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Caries risk assessment of the patients with fixed restoration by using commertially available caries risk tests

使用市售龋齿风险测试对固定修复体患者的龋齿风险进行评估

基本信息

批准号：
10671827
负责人：
ARAKAWA Hikaru
金额：
$ 2.11万
依托单位：
Okayama University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 1999
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10671827/
关键词：
Dental Caries Caries Risk Test Reliability Cariogenic flora Dentocult CRT DMFT Chlorhexidine SM数 LB数歯科 Orion Diagnostica AB 唾液緩衝能唾液粘調度 SM度

项目摘要

Nowadays, dental diseases (ex, dental caries) are regarded as oral infection and pluricausal diseases. Thus, it is very normal that to evaluate individual cariogenic flora, cariogenic resistance and living habits is thought to be important for the comprehensive oral disease cares. We have some commertially available caries risk test systems (such as Dentocult and CRT) for estimating salivary mutans streptococci, lactobacillus and those systems are clinically used for detection of potential caries risk patients. The aim of this study is to compare the reliability levels of the outcome variables of the systems and indirectly asses the validity of the systems in terms of the effect of CHX mouth rinse.From a clinical point of view, the reliability of Dentocult and CRT systems was clinically acceptable and both tests seemed useful method for screening their caries risk. However, their DMFT values were poorly correlated to their results of the caries risk tests utilied in this study. This might be reasonable because the DMFT value represents past history of the patient's oral environment, not the on-going pathological process. So their correlated data in a cross-sectional time flame might not be enough to depict the real utility of the systems. More regorous prospective cohort study might be needed in the near future. On the other hand, CHX mouth rinse reduced the number of mutans streptococcii in saliva, while the number of lactobacilli did not respond to the CHX mouth rinse.

如今，口腔疾病(如龋齿)被认为是口腔感染和多病因疾病。因此，评估个体的致龋菌群、抗龋性和生活习惯对于口腔疾病的综合护理是很正常的。我们有一些商用的龋病风险检测系统(如Dentocult和CRT)来估计唾液中的变形链球菌、乳杆菌，这些系统被用于临床检测潜在的龋病风险患者。这项研究的目的是比较系统结果变量的可靠性水平，并根据CHX含漱液的效果间接评估系统的有效性。从临床角度来看，Dentocult和CRT系统的可靠性在临床上是可以接受的，这两种测试似乎都是筛查其龋病风险的有用方法。然而，他们的DMFT值与他们在这项研究中使用的龋病风险测试结果相关性很差。这可能是合理的，因为DMFT值代表患者口腔环境的过去历史，而不是正在进行的病理过程。因此，它们在横截面时间火焰中的相关数据可能不足以描述系统的真正效用。在不久的将来，可能需要进行更多的前瞻性队列研究。另一方面，CHX含漱液减少了唾液中的变形链球菌数，而乳酸菌的数量对CHX含漱液没有反应。