRL TEETH

Why have you never had a f u l l s e t of dentures?

Applies i f Q1 coded 2.

The answers w i l l no t be coded but they should be l i s t e d with s e r i a l

number.

Did you get your top p l a t e (bottom p la t e l . p r iva t e ly?

Examine t h e answers a t code 5 recoding where poss ib l e in to one of

codes 1-4.

List a l l answers remaining a t code 5 w i t h s e r i a l number and f l a g them.

Note a. Any dentures o t t a i n e d p r i o r t o 1948 = 3 - b. Any dentures obtained abroad = code 5.

What kind of t r o u b l e do you (would you) have7


Code from t h e following frame

MC - Teeth come loose /se t moves up (or down) ........................... 1

9 'bottom se t moves up when t a l k i n g ' ; ' I am f r igh tened to t a l k

Sometimes because of t h a t s lackness ' ; ' t h e bottom ones come

loose sometimes'; 'it can be disconcert ing somtimes t a l k i n g t o

someone and f e e l your t e e t h wobbling about '

c . h

Speech is t h i c k or s l u r r e d / i n f t . l i s p s .............................. 2

i n c l 'pronouncing words is not as easy as w i t h own t e e t h ' ; - ' g e t s l i g h t s t u t t e r '

1 0 4

HC

Teeth r a t t l e .................................................... 3 -

i n c l answers which i n d i c a t e t h a t t h e dentures themselves - a c T u d 1 make a noise . 3

Whistle .....................................................

3 a whis t l ing occasional ly .

Other ...................................................... -

. 4

,. 5

L i s t with s e r i a l number and f l a g .

Note M a x i m u m MC = 4 - QlO(a) What k i n d OE discomfort or t roub le do (would) you have with e a t i n q

or dr inking? ...................................................... 6


Code from t h e following frame

MC - Dentures move, a r e loose , don ' t meet, don t f i r : p r o p e r i y r r c s ...... 1

9 ' t op ones fall down'; ' bo t tun worn down and d o n ' t meet p rope r ly ' ;

'dentures move and c lank t o g e t h e r ' ; 'bottom ones a r e loose';

'don ' t f i t properly '

NB Do not u s e t h i s code if t h e r e s u l t of loose dentures i s - - codeable elsewhere.

3 bose top p l a t e g ives m e ulcers (code 3)

However t h i s code can be HC w i t h o t h e r codes i f s e p a r a t e reasons

were given for top and bottom p l a t e s .

31

1 0 5

' I

i

MC - Uncomfortable/sore quns/plate rubs ................................ 2

9 'sore gums because of t h e slackness of my denture ' ; ' i f I was

ea t ing apples it would hu r t ' ; ' can ' t explain they ' re jus t

uncomfortable'; 'burning f ee l ing i n my gums'; ' I b i t e t h e

in s ide of my mouth when I'm ea t ing which is uncmfor t ab le ' ;

'bottom ones a r e t i g h t on the gums,they d ig i n too t i g h t '

Get u l c e r s ......................................................... 3

3 ' they are worn down so they produce u lcers and s l i p when

e a t i n g ' ; 'get u l c e r s when e a t nuts ' ; 'due t o slackness,

occas iona l u l ce r s ' ; 'occasional ly I get an u l c e r forming on

my bottom gum and probably because denture loose and gums rub '

C a n ' t chew/bite w e l l .............................................. 4

5 'I c a n ' t take a good b i te of anything'; 'I c a n ' t chew corn on

t h e cob ' ; 'when come to b i t e anything s o f t or hard dentures

d o n ' t m e e t p roper ly t o b i t e properly '

Get food under p l a t e .............................................. 5

5 ' seeds are a problem, you need to wash your dentures

a f te rwards ' ; ' I sometimes get something underneath t h e bottom

se t ' ; ' t h ings l i k e nu t s get under them'

i n c l anything wi th seeds i n it nes - Denture i s worn down .............................................. 6

3 ' t he t e e t h themselves a r e a b i t worn down'; ' they a r e g e t t i n g

very t h i n and I c a n ' t a f fo rd t o replace them'; ' they ' re no t

a s sharp now so I e a t meat it takes a long t i m e chewing' clhen

h

3 2 1 0 6

I n f t has medical d i sorder which causes problems with dentures ..... 7

3 'have drscomfort e a t i n g and d r i n k n g - S u f f e r f r an mul t ip le

s c l e r o s i s and c a n ' t s tand denture in'; 'have a problem because

of medication - swell ing on t h e gum which causes i r r i t a t i o n ' ,

'had t o have all gums s t i t c h e d , never been able t o wear bottom

dentures ' ; 'under bottom p l a t e I ' v e an ex t ra b i t of gum'

Other .............................................................. 8 - 7 %

:-\J&J, CCl*>huQ r; h$>,-.-,.t\r I C L L . ~ < ' C ' C , , C \ 1 L

b s t with serial number and f l a g . L.>? - Note Hax MC = 4

- U L C , r-; t'z J.L2 < I

c - L i ; '2 L,>,d& . ) * A <>.-CG :d&

, I -

Q l l ( a ) What o the r problems do (would) you have?

Code from t h e i n s t r u c T i c n s a t QlO(a).

414 How o l d were you when you l o s t t h e l a s t of your n a t u r a l t e e t h ? - Note new'DK'code = 99. -

Refer t o S/V answers such as 'Can't remember, It w a s sometime during

the war' (S /V t r y t o es t imate - s e e Date of b i r t h Q37)

Q16 Why d id you l o s e the l a s t of your own t e e t h ? - Examine t h e answers a t code 3 reco&ng where poss lb l e i n t o codes 1 and

2 or i n t o the followlng ad&t iona l codes.

Llst a l l answers remaining a t code 3 and f l a g them.

MC - J u s t decided ( d e n t i s t advised) t o have l a s t ones o u t (no th inq

wrong w i t h t e e t h ) ................................................. 4

3 'Several t e e t h ex t r ac t ed leaving gaps - d e n t i s t advised t o

have a l l o u t , even gDod ones ' ; ' taken out t o have f u l l - s e t O E

dentures , don ' t th ink t h e r e was anything wrong w i t h e i t h e r

t e e t h or gums'. those l e f t would have looked s i l l y and so I

Would have a f u l l den ture , I had a l l o u t ' ; ' I decided t o have

rest o u t , nothing wrong'

33 1 0 7

MC

P a r t i a l dentures caused problems .................................. 5 -

3 ' p a l a t e of bottom s e t wearing t e e t h away': 'my denture made

Some t e e t h decay, so a l l had t o come o u t ' ; ' e x i s t i n g set of

p a r t i a l dentures were c u t t i n g i n t o gums'; ' t h e l a s t 2 I had

o u t were my wisdom t e e t h , they were under t h e gum and rubbing

my top p l a t e .

I l lness /acc ident .................................................. 6

3 ' I ' ve got MS and t h e nerves d ied ' : ' w i r e round my mouth when

I was young and I got one taken ou t a f t e r another (something

t o do with w i r e i n gum)'; 'developed i n f e c t i o n (following ' f l y ) i n e a r and face ' :

b': ' acc ident damaged m o s t of f r o n t t e e t h

i n Merchant Navy, no time t o have done so had l o t o u t ' ; ' f e l l

from a t r e e when I was a boy and broke a l l my t e e t h , then

s t a r t e d t o have t rouble with them'

Teeth could not be r e s t o r e d / f i l l i n g s would n o t s t a y i n ............ 7

3 'some had so much f i l l i n g they couldn ' t be f i l l e d aga in '

Toothache nes .................................................. 8 ..

Note a . Include i n code 1 calcium de f i c i ency a f t e r c h i l d b i r t h ; - a f t e r having t w i n s t e e t h CNmbled away and went chalky

b. Include i n code 2 t e e t h were g e t t i n g loose; gums receded

- a f t e r b i r t h of daughter; . pyor rhoea . : Tr-c\ --rh p o t r a m C-5 LLLS .

bone decay i n gums; cn ~eerSl &us~-Strrcl-d k o r "5

Note Max MC = 4 - Did you suggest ... or d id the d e n t i s t sugges t it t o you? Qls

Examine the answers a t code 4 recoding where p o s s i b l e i n t o one of

codes 1-3 or i n t o one of t h e following a d d i t i o n a l codes.

List a l l answers remaining a t code 4 and f l a g them. 1 0 8 34

sc - D o c t o r / d i s t r i c t n u r s e / o t h e r medical person n . e . s . ................. 5

Hospi ta l suggested i t because of i n f o r m a n t ' s m e d i c a l c o n a t i o n .... 6

3 'Medical surgeon because of swollen a n k l e s ' ; ' h o s p i t a l s a i d

they wouldn't deal w t i h r e s p o n d e n t ' s a r t h r i t i s u n t i l s h e had

a l l h e r t e e t h out'

................................................. 1 DK/Can't remember 7

Code from t h e i n s t r u c t i o n s f o r Q14.

Q23(a) What k ind 0: dental problems d i d you have i n t h e 5 years b e f o r e

you l o s t t h e l a s t of your n a t u r a l t e e t h ?

Applies if i n t e r v i e w e r check a t Q23 coded 1.

Code from t h e fo l lowing frame

MC

Gum decay/ tee th l o o s e ............................................. 1

-

9 'Gums were i n a bad s t a t e and t e e t h became loose' ; ' t e e t h

were f a l l i n g o u t ' ; 'my gums b l e d - if I b i t a n y t h i n g it s e n t

a t i n g l e r i g h t th rough my qums'; 'gums went s o f t '

Toothache 1. Dhs.<? 3.. ............................................. 2

3 ' G o t a l o t of t o o t h a c h e ' ; 'when each t o o t h ached I had it o u t

and every th ing was a l r i g h t u n t i l t h e n e x t one ached '

Broken/decaying t e e t h ............................................. 3

ec~ 'Had a couple of f i l l i n g s b u t t e e t h were decayed and f i l l i n g

dropped o u t ' , ' j u s t r o t t e n t e e t h - one broken and others

decaying '

i n c l u d e bad b r e a t h from r o t t e n t e e t h

35 1 0 9

MC

No r e a l problems .................................................. 4

-

3 ' I ' d no problems, I suppose it w a s j u s t general decay with

o ld age'

include very l i t t le ; no pain; it became a cosmetic exe rc i se .

Other ............................................................. 5 - L i s t with s e r i a l number and f l ag .

Note Max MC = 4 - Did you expect ... or w e r e you surpr ised t o l o s e them a t t h a t age? Q24

Examine t h e a n s w e r s a t code 3 recoding where possible i n t o e i t h e r

code 1 or code 2.

List a l l answers remaining a t code 3 with serial number and f l a g them.

- ~ 2 5 When you f i r s t had f u l l dentures about how long d i d it take you t o

get used t o them?

Examine t h e answers a t code 5 recoding where poss ib l e i n t o one of codes

1-4. or i n t o t h e following addi t ional code.

List all answers remaining a t code 5 and f l a g them.

- SC Never got used t o them ............................................ 6

Q26(a) What can you e a t now t h a t you couldn't eat before?

Applies if Q26 main coded 1.

L i s t a l l t h e answers with s e r i a l number

36 I10

226(b ) What could you e a t before t h a t you c a n ' t e a t now?

Applies if Q26 main coded 1.

L i s t a l l t he answers with s e r i a l number.

If you knew someone ... what advice would you give them? p11

Applies t o a l l except those coded X a t Q Z S .

Code from the following frame. HC I -

I f they a r e bad (don ' t h e s i t a t e ) have t h e m ou t .................... 0 1

9 'Have them out , doesn ' t mat ter what age you a r e - j u s t t o have

them out is b e t t e r f o r your h e a l t h ' ; ' i f it was a f f e c t l n g your

h e a l t h have them o u t ' , ' I f g iv ing t rouble would be b e s t t o have

them out b e t t e r than s u f f e r i n g m t h them'; 'Have them out if

they a r e going bad'

Inc ' G e t in and g e t i t ove r ' ; ' I should t e l l t h e m t o have them - out (exp) it would be b e t t e r fo r t h e m (how) I don ' t how

they would be b e t t e r for them; they would be b e t t e r

without them'; 'Have them ou t i n one go' ; 'Have them out

a few a t a t i m e , not a l t o g e t h e r '

Keep the i r na tu ra l t e e t h a s l o n g a s possible/Dentures should only

be a l a s t r e s o r t .................................................. 0 2

3 'Keep t h e i r own t e e t h a s long a s they could, t he re is no

s u b s t i t u t e r e a l l y ' ; 'Look a f t e r t h e i r n a t u r a l t e e t h and hang

on t o them for a s long as human p m s i b l e and th ink c a r e f u l l y

before ge t t ing den tu res ' ; 'Hang on t o your own t e e t h ' ; ' I ' d

advise them t o r e t a i n t h e i r own t e e t h a s long a5 they could ' .

