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caries risk assessment test 〖5x10〗^5 CFU/mL of MS in a saliva sample correlates to a moderate or high caries risk. 0000020738 00000 n Caries risk assessment (CRA) is widely recommended for dental caries management. 0000044583 00000 n 0000055833 00000 n 0000052206 00000 n Adjustment for multiple comparisons: Bonferroni, based on estimated marginal means. 0000051865 00000 n 0000036866 00000 n The study aims to test the efficacy of brief-caries risk assessment form with standard caries risk assessment form and to evaluate the application of caries risk assessment following American Academy of Pediatric Dentistry (AAPD) between brief and standard caries risk assessment on dental health status among preschool children.,Brief-caries risk assessment form was developed. 0000023657 00000 n S. Twetman, B. Ståhl, T. NederforsUse of the strip mutans test in the assessment of caries risk in a group of preschool children Int. 17Ismail AI. 0000037876 00000 n One dentist used the brief-caries risk assessment form (test group), and another dentist used the standard caries risk assessment form (control group). Oral health education, periodic recall and application of fluoride varnish continued to follow the AAPD's caries management protocol [5] as in the test group. 14Ha DH, Spencer AJ, Slade GD, Chartier AD. 0000083222 00000 n Determining risk factors according to CAT were examined. 0000060481 00000 n Sugary Foods or Drinks (including juice, carbonated or 0000028308 00000 n 0000034262 00000 n Early childhood is a time of remarkable growth, with brain development at its peak. 0000026136 00000 n Public health centers in Bangkok have oral health prevention and promotion in Well Baby Clinics (WBCs) which are responsible for preschool children (0–5 years). The 3rd and 6th months sessions took approximately 10 min to complete. 0000176835 00000 n Provide Anticipatory Guidance. 0000019734 00000 n ECC is caused by the imbalance between de-mineralization and re-mineralization of the tooth. 0000033039 00000 n All analyses used a 95% confidence interval (CI) and a statistically significant p-value of less than 0.05. The percentage of high caries risk participants gradually decreased at the 3-month and 6-month follow-ups. The study aims to test the efficacy of brief-caries risk assessment form with standard caries risk assessment form and to evaluate the application of caries risk assessment following American Academy of Pediatric Dentistry (AAPD) between brief and standard caries risk assessment on dental health status among preschool children. 0000042302 00000 n 0000070146 00000 n 0000057300 00000 n 0000021317 00000 n Half the caregivers in both groups were employed. The present study did not exclude an oral examination in the brief-caries risk assessment form even though the oral examination needed a dentist or dental hygienist as a specialist because the oral examination was an important aspect of the prediction of caries risk [14]. 0000058422 00000 n 0000028647 00000 n 0000061078 00000 n 0000082733 00000 n 0000056629 00000 n 0000039817 00000 n Bangkok: Chulalongkorn University; 2010. The WBCs have many children receiving vaccinations, evaluation of child development and oral health prevention and promotion. 0000020057 00000 n Nowadays, there are four types of caries risk assessment, including (1) the American Dental Association (ADA)'s caries risk assessment [7], assessing caries risk by specialists (doctor and dentist), (2) Cariogram program [8], using a special software package to calculate caries risk to percentage, (3) caries management by risk assessment (CAMBA) [9] using a special software package and the patient's factors and rationale to calculate caries risk without percentage and (4) AAPD's caries risk assessment [5], predicting dental caries in children and adolescents by assessing biological, protective and clinical factors since the prevalence of dental caries in each child is different. PI and non-cavitated caries lesion had statistically significant differences between groups and within groups from the baseline, 3-month follow-up and 6-month follow-up. The comments from the focus group discussion concluded that the standard caries risk assessment form was appropriate to prevent and promote dental health by each child and their compliance. Decreasing caries risk from high caries risk to low caries risk in both groups stated the efficacy of the brief-caries risk assessment form as the standard caries risk assessment form did. 0000055487 00000 n In the test group, five participants were excluded because three participants could not speak the Thai language and two participants did not agree to participate. For children with primary teeth at baseline, pooled LR for a positive test was 3 for previous caries