Caries risk assessment in young adults: a 3 year validation of the Cariogram model

Gunnel Hänsel Petersson; Svante Twetman

doi:10.1186/1472-6831-15-17

Caries risk assessment in young adults: a 3 year validation of the Cariogram model

Gunnel Hänsel Petersson, Svante Twetman

17 Citations (Scopus)

Abstract

BACKGROUND: To validate baseline caries risk classifications according to the Cariogram model with the actual caries development over a 3-year period in a group of young adults living in Sweden.

METHODS: The study group consisted of 1,295 19-year-old patients that completed a comprehensive clinical baseline examination, including radiographs and salivary tests. An individual caries risk profile was computed and the patient was placed in one of five risk categories. After 3 years, 982 patients (75.8%) were re-examined and caries increment for each patient was calculated. The outcome was expressed as sensitivity, specificity and predictive values and compared with a risk assessment scheme used in Public Dental Service.

RESULTS: The drop-outs displayed more risk factors and a significantly higher caries burden at baseline compared with those that remained in the project (p < 0.05). There was a strong association between the Cariogram risk categories and the 3-year caries increment on cavity level but the predictive values were modest. The high or very high caries risk categories yielded high specificities (>90%) but poor sensitivities. The low risk groups displayed higher sensitivities on expense of impaired specificities. No combinations proved clinically useful values according to Yuoden's index.

CONCLUSIONS: Within the limitations of the present study, the computer-based Cariogram did not perform better than a caries risk assessment scheme based on past caries experience and caries progression, over a 3-year period in young adults.

Original language	English
Article number	17
Journal	B M C Oral Health
Volume	15
Pages (from-to)	1-5
Number of pages	5
ISSN	1472-6831
DOIs	https://doi.org/10.1186/1472-6831-15-17
Publication status	Published - 27 Jan 2015

Keywords

Buffers
Cariostatic Agents
DMF Index
Dental Caries
Dental Caries Susceptibility
Disease Progression
Female
Fluorides
Follow-Up Studies
Food Habits
Health Status
Humans
Lactobacillus
Male
Pharmaceutical Preparations
Physical Examination
Predictive Value of Tests
Prospective Studies
Radiography, Bitewing
Risk Assessment
Saliva
Sensitivity and Specificity
Streptococcus mutans
Toothbrushing
Young Adult

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10.1186/1472-6831-15-17Licence: CC BY

Cite this

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title = "Caries risk assessment in young adults: a 3 year validation of the Cariogram model",

abstract = "BACKGROUND: To validate baseline caries risk classifications according to the Cariogram model with the actual caries development over a 3-year period in a group of young adults living in Sweden.METHODS: The study group consisted of 1,295 19-year-old patients that completed a comprehensive clinical baseline examination, including radiographs and salivary tests. An individual caries risk profile was computed and the patient was placed in one of five risk categories. After 3 years, 982 patients (75.8%) were re-examined and caries increment for each patient was calculated. The outcome was expressed as sensitivity, specificity and predictive values and compared with a risk assessment scheme used in Public Dental Service.RESULTS: The drop-outs displayed more risk factors and a significantly higher caries burden at baseline compared with those that remained in the project (p < 0.05). There was a strong association between the Cariogram risk categories and the 3-year caries increment on cavity level but the predictive values were modest. The high or very high caries risk categories yielded high specificities (>90%) but poor sensitivities. The low risk groups displayed higher sensitivities on expense of impaired specificities. No combinations proved clinically useful values according to Yuoden's index.CONCLUSIONS: Within the limitations of the present study, the computer-based Cariogram did not perform better than a caries risk assessment scheme based on past caries experience and caries progression, over a 3-year period in young adults.",

keywords = "Buffers, Cariostatic Agents, DMF Index, Dental Caries, Dental Caries Susceptibility, Disease Progression, Female, Fluorides, Follow-Up Studies, Food Habits, Health Status, Humans, Lactobacillus, Male, Pharmaceutical Preparations, Physical Examination, Predictive Value of Tests, Prospective Studies, Radiography, Bitewing, Risk Assessment, Saliva, Sensitivity and Specificity, Streptococcus mutans, Toothbrushing, Young Adult",

author = "Petersson, {Gunnel H{\"a}nsel} and Svante Twetman",

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doi = "10.1186/1472-6831-15-17",

language = "English",

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journal = "B M C Oral Health",