'Keep your own'

- I n c B r u s h r egu la r ly and look a f t e r your own t ee th .

37 111

MC - See/qet advice from a good d e n t i s t ................................ 03

3 'Go t o a d e n t i s t who's r e a l l y in t e re s t ed i n you t o prevent

t rouble l a t e r on' ; ' f ind a good d e n t i s t '

I n c Ask him a l o t of questions. Inc advice from doctor. -

They should w a i t a while between having na tu ra l t e e t h out and t h e

dentures put i n ................................................... 0 4

3 'Wait a t least 3 months before having dentures f i t t e d .

gums settle and l e t t h e blood get away'; 'I would advise them

t o have t h e t ee th out and then w a i t to l e t t h e gums harden

before having dentures '

Let t h e

They should have new dentures put i n as soon as poss ib le a f t e r

havinq na tu ra l t e e t h out .......................................... 05

3 'lb ge t dentures i n a s soon a s you can i t ' s no t rouble I ' v e

done r e a l l y wel l ' ; 'I would say have them f i t t e d s t r a i g h t

away when you have the others o u t ' ; ' I f having t e e t h out have

new ones s t r a i g h t i n ' ; 'Have them i n the same day l i k e I d i d ' ;

' G e t a set f i t t e d t h e same day so you don't f e e l the l m s of

them'

After dentures are f i t t e d k e e p them i n persevere with t h e m .... 06

9 'Persevere so t h a t you can eat with them, d o n ' t keep tak ing

them ou t ' ; 'Don' t give up. Persevere with t h e f a l s e o n e s ' ;

Inc ' s t i c k them i n and don't t ake them out ' -

Also Inc advice about qe t t i nq them f i t t e d properly

eg 'You must give it t i m e if you have a problem, - you must go back and keep going back ' ; See you

ge t a proper f i t before you take them home';

'a pr iva te ly t o ge t a proper f i t '

38 112

MC - That i t ' s nothing t o worry about .................................. 07

Inc 'There 's no t rouble w l t h mne' - sc

DK ................................................................ 0 8

- -

MC - Other spec i fy .................................................... 09

I

L i s t wi th s e r i a l number and f lag. I

sc 10

- Wouldn't presume t o give advIce/not q u a l i f i e d t o g ive advice ......

inc lude 'It 's up t o them'

NB Give p r i o r i t y t o code 03. -

Note Max MC = 4 - I ' d l i k e t o t a l k next about the kind of denta l t rea tment you've had

over t h e whole of your l i fe t rme

Include treatment ob ta ined abroad. Examrne t n e answers a t code (U)

reco&ng where poss ib l e i n t o codes ( a ) - ( t ) or into t h e following

ad&t iona l codes.

(apply) it w i l l be necessary t o draw two boxes and e n t e r and r l n g t h e

Y e s 1 code. ( ee c m p u t i n g master3 Any NAs w i l l be d e a l t n t h

au tomat ica l ly by SB but do no t f o r g e t t o amend t h e co&ng of ( U ) from 1

t o 2.

I f e i t h e r (or both) of these new codes app l r e s

List a l l answers remaining a t code ( U ) wrth s e r i a l number and f l a g

them.

39

113

Gum treatment ............................... V

3 'Gum cu t away because of i n fec t ion ' ; 'gum t reatment , some kind

of a l l e r g y ' ; ' severa l gum f l a p s r a i sed and repos i t ioned ' ;

'surgery on t h e gums, c u t gums back t o expose t h e t e e t h

underneath' ; ' t a r t a r removed eve ry 6 weeks, bu i lds up and af f e e s

t h e gums'

exclude cases where t h e answer seems t o i n d i c a t e t h a t t h e r e was

nothing wrong with t h e gums and anything done t o them was

because of something covered by ( a ) - ( t ) .

2 Operation t o c u t t h e gum and remove a n abcess (1 = l ) ;

gums c u t and 9 s t i t c h e s f o r ex t r ac t ion of t e e t h

( f =1, U = 1 ) .

Root t reatment .............................. W

Note i. If dentures w e r e adjusted/improved recode t o ( r ) or (t) .

I f no i n d i c a t i o n of whether full or p a r t i a l dentures use

code ( t) .

-

ii. Had a cap before t h e crown should be ( re )coded ( m ) = 1 and

code (U) recoded to 2.

iii. Something pu t i n t oo th , a covering for enamel should be

( re lcoded j = 1 a n d c o d e (U) recoded t o 2.

~ 3 0 The l a s t t i m e you went t o t h e d e n t i s t what made you go? - Applies t o a l l except t hose coded 5-7 a t Q29(c).


MC

To have (some) teeth taken o u t .................................... 1

-

40 114

HC - To have new dentures/top plate/bottom p l a t e f l t t e d ................ 2

3 'wanted new &ntu res ,o ld ones had worn down'

Inc 'My previous ones had worn o u t ' ; 'Lost o l d dentures ' ; - 'Wanted a spare s e t ' , ' I broke t h e t o p p l a t e and needed

a new one'

To have &ntu res /p l a t e ( s ) repa i red ................................ 3

n e r c l ccl 2 ' I broke a tooth a new one f i t t e d ' ;

h

- Inc 'To have them r e h n e d ' ; 'Broke t e e t h '

Assume r e p a i r when s t a t e broke whole top/bottom p l a t e

To have den tu res /p l a t e ( s ) adlusted ................................ 4

- Inc F l h n q down t o make them f i t better because drdn't f i t properly!

rubbing on gums.

Tooth/stump came throuqh/To have roo t removed .................... 5

3 ' A r o o t of my too th had been l e f t in my gum and w a s g iving me

t roub le '

Other trouble/problems wi th dentures .............................. 6

3 ' I was ge t t i ng a s t a i n on my dentures ' ;

loose and caused u l c e r s ' ; 'My false t e e t h w e r e loose '

'The bottom set was

O t h e r s p e c l f y ..................................................... 7

L i s t wi th s e r l a l number and f lag .

4 1 115

MC - I was having trouble/toothache/abcess/ulcer ....................... 8

include n a t u r a l t e e t h only .

Check-ups ( f o r dentures) .......................................... 9

9 'It 's s tandard when you a r e pregnant'; ' i t ' s compulsory t o see

t h e d e n t i s t twice a year '

Note a . M a x MC = 4 - b. I f t h e informant is i n t h e middle of t reatment it is t h e

cause of t he whole course of treatment which should be

r e f e r r e d to .

p32 During t h e v i s i t s you made t o the d e n t i s t what d i d you have done?

Examine t h e answers a t 'some other t reatment ' recoding where poss ib l e

i n t o t h e e x i s t i n g precodes o r i n t o t h e following new codes.

List a l l answers remaining a t 'some o ther t reatment ' and f l a y them.

New dentures made/fi t ted ..........................................

3 ' F i t t e d new dentures ' : 'new metal dentures ' : 'new dentures

suppl ied ' : ' t e e t h f i t t e d ' : 'new bottom p l a t e f i t t e d '

include new t e e t h p u t on o r i g i n a l p l a t e .

% t reatment f o r g i n g i v i t i s , pyorrhoea

Note a. If dentures were ad jus ted , re f ined , pol ished e t c include i n - 'dentures repaired'

b. When using e i the r of t he new codes draw a new coding g r i d t o

t h e r i g h t of Q33, recoding Q32 spec i fy t o 2 (No) where

necessary and completing the yes code ( s ) i n the new coding

g r id : 116

4 2

32. (Can I l u s t check) during t h e

v i s i t ( s ) you made t o the d e n t i s t

what d id you have done?

... ........... Did you have any ... t e e t h taken out?

... x-rays taken? .............. Individual ... mpress ions taken? ........

7 .......... prompt ... dentures repa i red

................................... some o ther t reatment? ( s p e c i f >

new dentures f i t t e d

33. Was your t reatment under t h e National Health Serv lce ......... N.H.S. or was it p r i v a t e or Pr iva te ......................... something e l se? N.H.S. and p r i v a t e ..............

School/Community Dental Service . Do not Armed Forces .................... p r m p t Dental h o s p i t a l ( h o s p i t a l ) ......

D e n t i s t a t your w o r k p l ace ...... Someone else ( s p e c i f y ) ..........

Note a . Top l i n e of new g r id = new-dentures f i t t e d code - I

Second l z n e of new gr id = gum t rea tment code

es N O DK

1 0 3

1 a3

1 0 3

1 0 3

T@ 3

7- 1

2 1c) 3

4

5

6

7

8 -

b. N A s a t these n e w codes w i l l be d e a l t w l t n automatlcai iy by

SB .

Was your t reatment under t h e NHS or was it p r i v a t e or something e l s e ? 811

Examine t h e answers a t code 8 r e c o b n g where possrble i n t o one of codes

1-7.

b s t a l l answers remaining a t code 8 with s e r l a l number and f l a g them.

Note Treatment obtained abroad = code 8 . -

4 3

i 1 7

836(b) What is the name o f t h e p l a c e f u r t h e s t from here t h a t you have l i v e d ?

Applies i f Q36 main coded 2 or 3 .

Examine t h e answers and code from t h e fo l lowing frame of c o u n t i e s .

Note a . abroad precode = 99, pr inted on schedule

b. NA = code 98

C . Unable to code as inadequate information = code 97 .

4 4

\

S C

Avon .............................. 0 1

Bedfordshi re ...................... 02

B e r k s h i r e ......................... 03

Buchnghamshire ................... 04

Cambridgeshire .................... 05

Cheshi re .......................... 06

Cleveland ......................... 07

Cornwall .......................... 08

Cumbria ........................... 09

Derbyshire ........................ 10

Devon ............................. 11

C o r s e t ............................ 12

Durham ............................ 13

East Sussex ....................... 14

Essex ............................. 15

G l o u c e s t e r s h i r e ................... 16

Greater London ..... ............. 17

meater Manchester ................ 18

Hampshire ......................... 19

Hereford & Worcester .............. 20

H e r t f o r d s h i r e ..................... 21

Humberside ........................ 22

Isle of Wight ..................... 23

Kent .............................. 24

Lancashi re ........................ 25

L e i c e s t e r s h i r e .................... 26

L i n c o l n s h i r e ...................... 27

Merseyside ........................ 28

Norfolk ........................... 29

Northamptonshire .................. 30

Northumberland .................... 31

.

North Yorkshire ................... 32

Nottinghamshire .................. 33

Oxfordshi re ....................... 34

Shropshi re ........................ 35

Somerset .......................... 36

South Yorkshire ................... 37

S t a f f o r d s h i r e ..................... 38

S u f f o l k ........................... 39

S u r r e y ............................ 40

Tyne & Wear ................ 1 ...... 4 1

Warwickshire ...................... 4 2

West Midlands ..................... 43

West Sussex ....................... 44

W e s t Yorkshire .................... 45

W i l t s h i r e ......................... 46

N IRELAND

A n t r i m ............................ 8 8

Armagh ............................ 89

Down .............................. 9 0

Fermanagh ......................... 91

I o n d o n g r r y ....................... 9 2

Tyrone ............................ 93

SOVPHERN IREIAND/EIRE ............. 9 4

WALES

Clwyd ............................. 47

Dyfed ............................. 48

Gwent ............................. 49

Gwynedd ........................... 5 0

Mid Glamorgan ..................... 5 1

Powys ............................. 5 2

South Glamorqan ................... 53

West Glamorq3n .................... 54

119 45

SCOTLAND

sc Aberdeen .......................... 55

Angus ............................. 56

A r g y l l ............................ 5 7

Ayr ............................... 58

Banff ............................. 59

Berwick ........................... 60

Bute .............................. 61

C a i t h n e s s ......................... 6 2

klackmannan ....................... 63

Dumfries .......................... 64

Dunbarton ......................... 65

Fast Lothian ...................... 66

F i f e .............................. 67

Inverness ......................... 68

Kincardine ........................ 69

Kinross ........................... 70

Kinkcu:dbright .................... 71

Ianark ............................ 72

Midlothian ........................ 73

Moray ............................. 74

Nairn ............................. 75

Orkney ............................ 76

Peebles ........................... 77

Perth ............................. 78

R e n f r e w ........................... 79

ROSS and Cromarty ................. 80

Roxburgh .......................... 81

S e l k i r k ........................... 82

S t i r l i n g .......................... 83

Suther land ........................ 84

West Lothian ...................... 8 5

Wigtown ........................... 86

Zet land ........................... 87

.