experience and 4 for salivary mutans streptococci, given a threshold ≥10 (5) CFU/ml. American Academy of Pediatric Dentistry's Caries Risk Assessment Tool (CAT) and Clinpro Cario L-Pop (CCLP; 3M ESPE, Germany) were used to categorize children into caries risk groups. Inter-examiner reliability was also achieved by using three dentists including one expert in pediatrics (gold standard) and the other two dentists who conducted the oral examination in the present study examining five children. Future studies need to incorporate a longer follow-up period to generate an understanding of the effects, adherence and sustainability over time. 0000046303 00000 n The efficacy of the brief-caries risk assessment form is consistent with a previous research paper in Thailand [10] which also excluded the unchangeable factors, salivary test for mutans streptococci levels and oral examination and found that their form had the effectiveness to prevent dental caries. CAMBRA is the first risk based 21st century caries management system/pathway. 0000136933 00000 n J Dent Res. 0000088036 00000 n If you continue browsing the site, you agree to … 0000020979 00000 n The standard caries risk assessment form consists of 14 questions, including 6 questions for biological factors, 4 questions for protective factors and 4 questions for clinical factors. 0000094553 00000 n Caries-risk assessment is the determination of the likelihood of the increased incidence of 0000027853 00000 n Brief-caries assessment decreased times/visit from 10-15 minutes to 5 minutes. Repeated measure ANOVA was used to compare the differences in dental health status across time. 0000058097 00000 n In the control group, the percentage of high caries risk decreased from 96.9% at the baseline to 93.8% at the 3-month follow-up and decreased to 65.6% at the 6-month follow-up. The advantage of AAPD's caries risk assessment is its appropriateness to each child and its cost-effectiveness. 0000032248 00000 n Coral Reef Sedum Indoors, Lasko 20" Cyclone Fan With Remote Control 3542, Buddhacharita Was Written By, Large Fruit Trays, Jurassic World Trailer, Kenny Rogers Roasted Chicken Price, Designing Type Amazon, " />

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0000052881 00000 n 0000514222 00000 n 0000030113 00000 n 0000514147 00000 n Furthermore, the AAPD's caries management protocol [5] which is appropriate for each child, including oral health education, periodic recall and the application of fluoride varnish, also helps to prevent or inhibit the development of cavitated caries lesions [16, 17]. The research team randomly assigned Tuesday and Thursday WBC to the test (Tuesday) and the control (Thursday) groups. Dental caries in the primary dentition: assessing prevalence of cavitated and noncavitated lesions. 0000061430 00000 n Caries risk assessment allows for the estimation of the probability of caries incidence, i.e., number of new cavities or incipient lesions in a certain time period, as well as the probability of the changes in the size or activity of caries lesions. Currently, the most widely accepted and the most successful assessment tool is Caries Management by Risk Assessment (CAMBRA).9-11 A questionnaire that evaluates the pathological and protective factors in the caries balance model allows clinicians to determine a patient’s caries risk. The 8th Thai National Oral Health Survey 2017 found a trend for the prevalence of dental caries among the 3-year-old age group of the national population to be decreasing. 0000052284 00000 n 0000049929 00000 n 0000033710 00000 n 0000039602 00000 n 0000048668 00000 n It takes time to complete and has some unchangeable factors, including low socioeconomic status, special health care needs and recent immigrants. CARIES RISK ASSESSMENT PRESENTEd by ElENA ToRN CouRSE: dENTAl HygIENE FouNdATIoN II Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 0000049332 00000 n 0000075842 00000 n 0000182095 00000 n Dent., 4 (1994), pp. 0000097031 00000 n Indices used for periodontal disease assessment. 0000514075 00000 n 0000056707 00000 n Then, the trained dentist applied fluoride varnish to the teeth of children with moderate and high risks. 0000032795 00000 n The test medium contains 20% sucrose and two kinds of pH indicators to visually show the continuous Key words Caries activity test, Caries-risk assessment, Early childhood, Longitudinal study * Correspondence to: Omar M.M. doi: 10.1136/bmjopen-2013-004311. The session at the baseline took approximately 15 min to complete. It needs a specialist to assess the risk, uses special equipment to test mutans streptococci levels and has some unchangeable factors such as low socioeconomic status, special health care needs and recent immigrant status [5]. (in Thai). Pediatr Dent. In terms of using a caries risk assessment form, it is essential to identify the following information: The duration by which the assessment has been done; The risk factors that will be assessed; The indicators present in the patient; Being organized with all the details can make an assessment more precise and highly-usable. 