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Comparison of Saliva-Check Mutans and Saliva-Check IgA Mutans with the Cariogram for caries risk assessment

Journal article
Authors Kerstin Wennerholm
Claes-Göran Emilson
Published in European Journal of Oral Sciences
Volume 121
Issue 5
Pages 389-393
ISSN 0909-8836
Publication year 2013
Published at Institute of Odontology
Pages 389-393
Language en
Keywords caries risk assessment; Cariogram; Saliva-Check Mutans; Saliva- Check IgA Mutans
Subject categories Cariology


The purpose of the study was to evaluate the combined use of two rapid, semiquantitative detection kits (Saliva-Check Mutans and Saliva-Check IgA Mutans) to assess caries risk using the Cariogram computer-based program as a reference method. Stimulated saliva samples were collected from 71 subjects, 20–73 yr of age, and the number of Streptococcus mutans per ml of saliva was measured using Saliva- Check Mutans. After 15 min, a red line in the test detection window indicated >5 9 105 colony-forming units (CFU) of S. mutans per ml of saliva. The concentration of salivary IgA in relation to the number of mutans streptococci was examined using the Saliva-Check IgA Mutans test kit. The presence or absence of a red line after 15 min indicated a high or a low concentration of IgA, respectively. By combining the results obtained from these two test systems, each patient was classified into one of four groups of low to high caries risk. Compared with the Cariogram data, the combined results of both detection kits showed that 39 (95%) of 41 subjects had a high chance of avoiding caries and 20 (67%) of 30 subjects had a low chance. The data suggest that the combination of Saliva-Check Mutans and Saliva- Check IgA Mutans could be used for caries risk assessment.

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