Validation of caries risk assessment methods in orthodontic patients

Enerbäck, Hanna; Lingström, Peter; Møller, Marie Østergaard; Nylén, Cathrine; Bresin, Cecilia Ödman; Ros, Ingrid Östman; Westerlund, Anna

doi:10.1016/j.ajodo.2019.07.017

Cited by 8 publications

(8 citation statements)

References 29 publications

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“…[ 25 26 ] Perhaps they should also consider using the Decayed Initial Missing Filled Surfaces (DiMFS) that measures patients’ caries experience, which recently showed its ability to predict initial caries during orthodontic treatment. [ 27 ] The authors also suggest that continuous professional development for Orthodontists should include caries risk assessment and the development of guidelines related to this issue within the region.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of Orthodontists of the Diagnosis, Prevention, and Management of White Spot Lesions

Taibah

Abubakr

Ziada

2022

Journal of International Society of Preventive and Community Dentistry

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Section: Discussionmentioning

confidence: 99%

Perspectives of Orthodontists of the Diagnosis, Prevention, and Management of White Spot Lesions

Taibah

Abubakr

Ziada

2022

Journal of International Society of Preventive and Community Dentistry

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“…In addition, the Second, the analysis of prevalence from this positive samples among pediatric orthodontic patients compared with either adult or pediatric non-Orthodontic patients, which may suggest this population may related caries or other negative oral health outcomes [37]. Whether this to hygiene or other influences related to orthodontic treatment is not within the scope of this study but are factors that should be further explored in future studies to determine why this observation has been made in several studies of 9,38]. In addition, the observation that all the SW-and SS samples were present in mutual overlapping samples may suggest that some microbial interactions may be associated with their propagation or other commensal mechanisms may influence their mutual growth within the same environments.…”

Section: (Ss) Screening For Ss Dna Revealed the Majority Of Samples mentioning

confidence: 95%

“…More specifically, dental caries is the most prevalent, noncommunicable, preventable disease -although much remains to be discovered about the prevalence of the most important cariogenic organisms, including Streptococcus mutans (SM) and Streptococcus sobrinus (SS) among different populations, such as those in orthodontic treatment [8][9][10]. For example, many studies have begun to evaluate the role of fixed orthodontic appliances with changes to the oral ecosystem and cariogenic risk including these organisms [11,12].…”

Section: Introductionmentioning

confidence: 99%

Scardovia wiggsiae and Streptococcus sobrinus Prevalence among Orthodontic and Non-Orthodontic Patients

Trumbo

Kim

Samiano

et al. 2021

MRJI

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Background: Dental cavities or caries have been identified as among the most prevalent of preventable oral conditions. However, studies are discovering new information regarding the incidence and prevalence of several cariogenic organisms, including Streptococcus mutans (SM), the recently discovered Scardovia wiggsiae (SW), as well as Streptococcus sobrinus (SS). These studies have revealed varying prevalence among different populations, such as those undergoing orthodontic treatment. Based upon this information, the main goal of the current study was to assess the prevalence of specific cariogenic organisms (SS and SW) within saliva samples originally obtained from a dental school-based clinic. Methods: The protocol for this retrospective study of DNA isolated from previously collected saliva samples was reviewed and approved by the Institutional Review Board (IRB) as exempt research. In brief, clinical DNA samples were screened for SS and SW using quantitative polymerase chain reaction (qPCR). Demographic and subgroup (Orthodontic, non-Orthodontic) analysis was also performed. Results: This study found that pediatric (12-17 year old patient) samples were much more likely to harbor either SW or SS compared with adult (>18 year old patient) samples. In addition, this study found many more SW-positive samples among pediatric orthodontic patients compared with either adult or pediatric non-Orthodontic patients, which may suggest this population may be at higher risk for SW-related caries or other negative oral health outcomes. Finally, this study found these microbial populations to be strongly linked within the same patient samples. Conclusions: This study has demonstrated that prevalence of SW and SS may be more highly associated with specific population subgroups, including SS observed in non-orthodontic patients and SW found among pediatric orthodontic patients. These results also differ from previous evidence, which found only minor and partially overlapping prevalence of these and other oral microbes. The results of this current study may suggest that SS and SW may be more strongly correlated within similar oral microbial communities and their presence may be directly or indirectly linked through one or more behavioral, microbial or other factors – although more research will be needed to determine these mechanisms.

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“…The caries incidence of the orthodontic patients may also be related to individual caries risk status. Caries risk assessment in orthodontic patients was conducted in a study by Enerback et al [ 16 ]. Their study focused on evaluating the reliability of various methods of caries risk assessment in orthodontic patients.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Probiotics Use on Salivary Cariogenic Bacteria in Orthodontic Patients with Various Caries Risk Status

et al. 2022

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Background: The purpose of this study was to evaluate the change in intraoral cariogenic bacteria density after probiotic use in patients with orthodontic treatment, and to compare the impact of probiotics in patients with various caries risk status. Methods: Patients that planned to receive orthodontic treatment were recruited according to this study’s inclusion/exclusion criteria. A probiotic prescription (Lactobacteria 3 mg, Glycobacteria 2 mg) was started one month after the initial orthodontic treatment. Saliva sampling and cultures using a CRT kit (caries risk test) were performed at three time points (T0, T1, T2). Mutans streptococci (MS) and Lactobacilli (LB) density were evaluated and scored using the interpretation chart in the CRT kit to evaluate the change in bacteria density at three time points, to define the high and low caries risk prior to orthodontic treatment, and to evaluate if there were differences in probiotics between the high and low caries risk groups. Results: Thirty-three orthodontic patients were enrolled, twenty-two classified as high caries risk and eleven as low caries risk. After undergoing treatment for one month, the densities of MS and LB increased significantly (p = 0.011, p = 0.001); probiotics for one month decreased the density of MS and LB, but the differences were statistically nonsignificant (p = 0.109, p = 0.109). Patients classified as low risk of caries demonstrated an increase in MS and LB density one month after orthodontic treatment (p = 0.024, p = 0.001), probiotic use did not result in a significant reduction in bacteria density (p = 1000, p = 0.933). In patients with high caries risk, there were no statistically significant changes in MS count between the three time points (p = 0.127); a significant change in LB density occurred at T0–T1 (p = 0.011) only. Conclusions: Supplemental use of probiotic oral tablets during orthodontic treatment aimed at reducing cariogenic bacteria count in saliva did not achieve significant differences, regardless of patients’ risk status for caries.

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Validation of caries risk assessment methods in orthodontic patients

Cited by 8 publications

References 29 publications

Perspectives of Orthodontists of the Diagnosis, Prevention, and Management of White Spot Lesions

Perspectives of Orthodontists of the Diagnosis, Prevention, and Management of White Spot Lesions

Scardovia wiggsiae and Streptococcus sobrinus Prevalence among Orthodontic and Non-Orthodontic Patients

The Effect of Probiotics Use on Salivary Cariogenic Bacteria in Orthodontic Patients with Various Caries Risk Status

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