0000043431 00000 n However, comments also noted that it took time to complete; that some questions were unchangeable, for example, the low socioeconomic status, specialist health care needs and recent immigrant status; and also that fluoride tablets, water fluoridation and fluoride milk were not available to Bangkok's preschool children. Caries risk assessment. 0000065127 00000 n One participant changed their settled area, and two participants attended a WBC in other public health centers (Figure 1). 0000021394 00000 n 0000051404 00000 n 0000060260 00000 n 8Bratthall D, Hansel Petersson G. Cariogram--a multifactorial risk assessment model for a multifactorial disease. The limitations of the present study include the short follow-up time for non-cavitated and cavitated caries lesion. 0000036308 00000 n • CARIES RISK ASSESSMENT:- can be defined as a procedure to predict future caries development before the clinical onset of the diseases. The brief-caries risk assessment form demonstrated the same level of efficacy and diagnostic assessment as the standard caries risk assessment form in testing the decrease in caries risk and dental health status in preschool children. 0000092711 00000 n Both groups received the same caries risk assessment criteria and management protocol from AAPD. 0000056047 00000 n In the future, if it would have been a more valid brief-caries risk assessment instrument and formative research was done to design and develop test items complete with necessary re-evaluations, the final version might be achieved with acceptable reliability. 0000021984 00000 n 0000038341 00000 n [10] and Ramarao and Sathyanarayanan [13] which also adjusted the full version of caries risk assessment by AAPD by excluding some questions and salivary testing for cost-effectiveness yet also reported effectiveness in preventing dental caries. 0000029869 00000 n The gender of the children in both groups was quite balanced between males and females. Patients with frank carious lesions, radiographic approximal lesions, white spot lesions, or restorations in the past 3 years should have a saliva and a bacterial culture taken. 0000039351 00000 n ahead-of-print No. Caries Assessment and Risk Evaluation test While the above-mentioned risk indicators are still of primary importance in assessing individual caries risk status, several studies have also shown a strong, statistically significant, genetic component determining caries experience. Data were analyzed by descriptive statistic, t-test, chi-square test, Fisher's exact test and repeated measures ANOVA. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. A post hoc test (Bonferroni) was used to evaluate the groups' differences in dental health status. 0000024661 00000 n J. Paediatr. 0000041956 00000 n 0000050729 00000 n 0000028724 00000 n Children with ECC may suffer both physical and developmental difficulties, including pain, tooth loss, malocclusion, malnutrition, sleep disruption, speech problems and social development [2]. Public Health Center 54 serves the population in Thung-Khru district, Bangkok, Thailand. 0000046978 00000 n However, a short follow-up time might have insufficient power to detect the differences between groups. 6Ministry of Public Health, Department of Health, Bureau of Dental Health. The data were analyzed by SPSS statistical package version 16.0. available at: http://www.ada.org/media/ADA/Public%20Programs/files/topics_caries_educational_over6.ashx. 0000058765 00000 n 0000042767 00000 n CariScreen Test high values ? J Conserv Dent. 0000050484 00000 n D0425 … This information is part of the dental/medical necessity. 0000022852 00000 n 0000040732 00000 n 2016 Jun; 86(2): 331-50. doi: 10.1111/bjep.12109. Clin Guidel. Bangkok: MoPH; 2018. 5Council on Clinical Affairs. Plaque index, cavitated caries lesion and non-cavitated caries lesion were not statistically significant differences between groups. 0000024911 00000 n Whereas the present study measured 6–12-month-old children. 0000051620 00000 n 0000048913 00000 n During this stage, children are highly influenced by the environment and the people that surround them. The session took approximately 5 min to complete. Community Dent Oral Epidemiol. The questions included the advantages and disadvantages of the standard caries risk assessment form and problems and obstacles in the use of the standard caries risk assessment form. Test group used brief-caries assessment form, and control group used standard form. [cited 2018 Aug 15]. Clinical factors were combined to present at least one dmft question with an active white spot lesion or enamel defects question, and the questions for mutans streptococci levels were excluded since they needed special equipment and a specialist. Early childhood caries update: a review of causes, diagnoses, and treatments. 