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June 2002, Vol 92, No. 6 | American Journal of Public Health 946-948
© 2002 American Public Health Association


RESEARCH AND PRACTICE

Validation of School Nurses to Identify Severe Gingivitis in Adolescents

David Cappelli, DMD, MPH and John P. Brown, PhD, BDS

The authors are with The University of Texas Health Science Center at San Antonio, Department of Community Dentistry.

Correspondence: Requests for reprints should be sent to David Cappelli, DMD, MPH, The University of Texas Health Science Center at San Antonio, Department of Community Dentistry, 7703 Floyd Curl Dr, San Antonio, TX 78229-3900 (e-mail: cappelli@uthscsa.edu).

Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

This project created a mechanism to identify adolescents with marked gingival disease with a visual screening instrument that can be administered by a school nurse or health care worker. The prevailing paradigm in management of periodontal disease is that plaque removal controls gingivitis,1 and gingival inflammation is a prerequisite for development of destructive periodontal disease.2 Prior investigation3 of a similar population in San Antonio, Tex, showed a high prevalence of severe gingival inflammation. Because school-based interventions are effective in oral health promotion,4 establishment of an intervention strategy focused on (1) identification of the health problem; (2) referral for diagnosis, treatment, . . . [Full Text]







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