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Caries risk profiles in orthodontic patients at follow-up using Cariogram.

Artikel i vetenskaplig tidskrift
Författare Anas H Al Mulla
Saad Al Kharsa
Heidrun Kjellberg
Dowen Birkhed
Publicerad i The Angle orthodontist
Volym 79
Nummer/häfte 2
Sidor 323-30
ISSN 0003-3219
Publiceringsår 2009
Publicerad vid Institutionen för odontologi
Sidor 323-30
Språk en
Länkar dx.doi.org/10.2319/012708-47.1
Ämnesord Adolescent, Adult, Buffers, Child, Colony Count, Microbial, DMF Index, Dental Caries, etiology, Dental Caries Susceptibility, Dental Enamel, pathology, Dental Plaque Index, Dentin, pathology, Follow-Up Studies, Food Habits, Humans, Lactobacillus, isolation & purification, Oral Hygiene, Orthodontic Appliances, Photography, Dental, Radiography, Bitewing, Radiography, Panoramic, Risk Assessment, Risk Factors, Saliva, microbiology, physiology, secretion, Secretory Rate, physiology, Software, Streptococcus mutans, isolation & purification, Young Adult
Ämneskategorier Cariologi

Sammanfattning

OBJECTIVE: To analyze caries-related factors shortly after orthodontic treatment and to use the Cariogram computer program to describe caries risk profiles at follow-up in these patients. MATERIALS AND METHODS: One hundred orthodontic patients age 12-29 years, with a mean age of 17.5 years, were included in the study. They were divided into two groups (50 in each) based on their prebonding decayed, filled surfaces index (DFS). High (5 > or = DFS) and low (2 < or = DFS) groups were created. All patients were examined after debonding in the following order: interview, plaque score, caries examination, saliva samples, bitewing radiographs, panoramic radiographs, and intra-oral digital photos. All types of carious lesions in both the enamel and dentine were diagnosed clinically and radiographically and included in the DFS index. A paraffin-stimulated whole saliva sample was collected for estimations of secretion rate, buffer capacity, and number of mutans streptococci and lactobacilli. RESULTS: The low caries group (2 < or = DFS) displayed a statistically significant difference and low values for the following factors, DFS (P < .001), lactobacilli (P < .001), mutans streptococci (P < .001), and high Cariogram percent (P < .001). The plaque index displayed very close significance (P = .051). CONCLUSIONS: Patients with high (5 > or = DFS) numbers before orthodontic treatment ran a higher risk of developing caries. They had significantly higher numbers of mutans streptococci and lactobacilli and had less chance of avoiding new cavities according to the Cariogram.

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