4Triratworakul C. Dental prevention in child and adolescent. Using the brief-caries assessment form could save time, improve cost-effectiveness and be appropriate for use in public health centers. However, the cavitated caries lesions did not show any statistically significant difference between and within groups. Dental cavity exists when the tooth has more de-mineralization than re-mineralization [2–4]. 0000023196 00000 n 0000019882 00000 n Recommend Timely Dental Referrals. Gen Dent. This public health center was chosen because of its location in Bangkok (high caries prevalence); it serves mostly low-socioeconomic status patients and had sufficient numbers of participants. The study was successfully completed with excellent support from Dr Lawan Boonyamanond, Panthapat Sumrittisut and the staff in Dental Clinic 654.Conflicts of Interest: The author reports no conflict of interest in the present study. Although the WBCs had oral health prevention and promotion programs including oral health education, oral health examination and topical fluoride application, the tendency of dental caries prevalence in Bangkok has continued to rise [6]. Gannam et al. See how your knowledge stacks up on this important issue. You can join in the discussion by joining the community or logging in here.You can also find out more about Emerald Engage. 0000023446 00000 n The participants received the caries management protocol of the AAPD [5] which included oral health education, periodic recall and the application of fluoride varnish. 0000045717 00000 n 0000043012 00000 n 0000019451 00000 n 0000062250 00000 n Indices used for periodontal disease assessment, Dental caries in the primary dentition: assessing prevalence of cavitated and noncavitated lesions, CRA Grid - a preliminary development and calibration of a paper-based objectivization of caries risk assessment in undergraduate dental education, The accuracy of caries risk assessment in children attending South Australian School Dental Service: a longitudinal study, Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: global perspective, Clinical diagnosis of precavitated carious lesions, Fluoride use in health care settings: association with children's caries risk, Pediatric caries risk assessment as a predictor of caries outcomes. J Public Health Dent. 0000031904 00000 n 0000049254 00000 n 0000042553 00000 n There were no statistically significant differences in caries risks between the test and the control groups at the baseline, 3-month and 6-month follow-ups (Table 2). 0000045252 00000 n 0000038682 00000 n In the control group, the average number of children's teeth increased from 3.91 ± 2.26 teeth at baseline to 11.75 ± 3.63 teeth at the 6-month follow-up (Table 3). Among 70 participants (35 per group), most of the primary caregivers in both groups were mothers and had completed secondary school. 1966; 45(3): 503-11. doi: 10.1177/00220345660450031101. 2007 Oct; 35(10): 687-702. 0000021641 00000 n One participant changed their settled area, and another attended a WBC in another public health center. 0000044828 00000 n 0000028974 00000 n 0000033460 00000 n 0000038127 00000 n Caries risk assessment appropriate for the age 1 visit (infants and toddlers). 0000082846 00000 n Furthermore, public health centers in Bangkok did not have fluoride supplement tablets, water fluoridation and fluoride milk in preschool children. 2005 Aug; 33(4): 256-64. doi: 10.1111/j.1600-0528.2005.00233.x. 0000045962 00000 n D0602 caries risk assessment and documentation, with a finding of moderate risk; D0603 caries risk assessment and documentation, with a finding of high risk. 0000040481 00000 n and Involves the probability that? Visit emeraldpublishing.com/platformupdate to discover the latest news and updates, Answers to the most commonly asked questions here, Early childhood profiles of sleep problems and self-regulation predict later school adjustment, Early childhood caries update: a review of causes, diagnoses, and treatments, Dental prevention in child and adolescent, Guideline on caries-risk assessment and management for infants, children, and adolescents, Ministry of Public Health, Department of Health, Bureau of Dental Health, The 8th Thai national oral health survey 2017, Cariogram--a multifactorial risk assessment model for a multifactorial disease, Caries risk assessment appropriate for the age 1 visit (infants and toddlers), Development and testing of a caries risk behavior assessment form for parents of 2-5-year-old children, Codental. The session took approximately 5 min to complete. J Nat Sci Biol Med. The brief-caries risk assessment form was validated by experts in pediatric dentistry, research methodology and preschool childcare. A major public health problem in both developed and developing countries that continues to negatively affect children's oral health is early childhood caries (ECC). Intra-examiner reliability was achieved by examination of 20 participants on two occasions (24 h apart) before beginning the study. 