Caries risk assessment in young adults using Public Dental Service guidelines and the Cariogram-a comparative study

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Caries risk assessment in young adults using Public Dental Service guidelines and the Cariogram-a comparative study

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Publication Article, peer reviewed scientific
Title Caries risk assessment in young adults using Public Dental Service guidelines and the Cariogram-a comparative study
Author(s) Hänsel Petersson, Gunnel ; Ericson, Ewa ; Isberg, Per-Erik ; Twetman, Svante
Date 2012
English abstract
Abstract Objectives. To investigate the caries risk profiles in young adults and to compare the risk classification using the Public Dental Service (PDS) guidelines with a risk assessment program, the Cariogram. Materials and methods. All 19-year-old patients registered at eight public dental clinics were invited to participate (n = 1699). The study group who completed the baseline examination consisted of 1295 subjects representing 10% of all 19 year-olds attending dental care at the PDS in Skåne, Sweden. A risk classification of each patient was made by the patient's regular team according to the PDS guidelines. A research team collected whole saliva samples and information from a questionnaire and a structured interview in order to calculate risk according to the Cariogram model. Results. The mean DFS value was 4.9 and 23% of the patients were registered as caries-free (DFS = 0). The PDS risk classification was predominantly based on past caries and/or present caries activity. The majority was classified as 'some risk', while 16.7% were assessed as being of 'high' or 'very high risk'. The corresponding value for the two highest risk groups in the Cariogram model was 17.4%. The agreement between the two models was found acceptable (77.5%) for those assessed as low risk, while discrepancies were disclosed among those classified with higher risks. Conclusions. Although the proportion of subjects assessed with high or very high risk was similar using the PDS guidelines and the Cariogram model, the agreement between the models was fair. An acceptable agreement was only disclosed for the low risk category.
DOI http://dx.doi.org/10.3109/00016357.2012.696696 (link to publisher's fulltext)
Publisher Informa Healthcare
Host/Issue Acta Odontologica Scandinavica;
ISSN 0001-6357
Pages epub ahaead of print
Language eng (iso)
Subject(s) lactobacilli
mutans
streptococci
risk factors
saliva
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/14650 (link to this page)

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