..

46 I 2 0

\

GREATER LONWN

Ci ty of London

Barlung LB

Barnet LE

Bexley IB

Brent LE

Bromley IB

Camden LB

Croydon LB Eal ing LB

E n f i e l d LB

Greenwich LE

Hackney LE

Hammersmith LB

Haringey LE

H a r r o w LB

Havering LB

Hi l l ingdon LB

Hounslow LE

I s l i n g t o n LB

Kensington and Chelsea LB

Klngston and Cheslea LB

Kingston-upon-Thames LB

Lambeth LB

Lewisham LB

Merton LB

Newham LB

Redbridge LE

mchmond-upon-Thames IB

Southwark LE

Su t ton LB

Tower H a m l e t s LB

Waltham Fores t LB

Wandsworth LB

Westminster LB

LOCAL AUI'HORITIES

( f o r r e f e r e n c e )

1 2 1 47

P I N K QUESTIONNAIRE

CHILDREN AGED 0-15

Has ... ever been t o t h e d e n t i s t 7 !z

I f only d e n t i s t a t tended is school d e n t i s t o r only treatment obtained

was a t h o s p i t a l Q2 should be coded 1.

Has he ever had any t rea tment t o prevent decay?

- Note This quest ion i s about t reatment administered by t h e d e n t i s t , no t

f o r example f l u o r i d e drops administered by t h e informant-

412 What can mothers do t o s t o p ch i ld ren having decay? - Examine t h e answers a t code 20 recoding where poss ib le i n t o codes 1-19

or i n t o t h e following add i t iona l codes. L i s t a l l answers remaining a t

code 20 with s e r i a l number and f l a y them.

MC

Other den ta l (no t d i e t a r y ) measures ............................... 10 -

5 'Disclosing tablets'; 'keep a v i s u a l check your se l f ' ; 'posters

and poems about t e e t h c a r e ' ; ' t each him to c a r e fo r t h e gums';

'ask about or thodont ic t rea tment e a r l y because decay occurs i n

crooked t e e t h ' ; 'discourage thumb sucking'; ' teach ch i ldren t o

use f l o s s ' ; 'more 'sweet ie ' t a s t i n g too thpas te which c h i l d r e n

would l i k e '

- Note Answers a t code 10 should be l i s t e d and flagged.

No added s u g a r / r e s t r i c t s u g a r - i n t a k e .............................. 2 1

. I . I

: dude 'no snacks between meals; no comforters; nothing sweet 6 . ( 1

before bed; no e x t r a s between meals; no t have those

minature b o t t l e s of dr ink which t h e y give babies these

days.

48 1 2 2

5 Eat p l e n t y of meat and f i s h

i n c l u d e prote in taken by mother and/or c h i l d .

N o t e a . Include i n code 17 vegetables/salad/unsweetened j u i c e s - b. Include a t code 16 a balanced & e t , c a r e f u l a t t e n t i o n t o

&et.

4 9

REGION VARIABLES _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

UK4

U n i t e d Kingdom

I F A R E A THEN UK4 001-076 = 1 E n g l a n d

7 077-092 = 2 Wales = 093-124 = 3 S c o t l a n d = 201-214 = 4 N I r e l a n d

U K 3

Grouped UK

I F UK4 THEN U K 3 = 1-2 = 1 Eng & Wales

3 = 2 S c o t l a n d 4 = 3 N I r e l a n d

- - - -

REG11

Economic P l a n n i n g R e g i o n s

I F A R E A = 001-002,

008-014, = 003-007,

077-092 = 070-076 = 015-018,

040-045 = 050-052 = 019-029,

053-124 201-214

THEN 030-032 = 1 0 3 6 - 0 3 9 = 2 033-035 = 3

= 4 = 5

046-045 = 6 = 7 = 8 = 9 = 10 = 11

0 5 3 - 0 6 9

R E G l 1 N o r t h e r n N o r t h West Yorks & Humber Wales S o u t h West W M i d l a n d s E H i d l a n d s East A n g l i a London & S E Sc o t 1 a n d N I r e l a n d

1 2 4

REGG

Grouped Economic P l a n n i n g Regions

I F R E G l l THEN REGG = 1- 3 = 1 The N o r t h

4- 5 = 2 Wales & S W 6- 8 3 Mid lands & E a s t A n g l i a

- - 9 = 4 London & S E

- - 11 = 6 N I r e l a n d 10 = 5 S c o t l a n d - -

RHA18

R e g i o n a l H e a l t h A u t h o r i t i e s

I F AREA = 0 0 8 . 012 . 014 . 037

009-011, 013 , 036 , 038-039 001-002, 030-032 004-005, 007 , 033-035 015-018, 046-043 003, 0 0 6 , 040-043, 045 , 049 050-052 070-076 044 , 053-054, 060, 069 066-068 022-024, 055 , 057-058, 063 019-021, 059 028-029 025-027, 056 , 061-062, 064 077-086 087-092 092-124 201-214

,065

R H A l l

Grouped R e g i o n a l H e a l t h A u t h o r i t i e s

I F R H A 1 8 = 1- 2 = 3- 4

5 6- 7 8-10

11-12 = 13-14

15 16 17 18

- -

- - - - - - - -

THEN R H A l l = 1 N o r t h West = 2 N o r t h & Nor th Eas t = 3 W Mid lands = 4 E Midlands = 5 S o u t h West = 6 N o r t h Thames = 7 S o u t h Thames = 8 I n d u s t S W Wales = 9 Rest of Wales = 10 S c o t l a n d = 11 N I r e l a n d

THEN = 1 = 2 = 3 = 4 = 5 = 6 = 7 = 8 = 9 = 10 = 11 = 1 2 = 13 = 1 4 = 15 = 16 = 17 = 18

R H A 1 8 Mersey N o r t h Wes te rn N o r t h e r n Y o r k s h i r e W Mid lands T r e n t E a s t A n g l i a n S o u t h Western Oxford Wessex N W Thames N E Thames S W Thames S E Thames I n d u s t S W Wales Rest of Wales S c o t l a n d N I r e l a n d

V A R I A B L E R A N G E : A R E A (001-124, 201-214)

Document < B z

HOUSEHOLD SHEET VARIABLES

No o f p e o p l e i n h h l d B 1 = H i g h e s t PERSNO

No o f a d u l t s i n h h l d B2 = E (AGE = 4 )

No of c h i l d r e n i n h h l d B3 E (AGE 3)

No o f a d u l t s i n h h l d w i t h n a t u r a l t e e t h 84 = 2 (AGE = 4 anrl DSTAT = 1)

No of a d u l t s i n h h l d w i t h n o n a t u r a l t e e t h 85 = E (DSTAT = 2)

No of a d u l t s i n h h l d i n t e r v i e w e d B6 = .Z (IOUTCOME = 5 )

No o f d e n t a t e a d u l t s i n h h l d i n t e r v i e w e d B7 = E (DSTAT = 1 and IOUTCOME = 5 )

No of e d e n t u l o u s a d u l t s i n h h l d i n t e r v i e w e d B8 = 2 (DSTAT 2 &JCL IOUTCOME 5 )

No of d e n t a t e a d u l t s i n h h l d w i t h p r o x y i n t e r v i e w B9 = E (DSTAT = 1 and IOUTCOME = 6 )

No o f e d e n t u l o u s a d u l t s i n h h l d w i t h p r o x y i n t e r v i e w B10 = .Z (DSTAT = 2 and IOUTCOME = 6)

No of a d u l t s i n h h l d i n t e r v i e w e d o r w i t h p r o x y i n t e r v i e w B11 = Z (IOUTCOME = 5,6)

No o f d e n t a l exams i n h h l d 812 = E (DOUTCOME 1)

1 2 6

D o c u m e n t <:D::.

AGE VARIARLES - EDENTULQUS

DAG

A c t u a l age of e d e n t ~ 1 1 0 ~ 1 5 a d u l t

C a l c u l a t e the rezpondent 's age on 1 Oc tober 1 Y R 8 us ing D37DAY I D.37MTH. and D.I?YEAR

I F age of respondent :1. 99 THEN DAG = 99

DAGG

Age Groups f o r edentulous adu l t s

IF DAG = 16-24 = 35-34 = 33-44 = 45-54 = 55-64 = 65-74 = 75 and 'over

THEN DAGG = 1 - - 2

= 4 = 5 = 6 = 7

- 7 .-. -

.

.

12.7

DSCR

S o c i a l c l a s s o f e d e n t u l o u s r e s p o n d e n t

D e r i v e t h e s o c i a l c l a s s of t h e r e s p o n d e n t f rom t h e Census M a t r i x u s i n g

D38NEVER D 3 8 A D38EMP D 3 8 B D 3 8 B 1 D38C

DSCP

S o c i a l c l a s s of HOH by e d e n t u l o u s p r o x y

D e r i v e t h e s o c i a l c l a s s of t h e HOH f rom t h e Census M a t r i x u s i n g

D40NEVER D40A D40EMP D40B D40B1 D40C

EAG

Actual age of dentate ad~11.t

Ca lcu la te the respondent 's age on 1 October 1980 using E64DAY I E64MTH I and E64YEAH

I F age o f respondent :::. 99 THEN EGG = YY

EAGG

Age Groups f o r dentate a d u l t s

IF E A G = 16-24 - - 25-.;4 - .,.5-44 = 45-54 = 55-64 = 65-74 = 75 and over

- 7r

THEN EAGG = 1 = 2

= 4 = 5 = 6 = 7

- 7 ._I -

1 2 9

DSCR

S o c i a l c l a s s of e d e n t u l o u s r e s p o n d e n t

D e r i v e t h e s o c i a l c l a s s o f t h e r e s p o n d e n t from t h e C e n s u s H a t r i x u s i n g

D38NEVER D 3 8 A D38EHP D 3 8 B D 3 8 B 1 D 3 8 C

ESCR

S o c i a l c l a s s o f d e n t a t e r e s p o n d e n t

D e r i v e t h e s o c i a l c l a s s o f t h e r e s p o n d e n t f rom t h e Census H a t r i x u s i n g

E65NEVER E 6 5 A E65EHP E 6 5 B E 6 5 B 1 E 6 5 C

SCH

S o c i a l c l a s s of HOH

Find HOH (PERSNO w i t h REL 1) IF IOUTCOME = 5 and (DSCR o r ESCR) 1-9 THEN SCH = (DSCR o r ESCR)

IF IOUTCOME 5 and (DSCR o r ESCR) + 1-9 o r IOUTCOHE + 5 THEN L o o k for s p o u s e o f HOH (PERSNO w i t h REL = 2 )

1 3 0

Document *::E::

SOCIAL.. CLASS VAHIA€IL.ES -- DENTATE

ESCR

Soc ia l c l a s s of.,dentate respondent

Der ive the s o c i a l class of the respnndent from the Census Matrl : : using

E 6 SNEVEH E65A E6SEMF E6SB E 6 5 H 1 E65C

ESCP

Social c l a s s of HOH by dentate proxy

Der ive the s o c i a l c lass of the HOH from the Census Matri:c using

E67NEVEH €674 E67EMP E67H E67H1 E67C 4

.

