Karabekiroğlu Said, Ünlü Nimet
Department of Restorative Dentistry, Faculty of Dentistry, Necmettin Erbakan University, Konya, Turkey.
Int J Dent. 2017;2017:7189270. doi: 10.1155/2017/7189270. Epub 2017 May 29.
To evaluate the effectiveness of different preventive programs in young adults at high caries risk using Cariogram software.
Sixty-six young adults with high caries risk were evaluated. Dental caries risk for all subjects was determined according to WHO criteria. Subjects were divided into three different preventive groups (control: OH, fluoride varnish: FV, and chlorhexidine varnish: CV). They were followed for 12 weeks (baseline: T0, 1 week: T1, 4 weeks: T2, and 12 weeks: T3). Plaque index, diet frequency, and salivary chairside tests (to record the flow rate, buffer capacity, and mutans streptococci and lactobacillus counts) were performed at each visit. Based on these data, ten caries-related variables were collected and inserted into the Cariogram software to calculate the predicted chance of avoiding caries for each subject.
Significant changes were obtained about the Cariogram parameters (diet, bacteria, susceptibility, circumstances, and Cariogram risk group). No significant differences were found between the three methods regarding mean Cariogram scores after 3 months ( > 0.05).
The regular and effective short-term (three months) use of 1450 ppm fluoridated toothpaste, one visit application of fluoride, and chlorhexidine varnishes were effective for reducing caries risk in young adults, which can be clearly demonstrated using Cariogram software.
使用Cariogram软件评估不同预防方案对高龋风险年轻成年人的有效性。
对66名高龋风险的年轻成年人进行评估。根据世界卫生组织标准确定所有受试者的龋齿风险。受试者被分为三个不同的预防组（对照组：OH，氟化物漆组：FV，洗必泰漆组：CV）。随访12周（基线：T0，1周：T1，4周：T2，12周：T3）。每次就诊时进行菌斑指数、饮食频率和唾液床边检查（记录流速、缓冲能力、变形链球菌和乳酸菌计数）。基于这些数据，收集十个与龋齿相关的变量并输入Cariogram软件，以计算每个受试者避免龋齿的预测概率。
Cariogram参数（饮食、细菌、易感性、环境和Cariogram风险组）有显著变化。三个月后，三种方法的平均Cariogram评分之间无显著差异（>0.05）。
定期有效短期（三个月）使用1450 ppm含氟牙膏、一次涂氟和洗必泰漆对降低年轻成年人的龋齿风险有效，使用Cariogram软件可清楚证明这一点。
