Aboubakr Rabaa Mahmoud, Alkhadragy Doaa Mohsen, Okda Mai Monuir El Said, Rady Hadeer Wael Mohamed, Elnagar Rasha Mokhtar
Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
Department of Medical Microbiology and Immunology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Saudi J Med Med Sci. 2023 Jul-Sep;11(3):219-228. doi: 10.4103/sjmms.sjmms_128_23. Epub 2023 Jul 15.
Dental caries is the most prevalent dental disease. The external validity of the available caries risk assessment (CRA) tools is not established, especially among pediatric population.
To assess caries risk using the caries management by risk assessment (CAMBRA) protocol among Egyptian children aged 3-12 years and suggest variables that could potentially be used to develop a simpler CRA model.
For this cross-sectional study, we recruited 320 children aged 3 to <6 years (Group I) and 320 children aged 6-12 years (Group II). CAMBRA was used to collect data about disease indicators, biological and environmental factors, and protective factors among study participants. Each child was examined clinically to collect data about past caries experiences and to measure plaque scores.
The risk of caries was high in 92.5% of Group I and 83.4% of Group II participants. The overall dmft was 5.71 ± 3.18 for Group I and 4.78 ± 2.53 for Group II. In Group I, a significant positive relation was found between the overall mean caries risk score and past caries experience (dmft; = 0.344, < 0.001) and mean plaque index ( = 0.463, < 0.001). In Group II, a significant positive relation was found between the overall mean caries risk score and dmft score ( = 0.511, < 0.001), count ( = 234, < 0.001), count ( = 0.316, < 0.001), and plaque index ( = 0.463, < 0.001). Participants' age, parents' education, and parents' occupation had a negative significant effect on the overall mean caries risk score.
This study suggests predictors that can be used in the development of a new CRA model for children aged 3-12 years.
龋齿是最常见的牙科疾病。现有龋齿风险评估（CRA）工具的外部有效性尚未确立，尤其是在儿童群体中。
采用基于风险评估的龋齿管理（CAMBRA）方案评估3至12岁埃及儿童的龋齿风险，并提出可能用于开发更简单CRA模型的变量。
在这项横断面研究中，我们招募了320名3至<6岁的儿童（第一组）和320名6至12岁的儿童（第二组）。使用CAMBRA收集研究参与者的疾病指标、生物和环境因素以及保护因素的数据。对每个儿童进行临床检查，以收集过去龋齿经历的数据并测量菌斑分数。
第一组92.5%的参与者和第二组83.4%的参与者龋齿风险较高。第一组的总体乳牙龋失补牙面数（dmft）为5.71±3.18，第二组为4.78±2.53。在第一组中，总体平均龋齿风险评分与过去的龋齿经历（dmft；=0.344，<0.001）和平均菌斑指数（=0.463，<0.001）之间存在显著正相关。在第二组中，总体平均龋齿风险评分与dmft评分（=0.511，<0.001）、 计数（=234，<0.001）、 计数（=0.316，<0.001）和菌斑指数（=0.463，<0.001）之间存在显著正相关。参与者的年龄、父母的教育程度和父母的职业对总体平均龋齿风险评分有显著负面影响。
本研究提出了可用于为3至12岁儿童开发新的CRA模型的预测指标。
