Validation Of Cariogram In Caries Prediction At Woman And Their Children 4 Years After Pregnancy – Longitudinal Randomized Control Study

Abstract Aim To evaluate Cariogram caries risk assessment during pregnancy with DMFT/dmft incidence at mother and children 4-years later.Background To validate baseline caries risk classifications according to Cariogram for pregnant women with the actual DMFT development after 4-year and the second aim was to validate assessed caries risk at pregnant women according to Cariogram with caries development at their children four years after.Methods The study population consisted of 96 pregnant women (average age 27, 4 years at baseline) that completed clinical baseline examination and salivary tests. A caries risk assessment was made using Cariogram model and according to it, participants were divided into five risk groups. The follow-up study was initiated 4 years later and the 80 pairs of mother and children (from that pregnancy) were re-examined using the same procedure as did at baseline. An individual caries risk profile and DMFT/dmft incidence were made for each woman and child. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for two cut-off were calculated to express the outcome.Results There was a strong association between the risk categories of pregnant women and their offspring as well as between caries development in children and the Cariogram risk categories of their mother in pregnancy. Sensitivity and PPV for new DMFT (ΔDMFT > 0) over 4 years for women was high (>80%) for those participants assessed with 0-60% “chance to avoid caries“, as well as diagnostic accuracy (74.00%). High specificity (91.00%), very high PPV (95.00%) and clinically useful values according to Youden’s index (0.53) were obtained for moderate and two lowest risk groups for dmft in children.Conclusions With the limits of this study, Cariogram was valid and highly predictive in caries risk assessment in children based on caries risk assessment of their mother in pregnancy. The Cariogram model can be useful tool for caries prediction in both groups of woman and their children based on caries risk assessment during pregnancy.

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Validation Of Cariogram In Caries Prediction At Woman And Their Children 4 Years After Pregnancy – Longitudinal Study

10.21203/rs.2.13633/v2 ◽

2019 ◽

Author(s):

Olivera Dolic ◽

Marija Obradovic ◽

Zeljka Kojic ◽

Natasa Trtic ◽

Slava Sukara ◽

...

Keyword(s):

Risk Assessment ◽

Pregnant Women ◽

Predictive Value ◽

Risk Groups ◽

Risk Profile ◽

Caries Risk ◽

Caries Risk Assessment ◽

Risk Categories ◽

In Pregnancy ◽

Caries Prediction

Abstract Background: The Cariogram®, an algorithm based software model, for predicting caries risk has been used to assess the caries risk profile of many different groups. Early childhood caries (ECC) is the most common chronic disease in children below 71 months of age. Identifying children at greatest risk of caries to design appropriate preventive activity has been a goal of the dental profession for many years. The aim of the study was to evaluate Cariogram caries risk assessment during pregnancy with DMFT/dmft incidence at mother and their children 4-years later. Methods: The study population consisted of 96 pregnant women (average age 27.4 years at baseline) that completed clinical baseline examination and salivary tests. A caries risk assessment was made using Cariogram model and according to it, participants were divided into five risk groups. The follow-up study was initiated 4 years later and the 80 pairs of mother and children (from that pregnancy) were re-examined using the same procedure as did at baseline. An individual caries risk profile and DMFT/dmft incidence were made for each woman and child. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for two cut-offs were calculated to express the outcome. Results: There was a strong association between the risk categories of pregnant women and their offspring as well as between caries development in children and the Cariogram risk categories of their mother in pregnancy. Sensitivity and PPV for new DMFT (ΔDMFT > 0) over 4 years for women was high (>80%) for those participants assessed with 0-60% “chance to avoid caries“, as well as diagnostic accuracy (74.00%). High specificity (91.00%), very high PPV (95.00%) and clinically useful values according to Youden’s index (0.53) were obtained for moderate and two lowest risk groups for dmft in children. Conclusions: With the limits of this study, Cariogram model can be useful tool for caries prediction in both groups of woman and their children based on caries risk assessment during pregnancy. The Cariogram was valid and highly predictive in caries risk assessment in children based on caries risk assessment of their mother in pregnancy.

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Baseline Caries Risk Assessment Using CAMBRA May Predict Caries Only in High and Extreme Caries Risk Groups

Journal of Evidence Based Dental Practice ◽

10.1016/j.jebdp.2015.10.008 ◽

2015 ◽

Vol 15 (4) ◽

pp. 197-199 ◽

Cited By ~ 4

Author(s):

Marisol Tellez ◽

Vinodh Bhoopathi ◽

Sungwoo Lim

Keyword(s):

Risk Assessment ◽

Risk Groups ◽

Caries Risk ◽

Caries Risk Assessment

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Caries risk assessment models in caries prediction

Acta Medica Academica ◽

10.5644/ama2006-124.87 ◽

2013 ◽

Vol 42 (2) ◽

pp. 198-208 ◽

Cited By ~ 11

Author(s):

Amila Zukanović

Keyword(s):

Risk Assessment ◽

Caries Risk ◽

Caries Risk Assessment ◽

Risk Assessment Models ◽

Caries Prediction

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Success of Two Caries Risk Assessment Tools in Children: A Pilot Study With a 3-Year Follow-Up

International Quarterly of Community Health Education ◽

10.1177/0272684x19892356 ◽

2019 ◽

Vol 40 (4) ◽

pp. 317-320

Author(s):

Elif Kuru ◽

Ece Eden

Keyword(s):

Risk Assessment ◽

Preschool Children ◽

Dental Caries ◽

Dietary Habits ◽

Assessment Tool ◽

Systemic Disease ◽

Risk Groups ◽

Assessment Tools ◽

Caries Risk ◽

Caries Risk Assessment

Caries risk is defined as the dental caries probability under the individual bacteriological environment, dietary habits, and environmental factors. Assessment of caries risk plays a major role in the prevention of dental caries. The aim of this study was to compare the effectiveness of two different caries risk assessment methods on caries-free preschool children. A sample of 90 caries-free 4- to 6-year-old children were selected from 400 preschool children. The selection was limited to children who had no dental caries, visible plaque, and systemic disease. 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. Children were classified as being in high-, medium-, or low-risk groups by two methods. Determining risk factors according to CAT were examined. The compliance among the two methods was evaluated. Sixty-eight children were reevaluated intraorally after 3 years. The compliance between CAT and CCLP was sought using Kappa test. Statistical evaluation revealed moderate compliance among methods at baseline. The three most determinant factors in the high-risk group according to CAT were no topical fluoride exposure, no use of dental services, and active caries in mother. CAT is found statistically more successful than CCLP in predicting caries risk 3 years later. Caries risk assessment is effective to predict future caries and can be helpful for the clinician to choose the right tailor-made caries prevention plans.

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