Thakur Jagruti H, Subhadra H N, Jawdekar Ashwin
Department of Pediatric and Preventive Dentistry, Dr GD Pol Foundation's YMT Dental College and Hospital, Navi Mumbai, Maharashtra, India.
Int J Clin Pediatr Dent. 2019 Nov-Dec;12(6):538-542. doi: 10.5005/jp-journals-10005-1698.
Dental caries is a multifactorial disease and a dynamic process that can be prevented and reversed during the early stage. Risk assessment is an important step in decision-making and treatment planning. There are no valid tools available for the Indian population. Caries risk assessment for treatment (CRAFT) is a chairside tool for caries risk assessment and management. Valid, reliable, economical, and chairside caries risk assessment tool is the need of the hour for general and pediatric dentists.
To evaluate CRAFT as a tool for caries risk prediction among 3-years to 6-years-old children and to validate it against Alban test.
A pilot study was conducted, including forty 3-years to 6-years-old children. Salivary samples were collected and inoculated on B.C.G.-Dextrose Agar. Caries activity was assessed using Alban test. Their parents/guardians completed the CRAFT assessment in entirety.
The data were tabulated and subjected to suitable statistical analysis. High positive correlation between CRAFT scores and Alban's test (Spearman's Rho = 0.874) was found.
CRAFT scores were highly correlated with Alban scores in 3- to 6-year-old children. CRAFT could be successfully employed as a reliable, economical, chairside, and clinically feasible risk assessment tool with further research on a larger sample size.
CRAFT can provide a framework for the clinician for preventive care and enhance patient-participation for CRA.
Thakur JH, Subhadra HN, Jawdekar A. Evaluation of CRAFT as a Tool for Caries Risk Assessment in 3- to 6-year-old Children and its Validation against Alban's Test: A Pilot Study. Int J Clin Pediatr Dent 2019;12(6):538-542.
龋齿是一种多因素疾病，是一个动态过程，在早期阶段可以预防和逆转。风险评估是决策和治疗计划中的重要一步。目前没有适用于印度人群的有效工具。治疗用龋齿风险评估（CRAFT）是一种用于龋齿风险评估和管理的椅旁工具。对于普通牙医和儿科牙医来说，有效、可靠、经济且可在椅旁使用的龋齿风险评估工具是当务之急。
评估CRAFT作为3至6岁儿童龋齿风险预测工具的效果，并与阿尔班试验进行验证。
进行了一项试点研究，纳入40名3至6岁儿童。收集唾液样本并接种于卡介苗 - 葡萄糖琼脂上。使用阿尔班试验评估龋齿活动情况。他们的父母/监护人完整填写了CRAFT评估表。
数据制成表格并进行了适当的统计分析。发现CRAFT评分与阿尔班试验之间存在高度正相关（斯皮尔曼等级相关系数 = 0.874）。
在3至6岁儿童中，CRAFT评分与阿尔班评分高度相关。通过对更大样本量的进一步研究，CRAFT可成功用作可靠、经济、椅旁且临床可行的风险评估工具。
CRAFT可为临床医生提供预防保健框架，并增强患者对龋齿风险评估的参与度。
Thakur JH, Subhadra HN, Jawdekar A. Evaluation of CRAFT as a Tool for Caries Risk Assessment in 3- to 6-year-old Children and its Validation against Alban's Test: A Pilot Study. Int J Clin Pediatr Dent 2019;12(6):538-542.
