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Article: Building caries risk assessment models for children

TitleBuilding caries risk assessment models for children
Authors
KeywordsBiopsychosocial model
Caries risk assessment
Preschoolers
Issue Date2010
PublisherSage Publications, Inc.. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925
Citation
Journal Of Dental Research, 2010, v. 89 n. 6, p. 637-643 How to Cite?
AbstractDespite the well-recognized importance of caries risk assessment, practical models remain to be established. This study was designed to develop biopsychosocial models for caries risk assessment in various settings. With a questionnaire, an oral examination, and biological (salivary, microbiological, and plaque pH) tests, a prospective study was conducted among 1782 children aged 3-6 years, with 1576 (88.4%) participants followed in 12 months. Multiple risk factors, indicators, and protective factors were identified. Various risk assessment models were constructed by the random selection of 50% of the cases and further validated in the remaining cases. For the prediction of a ne-year caries increment, screening models without biological tests achieved a sensitivity/ specificity of 82%/73%; with biological tests, full-blown models achieved the sensitivity/specificity of 90%/90%. For identification of a quarter of the children with high caries burden (baseline dmft > 2), a community-screening model requiring only a questionnaire reached a sensitivity/specificity of 82%/81%. These models are promising tools for cost-effective caries control and evidence-based treatment planning. Abbreviations: decayed, missing, filled teeth in primary dentition (dmft); receiver operation characteristics (ROC); relative risk (RR); confidence interval (CI); National Institutes of Health (NIH); World Health Organization (WHO); US Department of Health and Human Services (US/DHHS); American Academy of Pediatric Dentistry (AAPD).
Persistent Identifierhttp://hdl.handle.net/10722/136769
ISSN
2015 Impact Factor: 4.602
2015 SCImago Journal Rankings: 1.714
ISI Accession Number ID
Funding AgencyGrant Number
Singapore Ministry of EducationR222-000-021-112
R222-000-022-112
Funding Information:

We appreciate the help from the staff in the participating kindergartens and the financial support of the Singapore Ministry of Education Academic Research Fund, R222-000-021-112 and R222-000-022-112.

References

 

DC FieldValueLanguage
dc.contributor.authorGao, XLen_HK
dc.contributor.authorHsu, CYSen_HK
dc.contributor.authorXu, Yen_HK
dc.contributor.authorHwarng, HBen_HK
dc.contributor.authorLoh, Ten_HK
dc.contributor.authorKoh, Den_HK
dc.date.accessioned2011-07-29T02:11:40Z-
dc.date.available2011-07-29T02:11:40Z-
dc.date.issued2010en_HK
dc.identifier.citationJournal Of Dental Research, 2010, v. 89 n. 6, p. 637-643en_HK
dc.identifier.issn0022-0345en_HK
dc.identifier.urihttp://hdl.handle.net/10722/136769-
dc.description.abstractDespite the well-recognized importance of caries risk assessment, practical models remain to be established. This study was designed to develop biopsychosocial models for caries risk assessment in various settings. With a questionnaire, an oral examination, and biological (salivary, microbiological, and plaque pH) tests, a prospective study was conducted among 1782 children aged 3-6 years, with 1576 (88.4%) participants followed in 12 months. Multiple risk factors, indicators, and protective factors were identified. Various risk assessment models were constructed by the random selection of 50% of the cases and further validated in the remaining cases. For the prediction of a ne-year caries increment, screening models without biological tests achieved a sensitivity/ specificity of 82%/73%; with biological tests, full-blown models achieved the sensitivity/specificity of 90%/90%. For identification of a quarter of the children with high caries burden (baseline dmft > 2), a community-screening model requiring only a questionnaire reached a sensitivity/specificity of 82%/81%. These models are promising tools for cost-effective caries control and evidence-based treatment planning. Abbreviations: decayed, missing, filled teeth in primary dentition (dmft); receiver operation characteristics (ROC); relative risk (RR); confidence interval (CI); National Institutes of Health (NIH); World Health Organization (WHO); US Department of Health and Human Services (US/DHHS); American Academy of Pediatric Dentistry (AAPD).en_HK
dc.languageengen_US
dc.publisherSage Publications, Inc.. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925en_HK
dc.relation.ispartofJournal of Dental Researchen_HK
dc.rightsJournal of Dental Research. Copyright © Sage Publications, Inc.-
dc.subjectBiopsychosocial modelen_HK
dc.subjectCaries risk assessmenten_HK
dc.subjectPreschoolersen_HK
dc.subject.meshDental Care-
dc.subject.meshDental Caries - etiology - prevention and control-
dc.subject.meshOral Health-
dc.subject.meshSaliva - microbiology - physiology-
dc.subject.meshStreptococcus mutans - isolation and purification-
dc.titleBuilding caries risk assessment models for childrenen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-0345&volume=89&issue=6&spage=637&epage=643&date=2010&atitle=Building+caries+risk+assessment+models+for+children-
dc.identifier.emailGao, XL:gaoxl@hkucc.hku.hken_HK
dc.identifier.authorityGao, XL=rp01509en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1177/0022034510364489en_HK
dc.identifier.pmid20400721-
dc.identifier.scopuseid_2-s2.0-77953234422en_HK
dc.identifier.hkuros169320-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77953234422&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume89en_HK
dc.identifier.issue6en_HK
dc.identifier.spage637en_HK
dc.identifier.epage643en_HK
dc.identifier.eissn1544-0591-
dc.identifier.isiWOS:000277691000015-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridGao, XL=36102275600en_HK
dc.identifier.scopusauthoridHsu, CYS=7404946106en_HK
dc.identifier.scopusauthoridXu, Y=36155898100en_HK
dc.identifier.scopusauthoridHwarng, HB=6701396143en_HK
dc.identifier.scopusauthoridLoh, T=36849141600en_HK
dc.identifier.scopusauthoridKoh, D=7103039121en_HK

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