VARIABLES - TOTAL

D e n t a l t r e a t m e n t a v e r w h a l e l i f e t i m e

K 2 8 A - C2SF = ( D X A - D X F ) o r (E15A - €15F)

E d e n t u l o u s - D e p t u r e a n d o t h e r t r e a t m e n t o v e r l i f e t i m e

E281 = DZSO Y282 = D28R b:Z87 = D2SS b.284 = D1ST K285 = D 1 8 U b.286 = D 2 8 V Y287 = D28W K288 = D X Y

D e n t a t e - D e n t u r e a n d o t h e r t r e a t m e n t aver llfetirne

K2811 = E150 K2812 = E l S R 6281- = E15S 62814 = E15T h”Z815 = E15U K2816 = E 1 5 V

L a s t t i m e w e n t t o t h e d e n t i s t

K 2 9 = D 2 9 o r E 3 5 K 2 9 A = D 2 9 A a r €Z5A K29H = D 2 9 H ar E35H 627C = D 2 9 E o r E r S C

C a r n o r m a l l y a v a i l a b l e f a r u s e by h h l d

K35 = D ? 5 o r €62

H a w l o n g l i v e d i n t h i s p a r t o f t h e c o u n t r y

KZ6 = D 3 6 o r E6.T KS6A = D Z 6 A o r E67A KT66 = D 7 6 B or E67H K36C = D 3 6 C or- E63C

KAG A c t u a l a g e of a l l a d u l t s

I F DAG = 16-90 THEN KAG = DAG I F €FIG = 16-99 1HEN hcIG = EAG

i

1 3 2

KAGG age G r o u p s f o r all. a d u l t s

I F DAGG = 1-7 THEN KAGG = DAGG IF EAGG = 1-7 THEN KAGG = EAGG

C 1 ass i f: i. c a t i on

K37P = DJ78 or E64U Y"7C . .-. = D 3 7 C c?r E64C E 3 7 D = D 3 7 D o r E 5 4 D I;-:7E = D37E or Eh4E

ICSCR Social Class f o r all a d u l t s

I F DSCH = 1-9 THEN KSCK DSCH I F ESCR = 1-9 THEN C:SCR = ESCR

Dental' U p d a t e Sheet

K 4 1 = D 4 1 o r E71

. L.

.

1 3 3

S O C I A L CLASS V A K I A B L E S - TOTAL

scn

S o c i a l c l a s s o f HOH

H o u s e h o l d

F i n d K E L = 1 and i d e n t i f y FEKSNO I F (DSCK or ESCR) = 1-7 THEN SCIi = ( D S C h or ESCR) ELSE Look f o r K E L = 2 a n d i d e n t i f y FEhSNO I F (DSCF o r ESCF) = 1-9 THEN SCH = (DSCF' o r ESCF)

I F no EEL = 2 THEN ELSE SCH = -8

Look f o r REL = 3-8 a n d i d e n t i f y FEKSNO IF (DSCP or E S C F ) = 1-9 THEN SCH = (DSCF or ESCP) E L S E R e p e a t f o r ne: . , t FiEL = 3-8 a n d i d e n t i f y PEKSNO

ELSE SCH = -8

n.

1 3 4

Document

CHILE Q U E S T I O N N A I R E V A R I A B L E S

No. o f c h i l d r e n a g e d 3-15 w h o h a v e :

E v e r b e e n t o t h e d e n t i s t C82 = x ( C 2 1)

l a s t 2 y r s

l a s t y e a r

B e e n t o d e n t i s t i n l a s t 6 m n t h s C83B = r: (C3B = 1)

E v e r h a d t e e t h f i l l e d C84 = E ( C 4 = 5 )

E v e r h a d t e e t h e x t r a c t e d ca5 = E (C5 = 1 )

T e e t h e x t r a c t e d by g a s C85A = Z (CSA = 1) . T e e t h e x t r a c t e d b e c a u s e c r o w d i n g ..I

C85H = (C5H = 1)

T r e a t m e n t t o p r e v e n t d e c a y C86 = C ( C 6 = 1)

D e n t i s t t o g e t u s e d t o g o i n g C87 = E (C7 = 4)

D e n t i s t f o r r e g u l a r c h e c k - u p C88 = E (127, = 5)

D e n t i s t f o r o c c a s i o n a l c h e c k - u p C89 = Z (C7 = 6 )

1 3 5

I

D e n t i s t when t r o u b l e w i t h t e e t h C 7 f ) = z ( C 7 = 7 )

Some decayed t e e t h a t moment C 9 1 = Z (C8 = 1)

No decayed t e e t h a t moment ccz = :: cce = 2 )

DC, i f decayed t e e t h a t moment L93 = r' ( C 8 = 1)

Going t o d e n t i s t ne.-,t 6 mnths C 9 4 = r: (C9 = 6 ) .

Not going t o d e n t i s t ne:.t 6 mnths c95 = z (C9 = 7 )

1 3 6

.L-.

0 1 = 1-2

Houscho'ld Shcct

I . I I I r 2 Dental s ta tus

I 2

1 2

P L u 4 c c h . q A 4 s m

S I260 Adult Dental Health 1988 q= JL 02= 1 - - t ,

I Houschold

I 5 6 7 8 1 9

5 6 7 8 1 9

I

I

, i l . ~ - t l Area A:i1 Address H'hld t!iI: 1,

GJmn @ cAS€NO

5- c I ' 4 .; ( f .'-it.

I o - 1 1 1% 7-q ~ w L ~ i - l , ~ f i i ~

3 Interview outcomc 4 Dental visit outcome

na tu ra l natural '1 1 I:t P r r y R: N r C h r tccth tccth

0 - 1 5 l6+ Rclationship to HOH

I o t = 1 9 - 8 0

W r Z E c - 1

I I 2 3 1 4

I 6 7 8 1 9

3 4

3 4

3 4

I

I I 2 3 1 4

O4 I I

I 1 2 3 1 4

OS I I 6 7 8 1 9

O6 I I I 2 3 1 4

I 5 6 7 8 1 9

5 6 7 8 1 9

6 7 8 I n

I

I

5

I 2

I 2 , I

I 1 3 A < 1 2

HD 4

.t*b*.t

WARNING DIVIDED

2 4 4 LONDON ROAD HADLEIGH BENFLEET SS7 2DE PcDDE ADDRESS to MA€

Assumc child - code I Ask cach adul t (16+) Has still got some natura l tccth or has hc/shc lost thcm all? AND CODE ABOVE

lntcrvicw cach adul t on rclcvant schcdulc (sec Instructions abou intcrvicws) ,

1 I thcrc a rc any chi ldren (agcd 0-15) In h'hld ask who IS thc person most rcsponsiblc fo r thcm (mother f igure)

f7LC 3

9 Do you h a v e a bad tas te in your mouth a t a l l these days'

Bad tas L. cq Not

0 Do you th ink you havc bad brea th a t a l l ( these days)?

Bad brea th Not D K

Cl0

1 Do you have a n y cl icking or your j a w joint ( these days)?

Cl icking Not E''

S1260 ADULT D E N T A L H E A L T H 1988

Quest ionnai re I - People w i t h na tu ra l t cc th

P I u J C b h L q m?LR

1

2

1

2 3

1

2 .

1 (Can I just check) you said you sti l l h a v e some or your na tu ra l tccth H a v e you h a d toothache a t all i n the las t 4 weeks? El

Had toothache Not

I 7

2 D o you have a n y pa in i n your j aw jo in t ( these d a y s

Pa in No t

ZIL

3 Does your lower j aw get s tuck or locked (these days)?

Not E 13 Stuck/ locked

2 Do you have a n y broken r i l l i n g s or bi ts b roken OTT your teeth. a t the moment? E l

Broken bits Nor

I S 3. Do you th ink a n y o r your teeth a r e

Some decaycd Not

E3 decayed a t t he moment?

Don' t know 19

6 Do you have a n y d iscomfor t or t rouble w i t h your tee th when you a r e eat ing or d r ink ing? E+

Has d i scomron l t roub lc Does no t

1

. 2

1

2

5 Are a n y of your teeth loose a t all or f not7 E&

Some loose Not

5 H a v e your gums bled a t a l l i n the las t 4 weeks, f o r example when you brush them? E b

Gums bled Not .

tL

1 H a v e you h a d a n y mou th ulcers o r ' so re gums in t he last 4 weeks?

Ulcers/sore gums

Not a3

v.: ; n 5 . 3 Child ( I ) Mother f i g u r e

Not

-1 T!. , r:7-3 ( i i ) s ing le in te rv iew r1

Jo in t in te rv iew 1 116

8 D o you have a n y o ther k ind o i t rouble wi th your gums a t the moment?

O t h e r tr0ub.c Not r (a) What o ther t rouble d o you

E8Mt - .-IT have?

4 II you went to the dent i s t tomorrow d o yau th ink you would need a n y t rea tment or not7

Need t rea tment Not E'? D K

1 I

15. I'd l ike to talk next about the kind of denta l t reatment you've had over the whole of your l i fe t ime right f r o m the f i r s t time you went to the dent is t , inc luding when you were a child.

1 2 3

I 2 3

1 . . 2 3

I 2 3

1 2 3 '

1 2 ' 3

1 2 3

I 2 3

1 2 3

H a v e you ever had . . . . .a

3c

3L

3-

3'3

39

-0

* I

?L

h 3

/ a ) a n y fillings? ..................................................................... € 1 6 4 - I 5 l b S

b)

c)

d ) a n x-ray of your teeth? ...........................................

a n injection in the gum fo r a f i l l ing? ......

an injection in the arm f o r a f i l l ing? ......

e) a n y wisdom teeth removed? ...................................

f ) a n y other teeth extracted ( taken out)? ............

g) a n injection in the gum fo r extractions? .

h) an injection in the a r m fo r extract ions? .,

i) gas Tor extract ions? ...............................................

j) f luor ide t reatment or f issure sealants? ............

k) a brace to straighten your teeth? .......................

I ) a n abcess treated? ........................................................

m ) a topth crowned? ...........................................................

n) a denta l bridge? .........................................................

0 ) a scale a n d polish by the dent is t? .....................

p) t reatment f r o m a denta l hygienist?

q) a den tu re f i t t ed .............................................................

...................

r ) a den tu re repaired? ................................................

s) have you had a n y other k ind of denta l t reatment? (specify) . . . ,! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

E lcr E L f C

UN 2

Yes No C/R DK I

16 Have you had a n y par t icular dental e rpcr icnce In thc past that s t ands out i n your mcmory as though i t happcncd yestcrda y 7 E-lb

Y cs

No (a) What d o you remember most vividly?

(b) H o w old were you a t tha t t ime U 6%

under 10

Runn ing bctwecn 10 a n d I5 prompt or o lder t han tha t?

17 Adul ts can have up to 31 natura l teeth but over t imc people lose some of them c 1 7 A

bctwcen 10 a n d 19 or d o you have 20 or more na tura l teeth?

f e w e r than I0 (a) H o w m a n y na tu ra l teeth

have you got, I S i t

R u n n i n g

prompt

€179 (b) INTERVIEWER CHECK Has had f i l l ings (QISa-I )

Has not ( c ) How many f i l led teeth E l 7 C

havc you got (now) I S i t none a t a l l

R u n n i n g f c w c r than ten

prompt or 10 or more?

(d) INTERVIEWER CHECK Has had wisdom tee th out (QISe-I)

Has not E 1 7 3

(e) Wcrc your wisdom teeth removed i n E l 7 h

A t dent i s t s . hospital o r a t the dcnt is ts? In hospi ta l

' Both . . . - (f) Were the wisdom tccth tha t were Ec-rrrlr --ny removed !

fu l ly through the gums par t way through the gum

o r still undernea th t h e gum?

R u n n i n g prompt

Code a l l t ha t apply DK

3

I

2

1

2

&L-c3 SE-4 Z OS= 1 - 2 -

18. INTERVIEWER CHECK Has had dcn tu rc f i t t ed (Ql5q-1) ... Has no t ......................................................... EL \P

(a) (You told me you havc (had) a dcnturc)

How old wcrc you when you f i r s t had a dcnturc?

(b) Was your @ denture fo r the upper jaw, thc lowcr jaw or both jaws?

(c) Was your f i r s t denture. mainly f o r s akc of appearance or mainly to hc lp you to cat?

(d) Since you had your f i r s t denture how many more of your na tura l teeth have you lost (had out)?

L lg4 Age in ycars

-* EL\- Upper j a w ... Lower j a w ... Both j aws ....

For appca rancc ... For ea t ing ............. Both ..........................

E l a c

None Elsp ......................... D K / C R .................... Number lost .........

19. Is your present dcnturc fo r thc uppcr jaw, the Iowcr jaw or both jaws?

F- 19 U p p e r j aw ... Lower j a w ... Both jaws ....

(a) Is your upper denture a f u l l E119 A top p la te or not? Full t op p la te ..........

Not (par t ia l plate) ,

(b) IF HAS,LOWER D E N T U R E No lower den tu re X-

Is your lowcr dcnturc a f u l l Fu l l toD Dirte ........... t Z 1 m

bottom plate or not? Not (par t ia l plate) ,

20. HOW long ago d i d you get your prcscnt top platc (bottom platc)?

No topfbot tom pla te

Lcss than a ycar ......................

