Caries risk profiles in orthodontic patients at follow-up using Cariogram.

• OBJECTIVE: To analyze caries-related factors shortly after orthodontic treatment and to use the Cariogram computer program to describe caries risk profiles at follow-up in these patients. MATERIALS AND METHODS: One hundred orthodontic patients age 12-29 years, with a mean age of 17.5 years, were included in the study. They were divided into two groups (50 in each) based on their prebonding decayed, filled surfaces index (DFS). High (5 > or = DFS) and low (2 < or = DFS) groups were created. All patients were examined after debonding in the following order: interview, plaque score, caries examination, saliva samples, bitewing radiographs, panoramic radiographs, and intra-oral digital photos. All types of carious lesions in both the enamel and dentine were diagnosed clinically and radiographically and included in the DFS index. A paraffin-stimulated whole saliva sample was collected for estimations of secretion rate, buffer capacity, and number of mutans streptococci and lactobacilli. RESULTS: The low caries group (2 < or = DFS) displayed a statistically significant difference and low values for the following factors, DFS (P < .001), lactobacilli (P < .001), mutans streptococci (P < .001), and high Cariogram percent (P < .001). The plaque index displayed very close significance (P = .051). CONCLUSIONS: Patients with high (5 > or = DFS) numbers before orthodontic treatment ran a higher risk of developing caries. They had significantly higher numbers of mutans streptococci and lactobacilli and had less chance of avoiding new cavities according to the Cariogram.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Odontologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dentistry (hsv//eng)

Nyckelord

Adolescent

Adult

Buffers

Child

Colony Count

Microbial

DMF Index

Dental Caries

etiology

Dental Caries Susceptibility

Dental Enamel

pathology

Dental Plaque Index

Dentin

pathology

Follow-Up Studies

Food Habits

Humans

Lactobacillus

isolation & purification

Oral Hygiene

Orthodontic Appliances

Photography

Dental

Radiography

Bitewing

Radiography

Panoramic

Risk Assessment

Risk Factors

Saliva

microbiology

physiology

secretion

Secretory Rate

physiology

Software

Streptococcus mutans

isolation & purification

Young Adult

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)