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哈里亚纳邦亚穆纳讷格尔区8至9岁学龄儿童中龋病预测图与非正式龋病风险评估预测价值的比较评价

Comparative evaluation of the predictive value of cariogram and informal caries risk assessment among school-going children in the age group of 8-9 years of Yamuna Nagar District, Haryana.

作者信息

Sharma Jyoti, Gupta Monika, Pandit Inder Kumar, Gugnani Neeraj, Mehta Lata Kiran

机构信息

Reader, Department of Pedodontics and Preventive Dentistry, P.D.M. Dental College and Research Institute, Sarai Aurangabad, Bahadurgarh, India.

Professor, Department of Pedodontics and Preventive Dentistry, J.N.Kapoor D.A.V. (C) Dental College & Hospital, Yamuna Nagar, Haryana, India.

出版信息

J Indian Soc Pedod Prev Dent. 2020 Jul-Sep;38(3):266-273. doi: 10.4103/JISPPD.JISPPD_237_19.

Abstract

AIM

This longitudinal, observational study was conducted in the schools of Yamunanagar, Haryana, to evaluate and compare the predictive value of formal type of caries risk assessment using reduced Cariogram software, including only seven factors and informal type among 8-9 years' school-going children.

METHODS

A.

UNLABELLED

total of 111 school-going children were included in the study. Risk profile for each child was created using cariogram as well as informal factors. The same children were scheduled for re-examination at an interval of 9 and 18 months. The caries status was recorded again using the Collapsed International Caries Detection and Assessment System (ICDAS) concept.

STATISTICAL ANALYSIS

The precoded data were transferred to the computer and analyzed using the SPSS software (version 17.0). Data were analyzed for the identification of children with lesion progression and numbers of lesions progressing using the Transition Scoring System.

RESULTS

Cariogram being a multifactorial model gives significant individual weightage to each etiological factor causing dental caries as compared to informal caries risk assessment which though easy to implement yet unstructured unlike cariogram and thus does not guarantee consistent implementation.

CONCLUSION

Cariogram is a perfect option for patient motivation and supports the clinician in decision making for planning preventive strategies for the patients. Along with this, a combination of the factors for informal caries risk assessment can help in making a simple yet multifactorial model which can be applied in daily practice.

摘要

目的

本纵向观察性研究在哈里亚纳邦亚穆纳讷格尔的学校开展,旨在评估和比较使用简化版Cariogram软件(仅包含七个因素)的正式龋病风险评估类型与非正式评估类型在8至9岁学龄儿童中的预测价值。

方法

A.

未标注

共有111名学龄儿童纳入本研究。使用Cariogram以及非正式因素为每个儿童建立风险档案。这些儿童每隔9个月和18个月接受一次复查。再次使用简化国际龋病检测与评估系统(ICDAS)概念记录龋病状况。

统计分析

将预编码数据传输至计算机,使用SPSS软件(版本17.0)进行分析。使用转变评分系统分析数据,以确定病变进展的儿童以及病变进展的数量。

结果

与非正式龋病风险评估相比,Cariogram作为一种多因素模型,对导致龋齿的每个病因因素都赋予了显著的个体权重。非正式龋病风险评估虽然易于实施,但与Cariogram不同,它缺乏结构性,因此不能保证一致的实施。

结论

Cariogram是激发患者积极性的理想选择,并有助于临床医生为患者制定预防策略时做出决策。除此之外,非正式龋病风险评估因素的组合有助于构建一个简单但多因素的模型,可应用于日常实践。

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