Prompt as necessary

..........

. .............

1 ycar less than 2 yrs

2 yrs Icss t han 5 yrs

5 yrs less t han 10 yrs .......... 10 yrs less t han 20 yrs ........ 20 yrs or morc .......................... Can't rcmember/don't know 7

-

4 19

- 1

2

.... I .... -

1 2 3 - I 2 3 - 0

33 .... I ....

I

2 - . _ _ _

1

2 - Bottom platc

9

I

2

3

4

5

6

7

- -

- 141 A D

E a i F 21. (Can 1 just check) have you

worn your top plate (bottom plate) a t a l l d u r i n g the last Worn f o u r wccks?

Not worn

%I

22 D o you usually keep your EL-y t op plate (bot tom plate) i n I n a t n i g h t - a t night?

Not

;rj

23 Do you wear your top platc lL33-J- (bot tom plate) f r o m the t ime A l l day t ime you get u p to when you go to bed? Not

EA3A I 7 go out? (a) Do you usually wear your

top plate (bot tom plate) when you (never go out) 29

a r e ea t ing? , EL23427

ai EL23rf2.7 a r e abou t t he house?

TOP plate

1

2

3

4

5

6

Yes No

1 2

9

1 2

1 2

24. Do you havc a n y (other) problcms wi th your dentures? Y cs

N o U*

(a) Wh3t problems d o you have with y o u r dentures?

EX+W I --M Y #

,

/ Dentu re not worn (Q21-2) . .. . Not worn all d a y (Q23-6) . ..

25. INTERVIEWER CHECK E z>

or has problems wi th den tu re (424-1) . I

No problcms

(a) Arc you planning to visit thc dent is t && Planning to visit Not

to see about your dentures?

5

Bottom plate

I

2

3

4

5

6

f c s No

1 2

9

1 2

1 2

I

2

TO ALL

I n general, how d o you feel about t he appearance of your teeth, a r e you sat isf ied o r not satisfied wi th the way they look?

26. (Thinking about both your na tura l teelh and your dentures)

a d Satisf ied Not ............................

.................

(a ) What is i t about the wky your teeth look tha t makes you not sat isf ied? U & A r l l -'M+

#

27. If you wen t to the dent is t with a n aching - back tooth would you prefer the dent is t to take i t ou t or f i l l it? . L.27

T a k e i t out ......... . . Prompt as ncccssary Fill i t .....................

(supposing i t could be f i l led) ~

28. If t he dent is t said a rront tooth would have to be extracted (Iaken out ) or c rowned w h a t would you prefer? E. L?

Extracted .............. Crowned ...............

29. If t he dent is t said a back tooth would have to be extracted ( taken out ) or c rowned w h a t would you prefer? c 24

Extracted .............. Crowned ...............

30. If you had several missing teeth a t the - back would you prefer to have a part ia l den tu re or manage without?

Back par t ia l den tu re ...... Manage wi thout .................

6

a

1 4 3

31 INTERVIEWER CHECK Never ha2 dentures (QISq-2)

Had dentures

(a) You said you have never had a denture , bu t when people lose some of their na tu ra l teeth they may need a denture

~ 3 1 A D o you f i n d the thought of having a par t ia l den tu re to replace somc of your teeth very upset t ing


a l i t t le upset t ing

or not a t all upsetting’

3 2 Dur ing the ncxl f i ve years somc pcoplc will have a partlal d e n t u r e fo r the f i r s t t ime D o you th ink you a r e l ikely or unl ikely to have a par t ia l d e n t u r e wi th in the nexl f i v e years’

C3%

Likely to Unl ike ly to DK

33 Many people eventual ly have a l l the i r na tura l tceth ou t and have

# f u l l dentures Do you f i n d the

teeth a n d having f u l l den tures thought of losing all your own E33

very upset t ing


a l i t t le upse t t ing o r not a t all upsetting’

34. Dur ing the next f i ve years some somc people will havc !-LJJ

dentures f o r the f i r s t t ime DO you th ink you a r e l ikely or unl ikely to havc’a f u l l den tu re wi th in the next f i v e years’

(a) Do you th ink a t sometime. you will havc f u l l dentures or d o you th ink you will a lways keep some of your na tu ra l teeth’

#

C’4

Likely to U n h k e l y to DK

r u t 4 Full dentures somctimc Always keep G t u r a l teeth D K

2

1

I 2 3 -

1

2 3

1

2 3 -

I 2 3 -

1 2 3

-

L G

7

R L C + o + = I - A

MOST RECENT D E N T A L VISIT ( U K )

37. When people go to the dent is t they sometimes have to make more than one visit (Tor a course of treatment).

When you last went to the dent is t One visit ........................... . . 0 7 . . T w o visits

Three visits ...................... Prompt as necessary Four visits ........................

Five visits or more .....

how many visilf d id you make? ......................... . . . .

38. (Can I just check) in the visit(s) a g l - -313 you made to the dent is t what d id you have done? Did you have .... ..!-A check-up?(cxaminat ion)

.... x-rays taken? ........................... ?

.!.. teeth f i l led? ............................. .

Previously living

35. I'd like to t a l k now about the last time you went 10 the dentist.

Have you been to the dent is t in the last six months. tha t is s ince last March/Apri l /May?

(a) (Can I just check) a r c you No

in the middle of a course In the middle of t rea tment of t reatment or not?

I 0 Not

(b) Have you been to the dent is t in the last Yes No year , that is s ince Sept /Oct /Nov last year?

1 2 3 4 5

Yes No D K

1 2 3 r l ' 1 2 3 IL.

1 2 3 1 7

More than 1 u p to 2 yl's ago ..... (c) About how long ago was your

last visit to the dentist?

More than 2 u p to 3 yrs ago ..... 2 Prompt if More than 3 u p to 5 yrs ago ..... 3

More than 5 u p to 10 yrs ago _. 4 necessary

More than 10 u p to 20 yrs ago.. 5 More than 20 yrs ago ...................... 6 Never .......................................................... I

36. T h e last t ime you went to the dent is t what made you go? Was i t o(. because you were having some Trouble wi th teeth .... 1 t rouble with your tccth or f o r a check-up o r fo r some other reason?

Chec k-U p 2 .......................... Other(specify) , . . , . 3 . . . . . . . . . . . . . . . . . . . . . . . . . . .

Individual prompt

.... - ..?crowns f i t t ed?( ref i t t ed) ..... t reamcnt for a n abcess? ..... teeth taken- out? .... teeth scalcd (scraped, - cleaned) a n d polished? .... .... new dentures f i t t ed? .......... 2 L

..?.old dentures repa i red? ...... 2 <, . somedother t rcatmcnt? (spcciry) ... 2

a

39 Was your t reatment under E 3 9 the NHS. was i t p r iva te Nat ional Heal th Serv ice or was i t something else? Private

Do not prompt

N H S a n d pr iva te School/Community Denta l Service

Armed Forces Dental Hospi ta l (hospital) Dent is t a t your workplace Something else (spcciry)

4 0 How much d id the t reatment cost you? Lk-0 f

L L-w

Cost something . Nothing D K . _

-

(a) Did t h nen t s t more 1 i n you expccted, about what you cxpcctcd or less than you expccted? LLCOA

More than expected About wha t expected Less t han expected Other (specify)

41 I f you had dcntal t rcafmcni under c4-I t he NHS i n the next rour weeks do F ree

you th ink you would be entitled to ' f r e e t rea tment or would you have

Have t o pay

to pay something towards the cost? DK .

42 Think ing about the dcntal practice you went . to last time had you been there €+L before or was t h a t your r i rs t time a t Been be io re tha t practice? F i rs t t ime

(a) For about how many years €4LA -. . have you been going to tha t Less a

den ta l practice? One year less t han two . Two years less t h a n f ive Five years or more ._ DK/can ' t remember .

43 How d id you choose tha t par t icular LccJlll - IL+3n1 den ta l pract ice7

F a m i l y dent i s t

Do not prompt

Recommended Nearest Can't remember Other (spcciry)

P

1

1 2 3 -

1

2 3 4

a 9 -

1

2 3 4

5 -

1 2 3 4

5

-

56

(a) 43 57

39

3 9 - 4-z

9 1 4 6

44. Will you go to the practice against next time?

(a) W h y will you change your dental practice next time?

F_w-

Y es .... No .....

45. Some people go to a dentist near their work. Can I just check. are you working. s tudying or not working a t the moment?

cce < Working .............. Studying ............. Not working ....

46. Do you usually take time o f f work when you go to the dentist?

(a) How much work time does a dental visit usually take ....

~

€MY

Yes .... No .....

CYbA .... under 1 hour ............. I hour ............................ 2 hours or more _..... 3 hours or more ......

or 4 hours or more? ....

47. Is the dental practice (you went to L4t7 last time) nearer to your home or nearer to your work/college?

Nearer t o ' home .................... Nearer to work/collcge .... Same ............................................

48. How f a r is the dental practice f rom home/work/college? (Whichever is nearest)

U p to half mile .................................. More than half u p to ' l mile .... More than 1 u p to 2 miles ......... More than 2 up to 5 miles _........ More than 5 u p to 10 miles ...... More than 10 u p to 20 miles .... More than 20 u p to 30 miles _... More than 30 miles .........................

. - . . . . . . . . . . . . . . . . . .,. . . . . . . .Other (spccily) . . . . . . . . .

10

- 1 2

- 1 2 ' 3 -

1 2

I 2 3 4

5 -

1 2 3

1 2

. 3 4 5 6 7 8 9

-

c .

st

1 4 7

. .... .. . .. .- ... .

49 INTERVIEWER CHECK E-W Scvcral pcoplc in household One only

(a) Do all people in this household ( tha t is ) go to the samc denta l pract icc as you or not7

r* 4 A I I go to'samc pract icc

Do not

66 50. In general d o you go to the dcnt is t Tor

a regular check-up a n occassional check-up

or only when you're hav ing t rouble with your teeth?

51. Would you say tha t nowadays you go to E l l the dent is t more of ten , about the same or More of ten less of t en than you did f i v e years ago7 About the same

Lcss of ten

(a) What has made you go morc/less of ten? d/Mt - f l y -

f0 52 INTERVIEWER CHECK Rcgular At tenders (w- 1)

Not , C5-Z

(a) Has thcrc been a n y t ime i n your =<z4 life when you have not been Tor a regular den ta l check-up?

Has not a lways been regular ly Always been regular ly

(b) Why d id you not go regularly a t that t ime?

2 I -

1

2

40 Non-regular attcndcrs (&= 2 O r 3) S3. INTERVIEWER CHECK .... Not d 3 .........................................................................

&SA (a) Has there been a n y time i n y o u r l ife when you have been for regular dental chccks?

Used to go for regular checks .... Ncvcr been for-,regular checks ....

(b) Why did you go regularly a t that time?

(c) Why is i t that you have never bccn fo r regular dental checks?

#

S4. Now I'd like to t a lk a little about d4 cleaning y o u tccth. Never ...........................................

(a) How of ten do you clean your teeth nowadays?

. . . .

Less than once a day ........ Once a day .............................. Twice a day ............................ More than twice a day ....

per . . . . . . . . . . .Other (specify) . . . . . . .

SS. At what time of :he day do YOU CCCr?l-flLT clean your teeth?

Codc all that apply

If morning and no breakfast r ing 'After breakfast ' ( 2 )

. . . . . . . . . . . . . . . . * . .

Bcforc breakfast .......... Aftcr breakfast ............ Midday ...._.......... ~ ............. Tea time .......................... After evening meal ..., When going out .- ......... Last thing a t night .... Other (specify) . . . .

2 1

I 2

1

' 2 3 4

5 6 1 0 U-31

12

1 4 9

56 (Can I just check) nowadays there a re more things avai lable in chemist shops to help wilh denta l hygiene EL& Do you use any th ing o ther t han a n o rd ina ry Y cs

No tooth brush a n d toothpaste f o r dental hygiene purposes?

