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Caries risk assessment in young adults using Public Dental Service guidelines and the Cariogram-a comparative study

机译:使用公共牙科服务指南和心电图进行年轻人龋病风险评估的比较研究

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Objectives. To investigate the caries risk profiles in young adults and to compare the risk classification using the Public Dental Service (PDS) guidelines with a risk assessment program, the Cariogram. Materials and methods. All 19-year-old patients registered at eight public dental clinics were invited to participate (n = 1699). The study group who completed the baseline examination consisted of 1295 subjects representing 10% of all 19 year-olds attending dental care at the PDS in Skane, Sweden. A risk classification of each patient was made by the patient's regular team according to the PDS guidelines. A research team collected whole saliva samples and information from a questionnaire and a structured interview in order to calculate risk according to the Cariogram model. Results. The mean DFS value was 4.9 and 23% of the patients were registered as caries-free (DFS = 0). The PDS risk classification was predominantly based on past caries and/or present caries activity. The majority was classified as 'some risk', while 16.7% were assessed as being of 'high' or 'very high risk'. The corresponding value for the two highest risk groups in the Cariogram model was 17.4%. The agreement between the two models was found acceptable (77.5%) for those assessed as low risk, while discrepancies were disclosed among those classified with higher risks. Conclusions. Although the proportion of subjects assessed with high or very high risk was similar using the PDS guidelines and the Cariogram model, the agreement between the models was fair. An acceptable agreement was only disclosed for the low risk category.
机译:目标。为了调查年轻人的龋齿风险概况,并使用公共牙科服务(PDS)指南将风险分类与风险评估程序Cariogram进行比较。材料和方法。邀请在八家公共牙科诊所登记的所有19岁患者参加(n = 1699)。完成基线检查的研究组由1295名受试者组成,占在瑞典Skane的PDS参加牙科护理的所有19岁儿童的10%。患者的常规团队根据PDS指南对每个患者进行风险分类。一个研究小组从问卷和结构化访谈中收集了全部唾液样本和信息,以便根据心电图模型计算风险。结果。 DFS的平均值为4.9,有23%的患者无龋(DFS = 0)。 PDS风险分类主要基于过去的龋齿和/或当前的龋齿活动。大多数被归类为“某些风险”,而16.7%被评估为“高风险”或“极高风险”。心电图模型中两个最高风险组的对应值为17.4%。对于被评估为低风险的模型,发现两个模型之间的一致性是可接受的(77.5%),而在那些被归类为较高风险的模型中,发现差异。结论尽管使用PDS指南和Cariogram模型评估的高风险或高风险受试者的比例相似,但模型之间的协议是公平的。仅针对低风险类别披露了可接受的协议。

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