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Article: Risk assessment models to predict caries recurrence after oral rehabilitation under general anaesthesia: A pilot study

TitleRisk assessment models to predict caries recurrence after oral rehabilitation under general anaesthesia: A pilot study
Authors
KeywordsCaries recurrence
Caries risk assessment
General anaesthesia
Issue Date2018
PublisherJohn Wiley & Sons Ltd, co-published with FDI World Dental Federation. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1875-595X
Citation
International Dental Journal, 2018 How to Cite?
AbstractObjectives: Oral rehabilitation under general anaesthesia (GA), commonly employed to treat high caries-risk children, has been associated with high economic and individual/family burden, besides high post-GA caries recurrence rates. As there is no caries prediction model available for paediatric GA patients, this study was performed to build caries risk assessment/prediction models using pre-GA data and to explore mid-term prognostic factors for early identification of high-risk children prone to caries relapse post-GA oral rehabilitation. Methods: Ninety-two children were identified and recruited with parental consent before oral rehabilitation under GA. Biopsychosocial data collection at baseline and the 6-month follow-up were conducted using questionnaire (Q), microbiological assessment (M) and clinical examination (C). Results: The prediction models constructed using data collected from Q, Q + M and Q + M + C demonstrated an accuracy of 72%, 78% and 82%, respectively. Furthermore, of the 83 (90.2%) patients recalled 6 months after GA intervention, recurrent caries was identified in 54.2%, together with reduced bacterial counts, lower plaque index and increased percentage of children toothbrushing for themselves (all P < 0.05). Additionally, meal-time and toothbrushing duration were shown, through bivariate analyses, to be significant prognostic determinants for caries recurrence (both P < 0.05). Conclusions: Risk assessment/prediction models built using pre-GA data may be promising in identifying high-risk children prone to post-GA caries recurrence, although future internal and external validation of predictive models is warranted.
Persistent Identifierhttp://hdl.handle.net/10722/261343
ISSN
2019 Impact Factor: 2.038
2015 SCImago Journal Rankings: 0.512
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLin, YT-
dc.contributor.authorKalhan, AC-
dc.contributor.authorLin, YJ-
dc.contributor.authorKalhan, TA-
dc.contributor.authorChou, CC-
dc.contributor.authorGao, X-
dc.contributor.authorHsu, CS-
dc.date.accessioned2018-09-14T08:56:34Z-
dc.date.available2018-09-14T08:56:34Z-
dc.date.issued2018-
dc.identifier.citationInternational Dental Journal, 2018-
dc.identifier.issn0020-6539-
dc.identifier.urihttp://hdl.handle.net/10722/261343-
dc.description.abstractObjectives: Oral rehabilitation under general anaesthesia (GA), commonly employed to treat high caries-risk children, has been associated with high economic and individual/family burden, besides high post-GA caries recurrence rates. As there is no caries prediction model available for paediatric GA patients, this study was performed to build caries risk assessment/prediction models using pre-GA data and to explore mid-term prognostic factors for early identification of high-risk children prone to caries relapse post-GA oral rehabilitation. Methods: Ninety-two children were identified and recruited with parental consent before oral rehabilitation under GA. Biopsychosocial data collection at baseline and the 6-month follow-up were conducted using questionnaire (Q), microbiological assessment (M) and clinical examination (C). Results: The prediction models constructed using data collected from Q, Q + M and Q + M + C demonstrated an accuracy of 72%, 78% and 82%, respectively. Furthermore, of the 83 (90.2%) patients recalled 6 months after GA intervention, recurrent caries was identified in 54.2%, together with reduced bacterial counts, lower plaque index and increased percentage of children toothbrushing for themselves (all P < 0.05). Additionally, meal-time and toothbrushing duration were shown, through bivariate analyses, to be significant prognostic determinants for caries recurrence (both P < 0.05). Conclusions: Risk assessment/prediction models built using pre-GA data may be promising in identifying high-risk children prone to post-GA caries recurrence, although future internal and external validation of predictive models is warranted.-
dc.languageeng-
dc.publisherJohn Wiley & Sons Ltd, co-published with FDI World Dental Federation. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1875-595X-
dc.relation.ispartofInternational Dental Journal-
dc.rightsInternational Dental Journal. Copyright © John Wiley & Sons Ltd, co-published with FDI World Dental Federation.-
dc.rightsPreprint: This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. Postprint: This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. Special Statement for Preprint only Before publication: 'This is a preprint of an article accepted for publication in [The Journal of Pathology] Copyright © ([year]) ([Pathological Society of Great Britain and Ireland])'. After publication: the preprint notice should be amended to follows: 'This is a preprint of an article published in [include the complete citation information for the final version of the Contribution as published in the print edition of the Journal]' For Cochrane Library/ Cochrane Database of Systematic Reviews, add statement & acknowledgement : ‘This review is published as a Cochrane Review in the Cochrane Database of Systematic Reviews 20XX, Issue X. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review.’ Please include reference to the Review and hyperlink to the original version using the following format e.g. Authors. Title of Review. Cochrane Database of Systematic Reviews 20XX, Issue #. Art. No.: CD00XXXX. DOI: 10.1002/14651858.CD00XXXX (insert persistent link to the article by using the URL: http://dx.doi.org/10.1002/14651858.CD00XXXX) (This statement should refer to the most recent issue of the Cochrane Database of Systematic Reviews in which the Review published.)-
dc.subjectCaries recurrence-
dc.subjectCaries risk assessment-
dc.subjectGeneral anaesthesia-
dc.titleRisk assessment models to predict caries recurrence after oral rehabilitation under general anaesthesia: A pilot study-
dc.typeArticle-
dc.identifier.emailGao, X: gaoxl@hku.hk-
dc.identifier.authorityGao, X=rp01509-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/idj.12396-
dc.identifier.scopuseid_2-s2.0-85046548632-
dc.identifier.hkuros290015-
dc.identifier.isiWOS:000450680800002-
dc.publisher.placeUnited Kingdom-

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