LCdAn I - fi+

(a) W h a t d o you use? Denta l f loss In tc rdcns / toothpicks/woodst icks

Mouthwash Interspace brush 0 thcr (specify)

57 Has a dent i s t or a n y of the den ta l s t a f f demonst ra ted to you how to clean your teeth.)

r:7 Demonstrated Not

58 Has a dent i s t o r a n y of the den ta l s t a f f given you advice on ca r ing fo r your gums?

c a Given gum advice Not

59 Some people seem 10 have a lot of t rouble wi lh their teeth a n d gums while o thcrs have hard ly a n y a t al! How lucky a r e you wi th your den ta l health. have you had

L@l

,

(a) Are you unlucky with your teeth, or your gums or both?

more t rouble than most people a b o u t ave rage

or less t rouble than most people? (OF YOUR AGE)

r4-% Teeth only Gums only . Both - .

(a) What d o you put your t rouble down to?

E<7%fll -PI+

I 2

I 2

I 2

37

3%

13

f(Lc < oc= 1-2-

60. A few months ago we ta lked to some people who don't l ike going to the dentist. We asked them wha t they didn ' t l ike and what changes they would suggest, and I'd like to ask you whether you feel the same or not about t h e things they said.

(a) Would you read these cards a n d then place them on the box tha t is closest INTERVIEWER - S H U F F L E CARDS

to your view, tha t is whether you def in i te ly feel like that , feel like that to some extent or don't feel like that?

.I

INTERVIEWER R E C O R D OUTCOME BELOW

C.d NO.

Definitely To Don't feel like wm. feel like DK thbt lxtrnt that Sta tement

1

2

1 2 3 4

1 2 3 4

1 always feel anxious about going

I'm nervous of some k inds of denta l treatment.

to the dentist. 9

,a

2 3 I'd l ike to be able to pay fo r my denta l l 2 I t reatment by instalments.

3

4

5

6

7

8

9

10

I 1

I would l ike t o be given a n est imate wi thout commitment.

1 2 3 ' 4

1 2 3 4

1 2 3 4

1 2 3 4

If I had toothache I'd r a the r take p a i n - killers than go to the dentist.

T h e worst pa r t of going to the dent is t is the waiting.

I'd like to be able to d r o p in a t the dent is ts wi thout a n appointment .

Dental receptionists a r e not very helpful or welcoming.

Going to t he dent is t is like being processed on a conveyer belt.

I'd l ike to know more about wha t the dent is t is going to do and why.

I don't wan t fancy ( intr icate) denta l

I don't l ike lying f l a t in t he dental chair .

I \

1 . 2

13

IT

. IC I 2 3 4.

1 2 3 4

1 2 3 4

Ib

t reatment . 11

1 2 3 4 I?

I f i nd N.H.S. denta l t reatment expensive. I 2 3 4 19

I I ' 2 3 121

14

Is

1 2 3 4

1 2 3

I would l ike more pr ivacy when I a m speaking to the denta l receptionist.

It will cost me less in the long run if I only go to the dent is t when I have t rouble wi th my teeth. 23

61 We have asked you a lot about denta l heal th a n d dent i s t ry Is there any th ing you would l ike to say t h a t wc haven’t asked about?

Use c la r i fy ing probes only

#

CLASSJFICATION (Introduce)

62 A lot of people own cars these days

(Can I just check) is there a car or van normnllv avai lable for use by you o r a n y members of your household?

E. b l

Yes No

E. b 3 63 H o u long have you lived i n this all your life 10 years o r more

Runn ing p rompt or less t h a n I0 yrs?

pa r t of the count ry , th3t IS within 50 miles of here

(a) H a v e you l ivcd anywhere ( for as long as a year) that is I00 miles o r more f r o m hpre7

(b) What is the name or thc place f u r t h e s t f r o m here that you have l ived? (Tor as long a s a year)

Town

C o u n t y

.

ELL3 9 Y es No

E 6 3 3 Abroad 99

IS

1 5 2

64. (a) Date of birth

( b ) S e x w p Male ............... 1

Female .......... 2

never worked .......... I I t %

Upper Lower 1 Nerv.. 1

Does not 0 0 Not 0 (from 419)

-Has denture.. I ..... ..........

65. Occupation of respondent (Last main job)

CI ........... (c) Marital Status S i n g e

b4-L (Living as) Married ........

Widowed Divorced ..... Separated .... c 1

(d) Employment Full-time ..... -7 Pal i-time .....

Retired ......... Not in employment ..........

CS

......

(a) Job title:

N cr rc. (c) Age finished continuous

1

2 3 4 5

1 2 Over I8 yrs .......................... 6

3 4

f u I 1-1 i m'e education EbWE

...................... I4 yrs or less I5 yrs 16 yrs ....................................... 17 yrs ....................................... I 8 yrs .......................................

Still in full-time educ ._..

.......................................

Job description:

Industry:

,

(b) If employee Ask or record

-(i) How many employees work(ed) in the establishment?

(c) If self-employed Yes, probe: Do (did) you employ : any other people?

I INTERVIEWER C O T 1

I

Eb<EkP emC 'yee .............. I self-employed .... 2

manager .......................... E-6<?!3.

foreman/supervisor .... other employee ............

1 - 24 ............... 25 or more _.. uf3 I

25 or more ................. 2 No employees ............ 3

66 INTERVIEWER CHECK C 6 6 A

(a) Have you a l ready obtained the Y es

occupat ion of the HOH7 No

LbbZ Y es

.a No (b) Is there a spouse of HOH i n h’hld?

67 Occupat ion of HOH EL67 h)4W

(Last ma in job) never worked

(c) Is this respondent the spouse of HOH7 Yes E b b t No

1 - 68 2 - (b)

3 - (c) 4 - (d)

4

to

5 - 61 6 - 68

11

7 - 67 8 - 68

IL

I - 68 13

(d) Is this respondent related to the HOH? Yes No

la.7 A J o b descr ipt ion L

Indus t ry

,


(i) How many employees work(ed) in the e s t a b l i s h m c n t ~

(c) If self-employed Yes. probe Does/did (HOH) employ a n y o the r people7 .

C_67Lnr employee self-employed

fo rcman / supe rv i so~ other employee ..

u r n I I - 24 .. 25 or more

Gb7C 1 - 24 employees 25 or-more N o employees

1

2

1

2 3

1

2 -

1

2

3 -

~~

occupat ion

17

1 5 4

68. A t t h e end of interview ask adul t s with some na tu ra l teeth if they would be wil l ing t o have a home visit.

In t roduce as ncccssary

(a) Gra te fu l f o r their help - asking fo r a little more in order t o complcte the picture.

(b) Some things only a dent is t looking a t your .* teeth would see.

(c) Asking anybody who has some teeth if dent is t can come back in a f e w d a y s time.

(d) He won't comment on your teeth a t all, to you o r anyone else (ethics).

(c) Resul ts will help to estimate the need f o r t reatment .

(f) Reassurance tha t i t will not - h u r t a t all. E - 6 K

Willing to have denta l visit ... : (8) Length or t ime fo r examinat ion

If wi l l ing to have denta l visit 69. hlake appointment . or a r range to ring/call

to make a n appoin tment ,

Not .......................................................... (10 - IS mins).

If not wi l l ing 70. Note comments:

D E N T A L U P D A T E 71. A s time goes by, t he information tha t

w e collect on surveys gets ou t of da t e and then i t is less useful fo r planning services. For th i s survey we could keep the

. i n fo rma t ion up-to-date by adding on t h e detai ls o f a n y f u t u r e dental visits you m a k e through the N.H.S. To do this we would work jointly wi th t h e cen t r a l c lear ing place fo r N.H.S. denta l t reatment . Would you have m y objection t o US doing this?

- €71

Willing to have upda te .... Not ...............................................

a 9

-

69 70

XI -

71 -

18

P. F.C

S1260 A D U L T D E N T A L H E A L T H 1988

Quest ionnaire 2 I

People wi th no natura l tccth

lws-q

-.. , * 7 . . . r: Area r! + Address H'hld ' '

Person N o Child

( I ) Mother f igure * ' Not TG, F J T .

Joint interview ( 1 1 ) Single rntervicw

Pf.C X '$ Respondent intcrviewcd 131 Proxy intcrviewcd . I 4 I,,

1. Could I Just check. have you ever had a full set of dentures or not? 71

Have (had) fu l l dentures Not

(a) Why have you never had fu l l dentures7

2. How long ago d id you get your present top plate (bottom plate)? Prompt as ncccssary

7 zy Less than a year 1 year, less rhan 2 years 2 years, less than 5 years ,

5 years. less than 10 years 10 years, less than 20 years

bcmg 'broken in' rc fc r to them. If the mosJ recent dentures have been abandoncd in f avour of ear l ie r ones refer to the ones t ha t 20 ycars, or more are worn 1n Drefcrcnce

Can't remember. don't know . ~~~~

3. Did you get your top plate

3 3-r (bot tom plate) through the Nat ional Heal th Service or d id you get i t pr ivately? N H S

. Privately Before N H S Don't know Other (spccify)

~

I

TOP PI.1.

1

2 3 4

5 6

7

I 2 3 4

5

-

1

2

- Bottom PI.1.

1

2 3 4

S 6

7

-

I 2 3 4

5

-

4. (Can I j u s t check) have you worn your top plate (bot tom pla te ) a t a l l du r ing the last f o u r weeks?

P 47 Worn .............. Not worn ...

427

ZD c r 5. Do you usual ly keep your top p la te (bot tom plate) in a t n igh t? In a t n ight ....

Not .................... at?

6. Do you w e a r your top plate (bot tom pla te ) f r o m the t ime Y O U get Up to when YOU go t o bed? AI1 day t ime ...

P67

Not ......................

7. Do you usual ly wear your top p la te (bot tom plate) w h e n you . . . .

7 1Tl

5 0 .... go ou t? .............. Ind iv idua l p rompt (never goes out ) ....

.... a r e ea t ing? ...... 31

.... a r c abou t t h e house? ... 31

3 1TZ

V-

8. H o w d o you feel abou t the look of your dentures . a r e you sa t i s f ied or not sat isf ied wi th t h e w a y they look?

I

- TOP Pht. -

1 2

3 4

-

5 6

7% Sat i s f ied ............. Not sa t i s f ied ...

9. DO (would) you have a n y t rouble speaking clear ly wi th your dentures?

(a) What k i n d of t rouble d o (would) you have? (wi th Speaking)

#

Pq Yes ... N o ...

I 2 -

3 4

-

<

6 ' - (es Nc

1 2

9

1 2

1 2

-

- -

1

2

I 2 -

2

10 Do (would) you have a n y d iscomfor t or t rouble with your den tu res when you a r e ea t ing or d r ink ing?

(a) What k ind or discomfort or t rouble d o (would) you have wi th ea t ing or d r ink ing?

#

; P I 0 Y cs

No

11. Do (would) you have a n y other problems wi th your dentures?

(a) What o the r problcms d o (would) you have?

#

12. INTERVIEWER CHECK 7 1 % Ment ioned a d e n t u r e problcm a t QS. Q9. QIO, or Q l l

H a s not

(a) Are you p lanning t o visit t he dcni i s t to see abou t y o u r dentures?

3 1x4 Plann ing to visit

Not

1

2

3

1 5 8

ELALL 13. I'd l ike to talk now about when

you lost t he last of your natural teeth?

How many years ago d id you lose the last of your own teeth? U p to 5 years ago .........................

. Over 5 u p to 10 years ................ Over 10 up t.0 IS years a g o .... Over I5 u p to 20 years a g o .... Over 20 u p to 30 years ago .... Over 30 years a g o ......................... Don't know/Can't remember ....

7 1 3

Prompt as ncccssary

7 tct 14. How old were you when you lost Ane in vears the last of your na tura l teeth?

IS. When you lost the last of your own teeth how many teeth were there to come out altonether? 3' -

I - 11 ............. 12 . 20 .............

Prompt In whole course of t rea tment I as

I 1 21 or more ncessary ....

16. Why d id you lose the last of your own teeth, was i t because . . . .

# . . . . the teeth were decayed .......

Code al l tha t apply the gums were bad ................

or was i t f o r some o the r reason? , (specify) . . . . . . . . . . . .

17. Did you r ind losing the last of your na tu ra l teeth and having fu l l dentures . . . .

# prompt

. . . . very upset t ing ............. Runn ing a l i t t le upset t ing .......

or not a t a l l upsetting?

Never had fu l l dentures ....

, ......

18. Did you suggest to the dent is t

3 IQ t ha t t he last of your na tura l teeth should come out or d id the dent is t suggest i t to you? Respondent suggested i t

Dent is t suggested i t .......................... Tee th fel l out of own accord ....

. . . . . . . . . . . . . . . . . . . . . . . . . Other (specify) . . . . . . . . . . .

