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The European Journal of Orthodontics 1992 14(2):125-139; doi:10.1093/ejo/14.2.125
© 1992 by European Orthodontic Society
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The development of the PAR Index (Peer Assessment Rating): reliability and validity

S. Richmond, W. C. Shaw, K. D. O'Brien, I. B. Buchanan, R. Jones, C. D. Stephens*, C. T. Roberts and M. Andrews

Department of Oral Health and Development, University of Manchester Bristol
*Department of Child Dental Health, Bristol Dental Hospital Bristol

Dr Stephen Richmond Department of Oral Health and Development Coupland III Building University of Manchester Higher Cambridge Street Manchester MI5 6FH

The PAR Index has been developed to provide a single summary score for all the occlusal anomalies which may be found in a malocclusion. The score provides an estimate of how far a case deviates from normal alignment and occlusion. The difference in scores between the pre- and post-treatment cases reflects the degree of improvement and, therefore, the success of treatment. Excellent reliability was exhibited within and between examiners (Intraclass Correlation Coefficient, R> 0.91). The components of the PAR Index have been weighted to reflect current British orthodontic opinion and is flexible in that the weightings could be changed to reflect future standards and standards currently being achieved in other countries.

The PAR Index offers uniformity and standardization in assessing the outcome of orthodontic treatment.


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