Validation of different Cariogram settings and factor combinations in preschool children from areas with high caries risk.
Cariogram
caries
mutans streptococci
preschool children
risk assessment
saliva buffer capacity
Journal
International journal of paediatric dentistry
ISSN: 1365-263X
Titre abrégé: Int J Paediatr Dent
Pays: England
ID NLM: 9107511
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
07
11
2018
revised:
24
01
2019
accepted:
02
02
2019
pubmed:
9
2
2019
medline:
30
10
2019
entrez:
9
2
2019
Statut:
ppublish
Résumé
Caries risk assessment in preschool children has been limited validated. To validate caries predictive ability of Cariogram using different combinations of factors and settings in preschool children from areas with high caries risk. Two to five years old children (N = 175) were examined for caries (cavitated and non-cavitated lesions), at baseline and after 1 and 2 years. Mutans streptococci counts (MS) and saliva buffer capacity (SBC) were measured with chair side tests. Diet and oral health attitude were assessed through a parental questionnaire. Baseline caries risk was calculated using standard and high-risk group variables in Cariogram either with nine factors or excluding MS and SBC. Poisson regression models, ROC analysis and information criteria (AIC and BIC), P < 0.05, were used to investigate the predictive ability of Cariograms and to quantify the associations. Accuracy of Cariogram was found limited. Cariograms with MS showed higher sensitivity but lower specificity than those without bacterial counts. Standard set Cariograms with MS counts performed slightly better than the other models, but the difference was not statistically significant. Caries prediction with standard and high set Cariograms was also found limited. Cariogram with various factors and settings displayed suboptimal ability to predict caries in this population.
Sections du résumé
BACKGROUND
BACKGROUND
Caries risk assessment in preschool children has been limited validated.
AIM
OBJECTIVE
To validate caries predictive ability of Cariogram using different combinations of factors and settings in preschool children from areas with high caries risk.
DESIGN
METHODS
Two to five years old children (N = 175) were examined for caries (cavitated and non-cavitated lesions), at baseline and after 1 and 2 years. Mutans streptococci counts (MS) and saliva buffer capacity (SBC) were measured with chair side tests. Diet and oral health attitude were assessed through a parental questionnaire. Baseline caries risk was calculated using standard and high-risk group variables in Cariogram either with nine factors or excluding MS and SBC. Poisson regression models, ROC analysis and information criteria (AIC and BIC), P < 0.05, were used to investigate the predictive ability of Cariograms and to quantify the associations.
RESULTS
RESULTS
Accuracy of Cariogram was found limited. Cariograms with MS showed higher sensitivity but lower specificity than those without bacterial counts. Standard set Cariograms with MS counts performed slightly better than the other models, but the difference was not statistically significant. Caries prediction with standard and high set Cariograms was also found limited.
CONCLUSIONS
CONCLUSIONS
Cariogram with various factors and settings displayed suboptimal ability to predict caries in this population.
Types de publication
Journal Article
Langues
eng
Pagination
448-455Informations de copyright
© 2019 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.