.................

19. When you h a d your own (na tura l ) teeth d id you go to the dent is t for . . . . . P 19

a regular check-up ............. Runn ing a n occasional check-up .... prompt or only when you were having

trouble with your teeth? .........

1 2 3 4 5 6 7 -

.... I .... -

I 2 3 -

1 2 3

-

1

2 3

4.

- 1 2 3 4 -

1 2

3 -

c7

4 0 1 = 7 .3 - O S

20 Some people have some fa lse teeth (par t ia l dentures) before they lose a l l their own teeth

When you lost the last of your own teeth d id you previously have a n y dentures?

7- Previously had dentures Did not

21. How old were you when you f i r s t had some fa lse teeth?

7Zl Agc years

22. Just before you lost t he las t o f your own teeth

(a) What kind or dentures d id you have, a top plate only, a bottom plate only or d id you have both?

(b) Was the top plate a f u l l top plate or not?

(c) IF H A D BOTTOM PLATE Was the bottom plate a f u l l p la te or not?

>& T o p plate only Bottom plate only Both

3 -3 Full top plate Par t ia l

JJ== No bottom pla te X

Full bottom plate Par t ia l

P xs 23 INTERVIEWER CHECK Lost the i r na tu ra l teeth du r ing the last ten years (413 - code 1 or 2)

Lost before 1978/DK (413 - codes 3 - 7)

(a) What kind of denta l problems d id you have i n the & years before - you lost the last of your na tura l teeth? ,

24 Did you expect to lose your teeth P %+ a round then or were you surpr ised Expected to lose . to lose them a t tha t age? Surprised a t tha t age

O t h i r (specify)

1 2

I

I 2 3

I 2

I

1 2

# 5

I60

25. When you f i r s t had dentures Ncvcr h a d ful l dentures ....... X about how long d id i t t ake you to get used to having them?

(QI -code 2)

No time a t all .....................7. .E < ..... Up to a week .......................................... Over a week, u p to a month ......... Over a month, u p to 3 months ....

. . . . . . . . . . . . . . . . . . . . . . . . Other (specify) . . . . . . . . . . . .

26. Since you've had fu l l dentures have you had to change the kind of food you eat?

(a) What can you ea t now that Y O U couldn't ea t before?

(b) What could you ea t before tha t you can't eat now?

3 xci H a d to change .... Not ............................

Nothing ...

27. If you knew someo'ne who thought they might soon have the rest of their teeth ou t and fu l l dentures f i t t ed wha t advice would you give them?

# 927n I - M't

.

6

I

.

TO ALL 28 I’d l ike to ta lk next abou t t h e k ind of den ta l

t reatment you’ve had over t he whole of your l i fe t ime r ight f r o m the first t i m e you went to the dent is t , i nc lud ing when you were a child

Did you ever have 3 L q A - 3 a s x

a ) a n y f i l l ings?

b)

c)

d ) a n x-ray of your teeth?

an inject ion i n t he gum f o r a f i l l ing?

a n inject ion in the arm f o r a f i l l ing?

e) a n y wisdom teeth removed?

f ) a n y o ther teeth ex t rac ted ( taken out)?

g) a n injcctJon in the gum f o r c x t r a c t ~ o n s ?

h) a n inject ion i n the a r m f o r extract ions?

p-1:: 3 iY 1 2

I ) gas fo r extract ions7

J ) f luo r ide t r ea tmen t o r f issure sealants?

k) a brace to s t ra ighten your teeth?

1) an abccss t rea ted?

m ) a tooth c rowned?

n) a dcn la l b r idge?

0 ) a scale and polish by the dent is t?

p) t r ea tmen t f r o m a den ta l hygienis t?

q) a par t ia l d e n t u r e I i t t cd7 .

r) a par t ia l d e n t u r e repaired?

s) a fu l l d e n t u r e f i t t ed?

t ) a f u l l d e n t u r e repa i red? -

U) d i d ydu have a n y o the r k ind of

- den ta l t rca tmcnt? (specify)

) I 2 3 JZ‘

7

Previously living abroad ... X ..... 34

Yes No ....

29. I’d l ike to talk now about the last t ime .... 7r9 you went to the the dcntist. Have you

been t o the dent is t i n the last six months, t ha t is s ince last March/April/May?

(c) About how long ago was More than 1 u p to 2 yrs ago ......... More than 2 u p to 3 yrs ago ......... your last visit to the

dent is t? More than 3 u p to 5 yrs ago ......... More than 5 u p to 10 yrs ago ....... More than 10 u p to 20 yrs ago .... More than 20 yrs ago

Prompt as ncccssary

.......................... ..... Ncvcr ....................................... >.?q.C

>3om\ - M Y

30. T h e last t ime you went to the dent is t wha t made you go?

#

I n middle of t rea tment .... 1

Ask a b o u t th i s coursc (a) (Can I just check) a re you in the

middle 01 a course 01 treatment or not? Not 7x9 4 2 .............................................

I 2 3 4

5 6 7 1::

5l--YO

(b) H a v e you been to the dent is t in t he last year , tha t is since Sept /Oct /Nov 1987?

31. When people go to the dent is t they sometimes have to make more than one visit . . 331

dent i s t how many visits d id necessary T h r e e visits .....................

O n e visit .......................... T w o visits ........................ . . ( f o r a coursc 01 treatment).

When you last went to the

you make?

Prompt as . . Four visits

F ive visits or more .... .......................

N o ...

1 2 3 4

5

73x1 - 332-g 32. (Can I jus t check) Lur ing thc visit(s) you made to the dent is t what d id you \ .... teeth taken out? .............................

. ? . .x - rays taken? ....................................

..:. impressions taken? .......................

.... dentures repa i red? ........................ . . . . . . . . . . . . . . . . . . . . . . . . . . . some o the r t rea tment?(spec i fy)

have done? Did you have any ....

Indiv idua l prompt c

Yes No DK

I . 2 3 1 2 3 1 2 3 1 2 3

. I 2 3

Nat iona l Heal th Service .......... :.. ............ Pr iva te N.H.S. a n d pr iva te ...................................... School/Community Dental Service .... Do not

prompt Armed Forces ................................................ Denta l hospital (hospital) ...................... Dentis t a t your work place .................

33. Was your t rea tment under the N.H.S. o r was i t p r iva te o r something else?

..........................................

-

7

.

34 Is t he re anything else about dentures or dcn ta l hcalrh that you would lrkc to tell me about?

Use c l a r i f y ~ n g probcs only

#

CLASSIFICATION (Introducc)

35 A lot Of pcoplc own cars these days

((?an I just check) is there a car or van normal ly avai lable fo r use by you or a n y mcmbcrs of your houschold’J

2 3f Yes No

36. How long have you llvcd i n this pa r t o f the count ry , tha t is within 50 miles oi here

(a) H a v e you lived anywhere ( for as long as a ycar) tha t IS 100 miles or more f r o m b r c ?

(b) What IS the name of t he place fu r thes t f r o m here tha t you have l ived” ( fo r as long as a ycar)

T o w n

County

7 36 a l l your l i f e 10 years or more

or less t han 10 yrs?

2 56b Y er No

Abroad >(

3 36%

1

2

I 2

CI

9 1 6 4

P31-TH 7 3 7 7 y 3377LAq

Day M t h Year S37k 7 3 7 L p31uUyv

37. (a) Date of birth

Ma I e 7.?7.??. Female Lr- G7 (c) Age finished continuous

full-time education

I4 yrs or less 15 yrs I6 yrs ....................................... 17 yrs ....................................... 18 yrs (d) Employment ..... .......................................

........ ...................... ......

....................................... Widowed Divorced Separated

..... 4

....

(b) Sex

..... Part-time Retired .........

Not in employment ............ c-+

2 3 4

Over 18 yrs .......................... 6 Still in full-time educ ..__ . 7

38. Occupation of respondent ;I3ablw4 never worked .......... (Last main job)

68

I 39 (a) Job title:

Job description:

industry:

,


(i) How many employees work(ed) in the establishment?

(c) IT self-employed Yes, probe: Do (did) you employ .. any other people?

I I I 67 Interviewer code 1

occupation

7- -71

manager ....................... foreman/supcrvisor other employee ............

7 r 3 9

25 or more

25 or more No employees 7 6

10

.

40 Occupat ion o r H O H 3 W O r l t V r J t ncvc, worked

39 INTERVIEWER CHECK

I)_

1 - 4 1 ' 3

(a) H a v e you a l ready obtained the occupat ion or the HOH?

p3q-5 Yes

.. No

3 3 4 c Yes No

(b) Is there a spousc of HOH i n h'hld?

(c) Is th i s respondent thc spousc o r HOH?

32qP Yes . No .

(d) Is this rcspondcnt relntcd to the HOH?

II

40

4 1

(Last main job)

(a) J o b titlc

Job descr ipt ion

Indus t ry

I

(b) If cmployec Ask or record

(i) How many cmployecs work(cd) in t h e establ ishment?

(c) If sdf -cmploycd Yes. probe Docs/did (HOH) employ a n y o ther people? I

p 0 - r employec self-cmployed

1

2

other cmployec

1 - 24

25 or more

2-c 1 - 24 ~ m p l o y e e s 25 or'more . N o employees

occupation I IY -

1 1

.

DENTAL UPDATE

41. As t ime goes by, t he information that we collect on surveys gets ou t of da t e a n d then i t is less useful fo r planning services. For this survey we could keep the informat ion up-to-date by add ing on t h e detai ls of a n y f u t u r e dental visits you make through the N.H.S. To do this w e would work jointly wi th the cent ra l c lear ing place fo r N.H.S. dental t reatment . Would you have a n y objection t o US doing this?

.

P.\ Willing to have update .... Not ...............................................

12 1 6 7

A t c 10 S:a831c P,F.L,q Area : Address H’hld

S1260 A D U L T D E N T A L HEALTH 1988

Questionn3ire 3 f i ~ n ~ ( 1 ) Pcrsl

Chi ldren aged 0-15 FXC. P:c ( 1 1 ) Person No of chilc

1 Less than a vcar I - 00 1 Age

2 I f aged 3-15

H a s ever been to the dentist?

3 H a s hc/she been to the dent is t wi th in the last 2 yrs. tha t is since 19867

a ) wi th in the last year?

b) wi th in the last 6 months?

I Has hehshc ever had a n y teeth f i l led7

j H a s hc/shc ever had a n y teeth ex t rac ted ( taken out) by the dent i s t?

a ) Were a n y of these teeth extracted by gas?

b) Were a n y of these teeth extracted because of * crowding?

C J k j ! Age i n years

- AI1 aged 0-2 F Y cs

No C Z

In last 2 yrs c3 Not

In last year C S A Not

In last 6 months c33 Not

Has f i l l ings &‘f- N o t

Had extract ions

cc Not

Out f o r crowding cca Not

5 Has hc/shc ever had a n y t rea tment Prevent ion to prevent decay? (eg f lour idc CL Not t rea tment or f i ssure sealants)

7 Does he/she go c7

Just tO get used 10 going to t he dent is t for a regular check-up

an occasional check-up or when hc/shc is having some t rouble wi th his/hcr teeth’

TO A L L

decayed teeth a t the moment? . Yes < Do you t h ink has a n y

cf No DK

) Do you th ink wil l be In next 6 months going to the dent is t i n t he cq Not next six months or not?

I

IU. One par t of a dentist's work is to provide t rea tment to improve the appearance of teeth which a re crooked or pro t ruding . CI 0 H o w important do you think i t is tha t .... very important ..................

not very important ........

chi ldren with crooked o r pro t ruding teeth should have them straightened. Do you t h i n k i t is ....

fa i r ly important ...............

or not a t all important? ... 11. Many chi ldren have decayed teeth a t some

stage. Is t he re any th ing that mothers can d o t o s top the i r chi ldren having decay?

CI \ Yes .... No .....

12. What can mothers d o to s tov ch i ldren having decay?

Spontancous answers

1 ) T a k e chi ldren to the dent iV regularly ............... C92I- clzzf 2) Get child to clean teeth ...................................... 8.

3) Use f I uorid e tooth pa sf e ................................................ c 1 1 t o .

4 ) Give f luoride tablets .....................................................

Do not prompt

5 ) Fluor ide in water supply ............................................ 6) FIuori.de gel t reatment a t t he dentist .................. 7) F luor ide (n.0.s.) ................................................................. 8) Fissure sealant t reatment a t the dent is t ........... 9) Prevent ive t reatment (n.0.s.) ......................................

