The prediction effect of modified caries risk assessment tool on children's caries risk
10.3969/j.issn.1001-3733.2024.04.017
- VernacularTitle:改良龋病风险评估工具对龋病风险的预测效果
- Author:
Ling LI
1
,
2
;
Nini XU
;
Chuanjin LIU
;
Dongyan WU
;
Sicheng DENG
;
Rongmin QIU
Author Information
1. 530021 南宁,广西医科大学口腔医学院/附属口腔医院,广西口腔颌面修复与重建研究重点实验室,广西颅颌面畸形临床医学研究中心,广西壮族自治区卫生健康委员会口腔感染性疾病防治重点实验室
2. 广西医大开元埌东医院
- Keywords:
Caries;
Children;
Risk assessment;
Prediction
- From:
Journal of Practical Stomatology
2024;40(4):552-556
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficiency of a modified caries risk assessment tool(MCAT)on caries-risk prediction of children in Nanning.Methods:MCAT was designed based on caries-risk assessment tool(CAT)of American Academy of Pediatric Dentistry(AAPD)and the caries related factors of the primary school children in Guangxi,China.A cohort study was conducted in 332 children aged 3-year-old in kindergarten of Jiangnan District,Nanning,Guangxi.The data were integrated through questionnaires and oral exam-ination.The MCAT data were respectively scored by CAT and Cariogram and the caries-risk of the children was evaluated.The develop-ment of increased average caires incidece over a period of 1.5 years was compared,the predictive capacity of the methods was com-pared.Results:The ranks of caires risk assessed by CAT and Cariogram were significant different(Z=-10.34,P＜0.001),and the consistency of the 2 methods was poor(Kappa=0.234,P＜0.001).After 1.5 years,there was significant statistical difference of the caries prevalence rate between the low-high and moderate-high risk groups,and dmft increments between the moderate-high risk groups e-valuated by CAT(P＜0.05).There was significant difference of the caries prevalence rate between each risk groups and dmft increments between the low-high and moderate-high risk groups evaluated by Cariogram(P＜0.05).The AUC of CAT and Cariogram was 0.571 and 0.722 respectively(P＜0.001).In the prediction models of caries risk,the fitting of CAT was poor(P＜0.001),while that of Cariogram was better(P=1.00).Cariogram analysis showed that the chance of developing new caries lesions of the subjects with moderate and high caries risk was 2.86 and 11.65 times more than those with low caries risk.Conclusion:MCAT com-bined with Cariogram can more efficiently predict new caries de-velopment in 3-year-old children.