0000047192 00000 n Conclusions: Evidence on the validity of analysed methods used for caries risk assessment is limited. 0000031238 00000 n The intra-examiner reliability's Cohen's kappa of dentist A and dentist B were 0.98 and 0.95, respectively, and the inter-examiner reliability's Cohen's kappa of the dental examination was 0.91. 2018 Feb; 29(1): 24-34. doi: 10.1177/0022034517735297. 32 0 obj <> endobj xref 32 226 0000000016 00000 n The results of the mean dmft from a previous study were used to calculate the sample size [10]. The mean of the PI and non-cavitated caries lesion was increasing from the baseline to the 3-month follow-up and 6-month follow-up because the present study included 6–12-month-old children with about 4 teeth at the baseline (Table 1). Dentists were trained in caries risk assessment, oral health examination and the application of fluoride varnish by experts in this field. In the scenario of the increase in preschool children attending the WBCs with its limited resources, time and human resources, the full version of AAPD's caries risk assessment cannot cover every child attending the WBCs. 0000094428 00000 n [cited 2018 Aug 15]. J Calif Dent Assoc. Published by Emerald Publishing Limited. ECC is a multifactorial disease caused by many factors, including host factors (tooth, saliva and acquired pellicle), carbohydrate food intake, dental plaque, genetics and environmental factors [4]. Using brief-caries assessment form could save time, is cost-effective and is appropriate for use in public health centers. 2013 Jan; 4(1): 29-38. doi: 10.4103/0976-9668.107257. These results stated that the brief-caries risk assessment form and the standard caries risk assessment form could prevent or inhibit the existence of cavitated caries lesions consistent with the results of previous studies [4, 16, 17]. Then, experimental study was conducted in public health center 54 among 70 patients (35 test and 35 control) from January to July 2019. The caries risk included high, moderate and low risks. The science behind Caries Manage-ment by Risk Assessment, CAMBRA, introduced in these Journals culminated with a consensus statement of national 0000025132 00000 n 10Intarasompun A, Chatiketu P, Theerapiboon U. 0000384796 00000 n 0000040062 00000 n 0000059575 00000 n 0000514294 00000 n Oral health education, periodic recall and applied fluoride varnish followed the AAPD's caries management protocol [5]. https://doi.org/10.1108/JHR-07-2019-0161, Published in the Journal of Health Research. 3 If risk factors are eliminated before the diseases occur, the disease process can be prevented. Caries susceptibility test. Caries-risk assessment models currently involve a combina- tion of factors including diet, fluoride exposure, a susceptible host, and microflora that interplay with a variety of social, cultural, and behavioral factors. Informed consent was signed by all participants. This article is published under the Creative Commons Attribution (CC BY 4.0) license. 2Çolak H, Dülgergil CT, Dalli M, Hamidi MM. Saengtipbovorn, S. (2020), "Testing the efficacy of a brief-caries risk assessment form to evaluate the dental health status among preschool children", Journal of Health Research, Vol. 2016 Jul-Dec; 37(2): 145-57. 0000043682 00000 n When children have low caries risk, they have a low chance of developing dental caries in the future [4, 15–17]. Questions on protective factors (water fluoridation and fluoride supplement questions) were also excluded since Bangkok does not have fluoride supplements by tablet, water fluoridation or fluoride milk available to preschool children. 19Gannam CV, Chin KL, Gandhi RP. 0000028064 00000 n Among 70 participants who enrolled at the baseline (35 test and 35 control), 65 (92.9%) (33 test and 32 control) were eligible for the 3-month and 6-month follow-ups. Little is known regarding how practitioners use individual CRA items to determine risk and which individual items independently predict clinical outcomes in children younger than 6 y. 0000027259 00000 n Participants in both groups received the caries risk assessment, child's oral examination and face-to-face interview using a questionnaire at the baseline, after 3 months and at the 6-month follow up. 0000040403 00000 n Caries risk assessment is a concept that is firmly grounded on the well-known fact that dental caries is a disease. 