Pienihäkkinen Kaisu, Jokela Jorma, Alanen Pentti
Institute of Dentistry, University of Turku, Turku, Finland.
Caries Res. 2004 Mar-Apr;38(2):156-62. doi: 10.1159/000075940.
The study aimed to assess the additional caries-predictive value of visible plaque, gingival bleeding, and the reported use of fluorides and candies, when combined with the information about mutans streptococci (MS) and incipient carious lesions. The subjects were 2 years of age at the baseline examination (n = 226), and they were all given conventional prevention during the 3-year follow-up period. None of the studied single risk indicators reached an accuracy of 80% in predicting the 3-year caries increment. At best, the accuracy was 75% for the MS strip. Use of candies and incipient caries lesions had additional caries-predictive value (multiple logistic regression analysis). The combined use of these three risk indicators resulted in an accuracy of 81%. The present results indicate that in 2-year-old children, the combination of two or three risk indicators (MS strip, incipient caries lesions, and use of candies) might have caries-predictive power enough for clinical implications.
该研究旨在评估当结合变形链球菌（MS）和早期龋损信息时，可见菌斑、牙龈出血以及所报告的氟化物和糖果使用情况的额外龋病预测价值。在基线检查时，受试者年龄为2岁（n = 226），并且在3年随访期内均接受常规预防措施。在预测3年龋病增量方面，所研究的单一风险指标均未达到80%的准确率。MS试纸条的准确率最高为75%。糖果使用情况和早期龋损具有额外的龋病预测价值（多因素逻辑回归分析）。这三个风险指标联合使用时，准确率达到了81%。目前的结果表明，对于2岁儿童，两个或三个风险指标（MS试纸条、早期龋损和糖果使用情况）的组合可能具有足够的龋病预测能力，具有临床意义。
