Cariogram - a multifactorial risk assessment model for a multifactorial disease
Cariogram - a multifactorial risk assessment model for a multifactorial disease
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DOI：
10.1111/j.1600-0528.2005.00233.x
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发表时间：
2005-08-01
影响因子：
2.3
通讯作者：
Petersson, GH
中科院分区：
文献类型：
--
作者：
Bratthall, D;Petersson, GH
本文就龋病风险评估的常用方法进行综述。它还描述了一种新的方式来说明龋齿的风险概况的个人，Cariogram。过去的龋齿经验和社会经济因素通常用于预测龋齿。作为预测模型，这些方法简单、廉价、快速。然而，它们不是风险模型，因为它们没有具体说明哪些特定的风险因素正在发挥作用。各种生物因素可用于风险评估。常见的是细菌、饮食和宿主因素。单独来看，这些生物学因素通常具有有限的预测价值。社会经济因素通常对生物因素有很大的影响，因为它们可以解释为什么一个人，例如，有致龋饮食或忽视口腔卫生。生物学因素是龋病发生的直接原因。龋齿的经历是宿主如何应对生物活动的一个例证。为了便于解释生物学数据，开发了Cariogram。这是一个计算机程序，显示一个图形图片，说明了一个可能的整体龋齿风险的情况。该程序包含一个算法，提出了一个“加权”分析的输入数据，主要是生物因素。它反映了不同的龋病病因对患龋风险的影响程度。Cariogram确定了个体的龋齿风险因素，并为临床医生提供了预防和治疗策略的示例。
This paper reviews some common methods for the assessment of caries risk. It also describes a new way of illustrating the caries risk profile of an individual, the Cariogram. Past caries experience and socioeconomic factors are often used for prediction of caries. As prediction models, the methods are simple, inexpensive and fast. However, they are not risk models, as they do not specify which particular risk factors are operating. Various biological factors can be used for risk assessment. Common ones are bacteria, diet and host factors. Taken separately, these biological factors often have limited predictive values. Socioeconomic factors often have a heavy impact on the biological factors as they can explain why an individual, for example, has a cariogenic diet or neglects oral hygiene. The biological factors are the immediate cause of the cavities. Caries experience is an illustration of how the host copes up with the biological activity. To facilitate the interpretation of biological data, the Cariogram was developed. It is a computer program showing a graphical picture that illustrates a possible overall caries risk scenario. The program contains an algorithm that presents a 'weighted' analysis of the input data, mainly biological factors. It expresses as to what extent different etiological factors of caries affect caries risk. The Cariogram identifies the caries risk factors for the individual and provides examples of preventive and treatment strategies to the clinician.