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- Svensäter, Gunnel, et al.
(författare)
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Risk, riskbedömning och prevention
- 2008
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Ingår i: Tandläkartidningen. - 0039-6982. ; 100:9-10, s. 70-76
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Biologiska markörer som baserar sig på egenskaper och aktivitet hos bakterier i dentala biofilmer skulle kunna användas för att identifiera patienter med hög risk för karies och parodontit. Genom att studera hur tandläkare gör riskbedömningar och tar beslut om åtgärder kan man få ett bra underlag för att förbättra praxis.
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| 2. |
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| 3. |
- Bratthall, Douglas, et al.
(författare)
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Cariogram - a multifactorial risk assessment model for a multifactorial disease
- 2005
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Ingår i: Community Dentistry and Oral Epidemiology. - : Wiley. - 0301-5661 .- 1600-0528. ; 33:4, s. 256-264
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- This paper reviews some common methods for the assessment of caries risk. It also describes a new way of illustrating the caries risk profile of an individual, the Cariogram. Past caries experience and socioeconomic factors are often used for prediction of caries. As prediction models, the methods are simple, inexpensive and fast. However, they are not risk models, as they do not specify which particular risk factors are operating. Various biological factors can be used for risk assessment. Common ones are bacteria, diet and host factors. Taken separately, these biological factors often have limited predictive values. Socioeconomic factors often have a heavy impact on the biological factors as they can explain why an individual, for example, has a cariogenic diet or neglects oral hygiene. The biological factors are the immediate cause of the cavities. Caries experience is an illustration of how the host copes up with the biological activity. To facilitate the interpretation of biological data, the Cariogram was developed. It is a computer program showing a graphical picture that illustrates a possible overall caries risk scenario. The program contains an algorithm that presents a 'weighted' analysis of the input data, mainly biological factors. It expresses as to what extent different etiological factors of caries affect caries risk. The Cariogram identifies the caries risk factors for the individual and provides examples of preventive and treatment strategies to the clinician.
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| 5. |
- Tayanin, Gisela Ladda, et al.
(författare)
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Caries risk profiles of 12-13-year-old children in Laos and Sweden
- 2005
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622 .- 1757-9996. ; 3:1, s. 15-23
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To analyse caries risk factors of 12-13-year-old children living in Laos, using the computer program Cariogram to illustrate the caries risk profile. In addition, to compare the results with a study performed in Sweden. MATERIALS AND METHODS: One hundred Laotian and 392 Swedish children were included. Interviews were performed to obtain information on diet intake and fluoride use. Saliva was analysed for mutans streptococci, lactobacilli and secretion rate/buffering capacity. Oral hygiene was assessed using the Silness and Löe criteria. Caries prevalence was recorded according to WHO. The data were entered into the Cariogram to determine each child's caries risk, expressed as 'the chance of avoiding caries'. The children were divided into five risk groups. RESULTS: Mean DMFT level of the Laotian children was 4.61 +/- 2.95 and 1.38 +/- 1.97 in the Swedish group. For the risk factors plaque amount, frequency of food intake, saliva secretion rate, buffering capacity and fluoride, the Laotian children had significantly less favourable values compared to the Swedes. Only 6% of Laotian children belonged to the Cariogram low risk group versus 40% of the Swedish children. The mean DMFT for the five Cariogram groups was (from low to high risk) 0.00, 3.00, 3.56, 5.66, 6.11 for the Lao children and 0.31, 1.39, 2.56, 3.03, 2.91 for the Swedish ones. The mean chance of avoiding caries was 37.3% for the Laotians and 69.2% for the Swedish children (p < 0.001). CONCLUSION: According to the 'opinion' of the Cariogram, the Laotian children demonstrated significantly higher caries risk than Swedish children.
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| 6. |
- Twetman, Svante, et al.
(författare)
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Caries risk assessment as predictor of metabolic control in young type 1 diabetics
- 2005
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Ingår i: Diabetic Medicine. - : Wiley. - 0742-3071 .- 1464-5491. ; 22:3, s. 312-315
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Tidskriftsartikel (refereegranskat)abstract
- AIMS: To investigate the relationship between caries risk and glucosy-lated haemoglobin and to evaluate the use of a computerized caries risk assessment program as a predictor of metabolic control in school-children with Type 1 diabetes mellitus. METHODS: The material con-sisted of 64 young Type 1 diabetes mellitus patients (8-16 years) at-tending an outpatient paediatric clinic. Within 2 weeks after the onset of diabetes, a caries risk assessment was carried out with the aid of a computer-based program (Cariogram) and data on the level of meta-bolic control were collected from the medical records at the 3-year check-up. Caries increment was registered at recall clinical examina-tions. RESULTS: A statistically significant positive relationship be-tween caries risk and metabolic control was found (r = 0.51; P < 0.01), with a sevenfold increased risk of impaired metabolic control after 3 years in those assessed with high caries risk at onset (OR 7.3; P < 0.01). When the Cariogram was used as a predictor for the metabolic state of the disease, the sensitivity and specificity was 75% and 71%, respectively. The negative predictive value was 91%. CONCLU-SIONS: Our data suggested that a caries risk assessment at the diagno-sis of diabetes mellitus in children may be a good indicator of overall health care that can provide useful prognostic information on the level of metabolic control after 3 years.
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