13Ramarao S, Sathyanarayanan U. CRA Grid - a preliminary development and calibration of a paper-based objectivization of caries risk assessment in undergraduate dental education. The pretest was conducted in the WBC in Public Health Center 42 to test its reliability. 0000062851 00000 n 0000041633 00000 n 0000079835 00000 n The accuracy of caries risk assessment in children attending South Australian School Dental Service: a longitudinal study. 0000057516 00000 n 0000034928 00000 n 0000056387 00000 n Start studying Chapter 19 dental caries risk management by risk assessment. 0000054356 00000 n 0000096398 00000 n 0000022192 00000 n 0000043353 00000 n Development and testing of a caries risk behavior assessment form for parents of 2-5-year-old children. The strengths of the present study were its high response rate (92.9%) and the use of PI and dental caries as the indicators to examine the efficacy of the brief-caries risk assessment form. Caries management by risk assessment (CAMBRA) is a standard of care that involves identifying the cause of caries through individual patient risk assessment, then managing those risk factors through patient behavioral changes and minimally invasive care. The WBC in Public Health Center 54 was open on Tuesdays and Thursdays. However, these previous studies administered the form with 2–5-year-old children [10] and school children [13], respectively. 0000055236 00000 n • Caries risk assessment is the determination of the likelihood of the incidence of caries (ie, the number of new cavitated or incipient lesions) during a certain time period. (in Thai). Test Your Knowledge on Caries Risk Assessment Staying abreast of the changing landscape of caries risk assessment, management, and prevention will help you provide the highest quality patient care. 0000034583 00000 n While it is not intended as a replacement for the more formal risk assessment forms offered by the CDA, it is a simple tool to introduce the topic of caries management to patients and trigger a meaningful conversation about caries risk factors. 18Fontana M, Eckert GJ, Keels MA, Jackson R, Katz B, Levy BT, et al. The 6-month follow-up from the present study showed only a small change in all outcomes in both groups, so the results of the present study might have insufficient power to detect the differences between groups. 0000037452 00000 n The high-risk children received an oral health examination and fluoride varnish every three months, whereas the moderate risk children received an oral health examination and fluoride varnish every six months. The brief-caries risk assessment form left only eight questions, thereby decreasing time per visit from 10–15 min (standard caries risk assessment) to 5 min. 0000221997 00000 n 0000024240 00000 n In contrast, >〖5x10〗^5 CFU/mL of MS in a saliva sample correlates to a moderate or high caries risk. 0000020738 00000 n Caries risk assessment (CRA) is widely recommended for dental caries management. 0000044583 00000 n 0000055833 00000 n 0000052206 00000 n Adjustment for multiple comparisons: Bonferroni, based on estimated marginal means. 0000051865 00000 n 0000036866 00000 n The study aims to test the efficacy of brief-caries risk assessment form with standard caries risk assessment form and to evaluate the application of caries risk assessment following American Academy of Pediatric Dentistry (AAPD) between brief and standard caries risk assessment on dental health status among preschool children.,Brief-caries risk assessment form was developed. 0000023657 00000 n S. Twetman, B. Ståhl, T. NederforsUse of the strip mutans test in the assessment of caries risk in a group of preschool children Int. 17Ismail AI. 0000037876 00000 n One dentist used the brief-caries risk assessment form (test group), and another dentist used the standard caries risk assessment form (control group). Oral health education, periodic recall and application of fluoride varnish continued to follow the AAPD's caries management protocol [5] as in the test group. 14Ha DH, Spencer AJ, Slade GD, Chartier AD. 0000083222 00000 n Determining risk factors according to CAT were examined. 0000060481 00000 n Sugary Foods or Drinks (including juice, carbonated or 0000028308 00000 n 0000034262 00000 n Early childhood is a time of remarkable growth, with brain development at its peak. 0000026136 00000 n Public health centers in Bangkok have oral health prevention and promotion in Well Baby Clinics (WBCs) which are responsible for preschool children (0–5 years). The 3rd and 6th months sessions took approximately 10 min to complete. 0000176835 00000 n Provide Anticipatory Guidance. 0000019734 00000 n ECC is caused by the imbalance between de-mineralization and re-mineralization of the tooth. 