Cariostat法对成年患者的龋活跃性检测的效果评价

doi:10.13591/j.cnki.kqyx.2024.07.007

Abstract

Abstract:

Objective To investigate the feasibility of using Cariostat test for caries risk assessment in adult outpatients and provide a reference basis for caries prevention and treatment in adult outpatients of different ages. Methods Fifty-two adult patients of different ages (18-24, 25-34, 35-44, 45-54, and ≥55 years old) attending outpatient clinics of The Affiliated Stomatological Hospital of Nanjing Medical University were tested for caries activity using the Cariostat test. Oral examinations were conducted according to the criteria of the 5th edition of the Basic Methods of Oral Health Surveys of the World Health Organization, and on-site questionnaire surveys were performed for the Cariogram assessment system. Oral examinations included assessments of dental arch conditions and caries status, while questionnaire surveys covered dietary habits, oral health care habits, etc. The caries status of adult outpatients of different age groups was analyzed, and caries activity was assessed using the Cariostat test. The caries risk levels were determined, and the consistency between the Cariostat test and the Cariogram assessment system was evaluated. Results It was found that there was a difference in mean decayed, missing and filled surfaces (DMFS) between the low-risk group of adult outpatients with different caries risk levels classed by the Cariostat test and the intermediate and high-risk groups (P<0.05). There was a difference in mean decayed, missing and filled teeth (DMFT) and mean DMFS between the low-risk group of adult outpatients with different caries risk levels classed by Cariogram and the intermediate and high-risk groups (P<0.05). The evaluation results of caries risk levels in adult outpatients classed by the Cariostat test and the Cariogram assessment system showed a Kappa value of 0.467 (P<0.05) in the ≥55 years old group, indicating moderate consistency. Conclusion The Cariostat test is useful in understanding the caries activity of adult outpatients and is particularly accurate and effective in patients at the age of 55 or older.

Key words: adults, caries risk assessment, Cariostat, Cariogram, caries prevention

CLC Number:

R781.1

BIAN Chengyue, GUAN Zhuo, SUN Siyi, CUI Chuang, JIANG Fei, ZHANG Guangdong. Evaluation of the effectiveness of Cariostat test on caries activity in adult patients[J]. Stomatology, 2024, 44(7): 522-526.

Figures/Tables 5

Tab.1

Caries status of adult outpatients of different age groups"

年龄/岁	总人数	龋均		龋面均
年龄/岁	总人数	中位数	$x ˉ$ ±s	中位数	$x ˉ$ ±s
18~24	10	2.50	3.50±3.72^a	5.00	6.30±7.45^b
25~34	10	3.50	3.90±2.28^a	7.50	7.10±4.61^b
35~44	10	5.50	5.30±3.56^a	9.50	10.40±7.56^ab
45~54	10	5.00	5.20±3.82^a	11.50	12.80±9.65^ab
≥55	12	4.50	7.17±6.25^a	16.50	24.58±26.25^a
r			0.255		0.419^**
P			0.068		0.002

Tab.1

Tab.2

Comparison of caries in different caries risk groups by the Cariostat test and the Cariogram caries risk assessment system"

龋风险评估方法及等级		总人数	龋均		龋面均
龋风险评估方法及等级		总人数	中位数	$x ˉ$ ±s	中位数	$x ˉ$ ±s
	低	6	2.50	3.17±2.14^a	4.00	5.33±3.88^b
Cariostat	中	39	4.00	4.97±4.61^a	9.00	12.33±16.71^b
	高	7	8.00	7.43±2.76^a	22.00	25.29±14.96^a
r				0.313		0.398
P				0.024^*		0.003^**
	低	4	0.00	0.50±1.00^b	0.00	0.75±1.50^b
Cariogram	中	36	4.50	4.92±4.06^a	9.00	12.39±16.47^a
	高	12	8.00	7.17±4.49^a	14.50	17.67±12.51^a
r				0.415		0.428
P				0.002^**		0.002^**

Tab.2

Tab.3

Tab.4

Tab.5

References 26

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Evaluation of the effectiveness of Cariostat test on caries activity in adult patients

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年龄/岁	n(人数)	Kappa	P
18~24	10	-0.111	0.621
25~34	10	-0.071	0.598
35~44	10	-0.220	0.343
45~54	10	0.000	1.000
≥55	12	0.467	0.010
总体	52	0.078	0.468

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