Evaluation of the Cariogram for root caries prediction

Hayes, Martina; Mata, Cristiane da; McKenna, Gerald; Burke, Francis; Allen, Patrick

doi:10.1016/j.jdent.2017.04.010

Cited by 23 publications

(17 citation statements)

References 29 publications

(32 reference statements)

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“…Assessing caries risk is an essential element in the planning of preventive and therapeutic strategies [13]. The Cariogram model proposed by Petersson et al in 1996 has higher accuracy in predicting the trend of caries development, and is an ideal multi-factor caries risk assessment model [13][14][15]. It graphically displays an individual's caries risk pro le, simultaneously taking into account the interaction between different causative factors and parameters of caries [16].…”

Section: Introductionmentioning

confidence: 99%

Oral health, caries risk profiles, and oral microbiome of pediatric patients with leukemia submitted to chemotherapy

Wang

Zeng

Yang

et al. 2020

Preprint

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Background: Chemotherapy is the primary treatment modality used for patients with acute lymphoblastic leukemia (ALL), but inevitably causes microbiota-related oral complications. This study aims to investigate the effects of chemotherapy on oral health status, caries risk, and oral microbiome in pediatric patients with ALL. Methods: Thirty-nine children with ALL receiving chemotherapy were enrolled, and a gender-, age-, dentition stage and socioeconomic class matched healthy counterpart (HC) were recruited. Demographic information and overall health condition were obtained through questionnaire or medical records. Oral examination was performed to assess caries and salivary status, plaque index and other oral manifestations. Cariogram was used to assess the overall caries risk. Supragingival samples of thirteen ALL subjects and their counterparts were randomly selected to perform a 16S ribosomal RNA gene 454 pyrosequencing. Raw sequence data were screened, trimmed, and filtered using Seqcln and MOTHUR. Results: The prevalence of dental caries, gingivitis, oral mucositis, xerostomia and candidiasis in ALL group was higher than that of control group (p < 0.05). Children with ALL demonstrated higher caries risk compared with healthy controls based upon Cariogram (p < 0.05). The oral microbial structure of ALL patients receiving chemotherapy is different from that of healthy controls. Oral microbiota of ALL group showed less alpha diversity and significant differences in the composition of the oral microbiome compared to healthy controls. Conclusions: ALL patients receiving chemotherapy demonstrated compromised oral health, high caries risk, alteration of caries related factors and dysbiosis of oral microbiota. These findings may possibly be of clinical importance in developing better strategies for personalized preventive management of oral diseases for pediatric children with ALL.

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Section: Introductionmentioning

confidence: 99%

Oral health, caries risk profiles, and oral microbiome of pediatric patients with leukemia submitted to chemotherapy

Wang

Zeng

Yang

et al. 2020

Preprint

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“…23 Dental caries in particular remains a problem for this age group with a high prevalence of coronal and root surface caries found amongst old-age populations. 24,25 In the 1998 UK Adult Dental Health Survey, the proportion of adults with 18 or more sound and unrestored teeth was only 5% among those aged 55 years and over. The 2009 UK Adult Dental Health Survey indicated that this figure had improved but still remained at only 13%.…”

Section: The Oral Health Of Older Adultsmentioning

confidence: 99%

Managing an Ageing Population: Challenging Oral Epidemiology

et al. 2020

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Global population projections indicate that the proportion of older people is increasing and will continue to do so for the foreseeable future. Many countries are already experiencing the challenges of managing an ageing population, including increased pension contributions from workers, rises to national retirement ages, and spiralling healthcare costs. In oral health terms, in addition to simply an ageing population, epidemiological studies have demonstrated significant changes in the oral health of older adults in recent years. As the numbers of edentulous older adults has declined, there has been a significant increase in the number of partially dentate elderly. Changing attitudes, improved access to dental care and more effective preventative programmes have meant that large numbers of patients are now retaining natural teeth into old age. However, as older patients retain natural teeth for longer, the dental profession is charged with controlling chronic dental diseases in an increasingly challenging oral environment.

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“…23 More recently, in a prospective randomised study of root caries in elderly patients, Hayes et al showed that patients categorised as highest level of risk by the Cariogram at baseline did indeed have the highest root caries incidence 24 months later. 24 Care strategies can be tailored more accurately when level of risk is systematically and correctly identified.…”

Section: Ris K a Ss E Ss Mentmentioning

confidence: 99%

Minimal intervention dentistry for partially dentate older adults

2019

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Background Chronic dental and oral diseases, such as dental caries and periodontal disease, continue to be a significant health problem among older adults. Given the rapidly changing profile of the ageing population, and their complex health needs, there is a need to develop new evidence‐based approaches to oral health care. Recently, care philosophies have been developed that take a minimally invasive, functionally oriented, approach to oral health care with a focus on providing a reduced, but healthy, natural dentition which can be maintained with support of better oral hygiene. Method A review of the literature concerning use of minimal intervention dentistry (MID) to manage caries and toothloss in partially dentate older adults was undertaken. Results A variety of chemotherapeutic agents are available to prevent development of root caries and/or arrest root caries lesions, with professionally applied solutions (ie 22 500 NaF, 38% SDF or 40% CHX) every 3 to 6 months demonstrating best outcomes. Application of 38% SDF annually in high‐risk, institutionalised older adults is effective in arresting root caries. Atraumatic restorative treatment can be used successfully to manage active carious lesions and limit the removal of natural tooth tissue. Finally, functionally oriented treatment planning to manage partial toothloss is successful in terms of quality of life impact and cost‐effectiveness. Conclusion Available evidence is somewhat limited and more long‐term studies are need. However, currently available evidence suggests that minimal intervention dentistry can be predictable and cost‐effective in older adults.

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Evaluation of the Cariogram for root caries prediction

Abstract: Identification of a caries risk assessment tool which could reliably select high-risk individuals for root caries prevention strategies would maximise the cost effectiveness of professionally delivered prevention measures.

Cited by 23 publications

References 29 publications

Oral health, caries risk profiles, and oral microbiome of pediatric patients with leukemia submitted to chemotherapy

Oral health, caries risk profiles, and oral microbiome of pediatric patients with leukemia submitted to chemotherapy

Managing an Ageing Population: Challenging Oral Epidemiology

Minimal intervention dentistry for partially dentate older adults

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