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Fairhall TJ et al. - While clinic-based examinations will remain the preferred option, the potential loss of information associated with home-based examinations is unlikely to be great enough to preclude using them where required, although surveys with larger samples (and therefore more accurate estimates) should restrict their proportion of home-based examinations to no more than 10%. As they are less precise, surveys with samples of 300 or fewer can safely accommodate up to about one-third of their examinations being conducted in participants' homes.

Exclusive Author Commentary
W.M. Thomson, 06/30/09

This study arose from a failed grant application for an epidemiological study we had planned to do on the oral health of older people. We had proposed examining people in either their homes or in nearby school dental clinics (an approach which has been used before in many such studies). One of the grant application reviewers criticised us for planning to do in-home exams because they would be less accurate, and for not providing any evidence that they would be useful. This, of course, got us trawling through the literature and, to our surprise, we could find no investigations of this issue. In the meantime, the NZ Health Research Council very kindly awarded us funding for a pilot study in which to do such an investigation, and this paper is the outcome.

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