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T1 - Caries risk assessment in young adults

T2 - a 3 year validation of the Cariogram model

AU - Petersson, Gunnel Hänsel

AU - Twetman, Svante

PY - 2015/1/27

Y1 - 2015/1/27

N2 - BACKGROUND: To validate baseline caries risk classifications according to the Cariogram model with the actual caries development over a 3-year period in a group of young adults living in Sweden.METHODS: The study group consisted of 1,295 19-year-old patients that completed a comprehensive clinical baseline examination, including radiographs and salivary tests. An individual caries risk profile was computed and the patient was placed in one of five risk categories. After 3 years, 982 patients (75.8%) were re-examined and caries increment for each patient was calculated. The outcome was expressed as sensitivity, specificity and predictive values and compared with a risk assessment scheme used in Public Dental Service.RESULTS: The drop-outs displayed more risk factors and a significantly higher caries burden at baseline compared with those that remained in the project (p < 0.05). There was a strong association between the Cariogram risk categories and the 3-year caries increment on cavity level but the predictive values were modest. The high or very high caries risk categories yielded high specificities (>90%) but poor sensitivities. The low risk groups displayed higher sensitivities on expense of impaired specificities. No combinations proved clinically useful values according to Yuoden's index.CONCLUSIONS: Within the limitations of the present study, the computer-based Cariogram did not perform better than a caries risk assessment scheme based on past caries experience and caries progression, over a 3-year period in young adults.

AB - BACKGROUND: To validate baseline caries risk classifications according to the Cariogram model with the actual caries development over a 3-year period in a group of young adults living in Sweden.METHODS: The study group consisted of 1,295 19-year-old patients that completed a comprehensive clinical baseline examination, including radiographs and salivary tests. An individual caries risk profile was computed and the patient was placed in one of five risk categories. After 3 years, 982 patients (75.8%) were re-examined and caries increment for each patient was calculated. The outcome was expressed as sensitivity, specificity and predictive values and compared with a risk assessment scheme used in Public Dental Service.RESULTS: The drop-outs displayed more risk factors and a significantly higher caries burden at baseline compared with those that remained in the project (p < 0.05). There was a strong association between the Cariogram risk categories and the 3-year caries increment on cavity level but the predictive values were modest. The high or very high caries risk categories yielded high specificities (>90%) but poor sensitivities. The low risk groups displayed higher sensitivities on expense of impaired specificities. No combinations proved clinically useful values according to Yuoden's index.CONCLUSIONS: Within the limitations of the present study, the computer-based Cariogram did not perform better than a caries risk assessment scheme based on past caries experience and caries progression, over a 3-year period in young adults.

KW - Buffers

KW - Cariostatic Agents

KW - DMF Index

KW - Dental Caries

KW - Dental Caries Susceptibility

KW - Disease Progression

KW - Female

KW - Fluorides

KW - Follow-Up Studies

KW - Food Habits

KW - Health Status

KW - Humans

KW - Lactobacillus

KW - Male

KW - Pharmaceutical Preparations

KW - Physical Examination

KW - Predictive Value of Tests

KW - Prospective Studies

KW - Radiography, Bitewing

KW - Risk Assessment

KW - Saliva

KW - Sensitivity and Specificity

KW - Streptococcus mutans

KW - Toothbrushing

KW - Young Adult

U2 - 10.1186/1472-6831-15-17

DO - 10.1186/1472-6831-15-17

M3 - Journal article

C2 - 25627618

SN - 1472-6831

VL - 15

SP - 1

EP - 5

JO - B M C Oral Health

JF - B M C Oral Health

M1 - 17

ER -

Caries risk assessment in young adults: a 3 year validation of the Cariogram model

Abstract

Keywords

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