Caries risk profiles in schoolchildren over 2 years assessed by Cariogram

International Journal of Paediatric Dentistry
Gunnel Hänsel PeterssonS Twetman

Abstract

Caries risk assessment is an important tool in clinical decision making. To evaluate longitudinal changes in caries risk profiles in a group of schoolchildren in relation to caries development. The Cariogram model was used to create caries risk profiles and to identify risk factors in 438 children being 10-11 years at baseline. The assessment was repeated after 2 years and the caries increment was recorded. The frequency of unfavourable risk factors were compared between those considered at the lowest and the highest risk. Fifty percent of the children remained in the same risk category after 2 years. One third of the children were assessed in a higher-risk category while 18.4% showed a lower risk. Those with increased risk compared with baseline developed significantly more caries than those with an unchanged risk category. The most frequent unfavourable risk factors among those with high risk at baseline were high-salivary mutans streptococci and lactobacilli counts as well as frequent meals. Half of the children showed a changed risk category after 2 years, for better or for worse, which suggests that regular risk assessments are needed in order to make appropriate decisions on targeted preventive care and recall intervals.

References

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Citations

Jun 19, 2013·The Journal of Evidence-based Dental Practice·Marisol Tellez
Sep 18, 2012·Community Dentistry and Oral Epidemiology·M TellezA I Ismail
Feb 1, 2013·Community Dentistry and Oral Epidemiology·Amid I IsmailAndrea Zandona
Feb 1, 2013·Community Dentistry and Oral Epidemiology·Svante TwetmanJohn D B Featherstone
Jun 5, 2013·Australian Dental Journal·K B Hallett
Jul 10, 2013·Acta Odontologica Scandinavica·Gunnel Hänsel PeterssonSvante Twetman
Jul 21, 2015·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·S Twetman
Jan 12, 2013·Brazilian Oral Research·Rodrigo Andrés GiacamanValeria Bravo León
Jan 10, 2012·Caries Research·G CampusP Lingström
Jul 23, 2020·Acta Odontologica Scandinavica·Ann Ingemansson HultquistMats Bågesund
Jul 2, 2020·Risk Management and Healthcare Policy·Olivera DolicValentina Veselinovic
Mar 12, 2016·Primary Dental Journal·Charles Afuakwah, Richard Welbury
Sep 2, 2019·The Journal of the American Dental Association·Peter RechmannJohn D B Featherstone

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