0000033039 00000 n All analyses used a 95% confidence interval (CI) and a statistically significant p-value of less than 0.05. The percentage of high caries risk participants gradually decreased at the 3-month and 6-month follow-ups. The study aims to test the efficacy of brief-caries risk assessment form with standard caries risk assessment form and to evaluate the application of caries risk assessment following American Academy of Pediatric Dentistry (AAPD) between brief and standard caries risk assessment on dental health status among preschool children. 0000042302 00000 n 0000070146 00000 n 0000057300 00000 n 0000021317 00000 n Half the caregivers in both groups were employed. The present study did not exclude an oral examination in the brief-caries risk assessment form even though the oral examination needed a dentist or dental hygienist as a specialist because the oral examination was an important aspect of the prediction of caries risk [14]. 0000058422 00000 n 0000028647 00000 n 0000061078 00000 n 0000082733 00000 n 0000056629 00000 n 0000039817 00000 n Bangkok: Chulalongkorn University; 2010. The WBCs have many children receiving vaccinations, evaluation of child development and oral health prevention and promotion. 0000020057 00000 n Nowadays, there are four types of caries risk assessment, including (1) the American Dental Association (ADA)'s caries risk assessment [7], assessing caries risk by specialists (doctor and dentist), (2) Cariogram program [8], using a special software package to calculate caries risk to percentage, (3) caries management by risk assessment (CAMBA) [9] using a special software package and the patient's factors and rationale to calculate caries risk without percentage and (4) AAPD's caries risk assessment [5], predicting dental caries in children and adolescents by assessing biological, protective and clinical factors since the prevalence of dental caries in each child is different. PI and non-cavitated caries lesion had statistically significant differences between groups and within groups from the baseline, 3-month follow-up and 6-month follow-up. The comments from the focus group discussion concluded that the standard caries risk assessment form was appropriate to prevent and promote dental health by each child and their compliance. Decreasing caries risk from high caries risk to low caries risk in both groups stated the efficacy of the brief-caries risk assessment form as the standard caries risk assessment form did. 0000055487 00000 n In the test group, five participants were excluded because three participants could not speak the Thai language and two participants did not agree to participate. For children with primary teeth at baseline, pooled LR for a positive test was 3 for previous caries experience and 4 for salivary mutans streptococci, given a threshold ≥10 (5) CFU/ml. American Academy of Pediatric Dentistry's Caries Risk Assessment Tool (CAT) and Clinpro Cario L-Pop (CCLP; 3M ESPE, Germany) were used to categorize children into caries risk groups. Inter-examiner reliability was also achieved by using three dentists including one expert in pediatrics (gold standard) and the other two dentists who conducted the oral examination in the present study examining five children. Future studies need to incorporate a longer follow-up period to generate an understanding of the effects, adherence and sustainability over time. 0000046303 00000 n The efficacy of the brief-caries risk assessment form is consistent with a previous research paper in Thailand [10] which also excluded the unchangeable factors, salivary test for mutans streptococci levels and oral examination and found that their form had the effectiveness to prevent dental caries. CAMBRA is the first risk based 21st century caries management system/pathway. 0000136933 00000 n J Dent Res. 0000088036 00000 n If you continue browsing the site, you agree to … 0000020979 00000 n The standard caries risk assessment form consists of 14 questions, including 6 questions for biological factors, 4 questions for protective factors and 4 questions for clinical factors. 0000094553 00000 n Caries-risk assessment is the determination of the likelihood of the increased incidence of 0000027853 00000 n Brief-caries assessment decreased times/visit from 10-15 minutes to 5 minutes. Repeated measure ANOVA was used to compare the differences in dental health status across time. 0000058097 00000 n In the control group, the percentage of high caries risk decreased from 96.9% at the baseline to 93.8% at the 3-month follow-up and decreased to 65.6% at the 6-month follow-up. The advantage of AAPD's caries risk assessment is its appropriateness to each child and its cost-effectiveness. 0000032248 00000 n

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