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Validation of different Cariogram settings and factor combinations in preschool children from areas with high caries risk
Author(s) -
Birpou Eleftheria,
Agouropoulos Andreas,
Twetman Svante,
Kavvadia Katerina
Publication year - 2019
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1111/ipd.12476
Subject(s) - medicine , poisson regression , streptococcus mutans , dentistry , saliva , population , risk assessment , environmental health , biology , bacteria , genetics , computer security , computer science
Background Caries risk assessment in preschool children has been limited validated. Aim To validate caries predictive ability of Cariogram using different combinations of factors and settings in preschool children from areas with high caries risk. Design Two to five years old children (N = 175) were examined for caries (cavitated and non‐cavitated lesions), at baseline and after 1 and 2 years. Mutans streptococci counts ( MS ) and saliva buffer capacity ( SBC ) were measured with chair side tests. Diet and oral health attitude were assessed through a parental questionnaire. Baseline caries risk was calculated using standard and high‐risk group variables in Cariogram either with nine factors or excluding MS and SBC . Poisson regression models, ROC analysis and information criteria ( AIC and BIC ), P < 0.05, were used to investigate the predictive ability of Cariograms and to quantify the associations. Results Accuracy of Cariogram was found limited. Cariograms with MS showed higher sensitivity but lower specificity than those without bacterial counts. Standard set Cariograms with MS counts performed slightly better than the other models, but the difference was not statistically significant. Caries prediction with standard and high set Cariograms was also found limited. Conclusions Cariogram with various factors and settings displayed suboptimal ability to predict caries in this population.