© 2002 American Public Health Association
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).
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,
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