Training and calibration in use of the PAR Index was given to a number of clerical staff and dental advisers at the Dental Practice Board of England and Wales. The results show that it is possible to teach non-dentally trained personnel to apply this index to a high degree of reliability and they could, therefore, be trained to measure occlusal changes produced by orthodontic treatment, both for third party payment agencies, and for internal or regional audit programmes. Application of indices by non-dental staff would not only be more economical on clinical time, but should augment the objectivity and impartiality of the index.
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References
1.
Department of Health and Social Security (1986) Report of the committee of enquiry into unnecessary dental treatment, Her Majesty's Stationery Office, London.
2.
DownerM. C., TeagueF. A. and WhittleJ. G. (1979) Field testing of an information system for planning and evaluating dental services, Community Dentistry and Oral Epidemiology, 7, 11–16.
3.
FleissJ. L., SlakterM. J., FischmanS. L., ParkM. H. and ChiltonN. W. (1979) Inter-examiner reliability in caries trials, Journal of Dental Research, 58, 604–609.
4.
FleissJ. L. (1986) The design and analysis of clinical experiments, John Wiley and Sons, Inc., New York.
5.
MitropoulosC. M. and DownerM. C. (1987) Inter-examiner agreement in the diagnosis of dental caries among officers of the reference service, British Dental Journal, 162, 227–228.
6.
Occlusal Index Committee (1987) Her Majesty's Stationery Office, London.
7.
ShawW. C., RichmondS., O'BrienK. D., BrookP. H. and StephensC. D. (1991) Quality control in orthodontics: indices of treatment need and standards, British Dental Journal, 170, 107–112.
8.
RichmondS. (1990) A critical evaluation of orthodontic treatment in the General Dental Services of England and Wales, Ph.D. Thesis, University of Manchester.
9.
RichmondS., ShawW. C., O'BrienK. D., StephensC. D., RobertsC. T. and AndrewsM. (1992a) The PAR Index (Peer Assessment Rating): reliability and validity, European Journal of Orthodontics, 14, 125–139.
10.
RichmondS., ShawW. C., RobertsC. T. and AndrewsM. (1992b) The PAR Index (Peer Assessment Rating): methods to determine the outcome of orthodontic treatment in terms of improvement of standards, European Journal of Orthodontics, 14, 180–187.
11.
RichmondS., ShawW. C., StephensC. D., RobertsC. T. and AndrewsM. (1992c) Orthodontics in the General Dental Services of England and Wales: A critical assessment of standards, British Dental Journal(in press).
12.
TurnerS. A. M. (1990) Occlusal indices revisited, British Journal of Orthodontics, 17, 197–203.
