Department of Pediatric Dentistry, School of Dentistry, Ege University, Izmir, Turkey.
Int Q Community Health Educ. 2020 Jul;40(4):317-320. doi: 10.1177/0272684X19892356. Epub 2019 Nov 28.
Caries risk is defined as the dental caries probability under the individual bacteriological environment, dietary habits, and environmental factors. Assessment of caries risk plays a major role in the prevention of dental caries. The aim of this study was to compare the effectiveness of two different caries risk assessment methods on caries-free preschool children. A sample of 90 caries-free 4- to 6-year-old children were selected from 400 preschool children. The selection was limited to children who had no dental caries, visible plaque, and systemic disease. American Academy of Pediatric Dentistry's Caries Risk Assessment Tool (CAT) and Clinpro Cario L-Pop (CCLP; 3M ESPE, Germany) were used to categorize children into caries risk groups. Children were classified as being in high-, medium-, or low-risk groups by two methods. Determining risk factors according to CAT were examined. The compliance among the two methods was evaluated. Sixty-eight children were reevaluated intraorally after 3 years. The compliance between CAT and CCLP was sought using Kappa test. Statistical evaluation revealed moderate compliance among methods at baseline. The three most determinant factors in the high-risk group according to CAT were , , and . CAT is found statistically more successful than CCLP in predicting caries risk 3 years later. Caries risk assessment is effective to predict future caries and can be helpful for the clinician to choose the right tailor-made caries prevention plans.
龋病风险被定义为个体细菌环境、饮食习惯和环境因素下的龋齿概率。龋病风险评估在预防龋齿方面起着重要作用。本研究旨在比较两种不同龋病风险评估方法对无龋学龄前儿童的效果。从 400 名学龄前儿童中选取了 90 名无龋、无可见菌斑和无系统性疾病的 4 至 6 岁儿童作为样本。美国儿科学会的龋病风险评估工具 (CAT) 和 Clinpro Cario L-Pop (CCLP; 3M ESPE，德国) 用于将儿童分为龋病风险组。两种方法将儿童分为高、中、低风险组。根据 CAT 确定风险因素。评估两种方法之间的一致性。3 年后对 68 名儿童进行了口腔内重新评估。使用 Kappa 检验寻求 CAT 和 CCLP 之间的一致性。统计评估显示基线时方法之间存在中度一致性。根据 CAT，高风险组的三个最决定因素是 、 和 。CAT 在预测 3 年后的龋病风险方面比 CCLP 更有效。龋病风险评估可以有效预测未来的龋病，有助于临床医生选择合适的个体化龋病预防计划。