1 I ) Restr ic t eat ing 'bad' foods (general) .................... 12) sweets .................................................... 13) biscuits ................................................. 14) ' sugar i n hot d r inks ...................... 1 5 ) sweetened/fizzy cold d r inks ...

16) Encourage eat ing 'good' foods (general) ............. f r u i t ....................................................... nuts ........................................................ crisps .....................................................

17)

18)

19)

20) Other things (spcciry) . . . . . . . . . . . . . . .

13. Now in te rv iew 'mother f igure ' on q'rc 1 or 2 as appropr ia te

I

2

3

4

1

2

1

2

3.

4

5

6

1

8

9

1 1

12

13

14

IS

16

17

18

19

20 A I IL a3 &+ as-

33 - 3 w

2

1 6 9

15-Oc 15:18

L? .. 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

'0 SPSS-X RELEASE 3.1 FOR VAX/VMS OPCS Socia l Survey D i v i s i o n on BOOT:: VMS V5.1

v a r i a b l e l a b e l s d29d ' l a s t t ime edentulous went t o d e n t i s t '

d e n t i s t

y r s '

v a r i a b l e Labels k29d ' l a s t t ime a l l a d u l t s went t o d e n t i s t ' recode k29d (1.0 (2.1) (3.2) (4.3) (5.3) (6-4) (7=4) (8.4) (9.5) i n t o

k29dg

va lue l a b e l s k29dg 1 ' 0 - l y r ' 2 ' 1 - 2 y r s ' 3'3-5 yrs' 4 '5+ y r s ' 5 'never'

do if ( d s t a t eq 2 ) compute e50d = 4 e l s e if ( d s t a t e 1) compute e50d = e?O end i f

I' e50d i s attendance p a t t e r n i n c l u d i n g edent.

v a r i a b l e l a b e l s e50d 'attendance p a t t e r n i n c l u d i n g edent'

va lue l a b e l s e50d 1 ' reg ' 2 ' o c c ' 3 ' t roub ' 4 'edent'

do i f ( d s t a t = 2) compute d s t a t x 4 e l s e i f el8 = 1 compute d o t a t x i 2 e l s e i f e l 8 = 2 compute d s t a t x = l end i f I' d s t a t w i t h p a r t i a l dentures separate

do i f (dstat.2) compute k18.l e l s e i f (e18.1) compute k18.2 e l s e i f (e18.2) compute k18.3 end i f

V a r i a b l e l a b e l s k18 'Dental s t a t e i n c l u d i n g a r t i a l dentures' Value labels k18 1 'Edentulous' 2 ' P a r t i a l ' ! 'No p a r t i a l '

do i f ( e l 9 = l ) /*upper jau . i f (e19a.1) .k181=1

Page 2

15-0c t 90 SPSS-X RELEASE 3 1 FOR V A X I V U S 1'5 19 03 OPCS S o c i a l Surve Div lS iOn on BOOT

101 1 i t (e19a;Z) k l 8 j = I 102 1 e lse if (e19.2) /*lower jaw 103 1 if (el9b=2) k l 8 5 104 1 if (e19b;l) k18j:7 105 1 else i f tc19=3) /*both jaws 106 1 if (el9a.l and cl9b.2) k18)=2 107 1 i f tel9a.2 and el9b.2) k 1 8 ~ = 3 108 1 if (el9a.2 and el9b.l) k181.6

vws v5.i

109 1 end If 110 1 111 0 V a r i a b l e l a b e l s k18 j ' P a t t e r n of p a r t i a l denture wearing' 112 0 Value l a b e l s k18 j 1 'Fu l l none' 2 'Fu l l a r t l a l ' 3 ' P a r t i a l p a r t i a l ' 113 f 4 ' P a r t i a l none' 5 'None p a r t i a l ' 6 ' F a r t i a l f u l l ' 7 'None f u l l ' 3 I,. I I . 1 1

115 0 compute t inedent eq (kag e18a) 116 0 recode t inedent ( 0 t h r u 1=1) (2 t h r u 4.2) ( 5 t h r u 9=3)(10 t h r u 14.4) 117 0 (15 t h r u 19=5) (20 t h r u hi.6) i n t o tmdentg 118 0 va lue l a b e l s tmdentg l ' l t 2yrs ' 2 '2 5 ' 3 ' 5 10' 4 '10 15' 5'15 20' 6'20+' 3 3 0 " iZ ii do i f (e42 eq 9) 121 1 compute e42b =l 122 1 e l s e i f (e42 eq 8) 123 1 compute e42b = e42a t 1 124 1 end if I* t i n e a t denta l p r a c t i c e 125 1 126 0 recode kscr (1.1) (211) (3.1) (4.2) (5.3) (6.3) (7.4) (8.4) i n t o kscrp 127 0 128 0 do i f (e383 cq 2 and e386 eq 2) 129 1 compute e38sum =1 130 1 e l s e i f ( ~ 3 8 3 eq 1 and e386 eq 2) 131 1 compute e38sun =2 132 1 else i f ( ~ 3 8 3 eq 1 and e386 eq 1) 133 1 compute e38sum =3 134 1 e l s e i f ( ~ 3 8 3 eq 2 and e386 eq 1) 135 1 compute e38sum =4 136 1 e l s e if ( ~ 3 8 3 eq 3 o r e386 eq 3) 137 1 compute e38sum = 5 138 1 end If /* s u m a r y of treatment at l a s t v i s i t 139 1 140 0 va lue l a b e l s e38sun 1 'no f i l - n o e x t r ' 141 0 2 'some f i l - n o e x t r '

3 ~ c o m f i l - s o m e e x t r ' 4 'no f i l - s o m e e x t r '

142 0

5 'dk' 143 0 144 0 145 0 146 0 save outfi le=d2OOadh sav /map 147 0

Page 3

15 Oct 90 15 33 44 OPCS Soc ia l Survey D i v i s i o n on BOOT VMS V5.1

i P S S X RELEASE 3 1 FOR VAXIVMS

MicroVAX I I OPCS Soc ia l Survey D i V i S i O n License Number 61681 Th is sof tware i s f u n c t i o n a l through October 31, 1990

1 0 get f i l e 'dentate2 rave ' lkeep= a l l 2 0

F i l e fDISK3 fXX1260 RESEAPCRIDENTATEZ SAVE, Created 13-YOV.89 10 32 02 1,243 v a r i a b l e s

3 4 5 6 7 8 9

10

13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41

42 43

46

11 12

44 45

recode r h a l l ( 1 t h r u 2. 1) (3 t h r u 4. 2) (5 thru 3) (8 thru 9. 4) (10. 5)

recode sch (1=1) (2.1) (3.1) (4.2) (5.3) (6.3) (7.4) (8.4) i n t o schg

do i f (e35 eq 1) compute e35d =1 e l s e t f l c35b CO 1 1

(11; 6 ) i n t o rha6

.... .~ .~~~~ ~. compute e35d -2' else i f (e35c l e 7) compute e35d = e35c + 2 end if /* l a s t t ime denta te went t o d e n t i s t

do if (e383 t q 2 and e386 eq 2) compute e38sum =1 e l s e i f ( ~ 3 8 3 ea 1 end e386 ea 2) compute else if compute e l s e i f compute e l s e i f compute end if

e38sum .'2 ( ~ 3 8 3 eq 1 and e386 eq 1) e38sum =3 (e383 eq 2 and e386 eq 1) e38sum =4 (e383 eq 3 or e386 eq 3) e38sum =5

I* summary o f treatment a t l a s t V l S l t

va lue l a b e l s c38sum 1 'no f i l no e x t r ' 2 'some f i l - n o e x t r '

3 'some f l l - s o m e e x t r ' 4 'no fil some e x t r '

5 'dk'

do i f ( d s t e t = 2) compute dstatx.3 e l s e I f c l 8 = 1 compute dstatx'2 else i f e18 = 2 compute dstatx.1 end if I* d s t a t w i t h p a r t i a l dentures separate

do i f (dstat.2) compure k18.l else i f (Cl8.l) compute k1852 else i f tc1812) compute k18.3

15-OC 15:33

47 48 49 50 5 1 52 53 54 5 5 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

100

!O S P S S - X RELEASE 3.1 FOR VAX/VWS > OPCS Soc ia l Survey D i v i s i o n on BOOT::

end i f VMS V5.1

V a r i a b l e l a b e l s k18 'Dental s t a t e i n c l u d i n g a r t i a l dentures ' Value l a b e l s k18 1 'Edentu lous ' 2 ' P a r t i a l ' f 'No p a r t i a l '

V a r i a b l e l a b e l s &18j ' P a t t e r n of p a r t i a l den tu re uear ing ' Value l a b e l s k18J 1 'Fu l l none' 2 'Fu l l a r t i a l ' 3 ' P a r t i a l p a r t i a ! '

4 ' P a r t i a l none' 5 'None p a r t i a l ' 6 8 E a r t i a l f u l l ' 7 'None f u l l

compute t imedent eq (kag . e18a) recode t imedent (0 t h r u 1.1) (2 t h r u 4.2) (5 t h r u 9=3)(10 t h r u 14.4)

va lue l a b e l s tmdentg l ' l t 2y rs ' 2 '2-5 ' 3 '5-10' 4 '10-15' 5'15-20' 6i20+1 (15 t h r u 19.5) (20 t h r u hi.6) i n t o tmdentg

recode kag (18=1) (19.1) (20 t h r u 24.2) (25 t h r u 29=3) (30 t h r u 34=4) (35 t h r u 39.5) (40 t h r u 44.6) (45 t h r u 49=7) (50 t h r u 54.8) (55 t h r u 5929) (60 t h r u 64.10) (65 t h r u 69511) (70 t h r u 74.12) (75 t h r u 79.13) (80 t h r u hi.14) i n t o kagg14a

recode kag (18 t h r u 64.1) (65 t h r u h i=2 ) i n t o kagg2a

do i f (e42 eq 9 ) compute e42b =1 e l s e i f te42 eq 8 ) compute e42b = e42a + 1 end i f I* t i m e a t d e n t a l p r a c t i c e

recode k s c r (1.1) (2=1) (3.1) (4.2) (5.3) (6.3) (7.4) (8=4) i n t o ksc rg

do i f compute else i f compute e l s e i f compute e l s e i f compute e l s e i f compute e l s e i f compute

(k37c eq 1 marsex= 1 (k37c eq 1 marsex- 2 (k37c ea 2 marsex= 3 (k37c eq 2 marsex- 4 (k37c ge 3 marsex= 5 (k37c ge 3 marsex. 6

and

and

and

and

and

and

k37b eq 1)

k37b eq 2)

k37b eq 1)

k37b eq 2)

k37c l e 5 and

k37c Le 5 and

k37b eq 1)

k37b eq 2)

Page 2

1'5 Oct 90 SPSS X R E L E A S E 3 1 FOR V A X / V M S 15 34 01 OPCS Social Survey Division on BOOT 101 1 end i f 102 1 103 0 do i f (dstat = 1) 101 1 compute t98d = 0 105 1 count t98d = t161 t171 tl8l t191 t201 t2ll ( 4 ) 106 1 end i f !r3: variable labels t98d 'no front teeth crowned'

i;; 110 1 compute t97d = 0 1 1 1 1 count t97d = t162 t172 tl82 t192 t202 t212 (1) 112 1 end i f 113 0 variable labels t98d 'no front teeth bridged' IIL n

do i f (dstat = 1)

i i S I, do if (dstat = 1) 116 1 compute t99d = 0 117 1 count t99d I t1610 t1710 tl8lO t1910 t20lO t2llO (1) 118 1 end i f 119 1 120 0 121 0 122 0 123 0 124 0 125 0 126 0 127 1 128 1 129 1 130 1 131 1 132 1 133 1 134 0 135 0 13h 0

missing values nl to m10 ( 9, -8 )

compute nll=m6+m7+m9

missing values ud Id ( 8, 9)

do i f ~18.1 and ud=O end ld=O compute e18x=1 e l s e i f ~18.1 and (ud.1 or Ld.1) compute e18x.2 else i f e18.2 comoure e18x.3 end' i f

value labels el8x 1 'denture not worn' 2 'denture worn' 3 'never had dentures'

i i 7 Q 138 0 s8ve outfile=d20ldent sav /map 139 0

VMS V5 1 Page 3

.

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