PAST CARIES RECORDINGS MADE IN PUBLIC DENTAL CLINICS AS PREDICTORS OF CARIES PREVALENCE IN EARLY ADOLESCENCE
PAST CARIES RECORDINGS MADE IN PUBLIC DENTAL CLINICS AS PREDICTORS OF CARIES PREVALENCE IN EARLY ADOLESCENCE
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DOI：
10.1111/j.1600-0528.1989.tb00635.x
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发表时间：
1989-12-01
影响因子：
2.3
通讯作者：
KARKKAINEN, S
中科院分区：
文献类型：
--
作者：
SEPPA, L;HAUSEN, H;KARKKAINEN, S
本研究的目的是评估过去的龋齿经验，在预测13岁的龋齿患病率在乳牙和恒牙列。临床和X线检查进行了512 13岁的少年由一个训练有素的研究小组。6-12岁的dmfs和DMFS值从公共牙科保健记录中获得。为了评估预测的准确性，根据每个过去的龋齿评分和13年的评分对儿童进行交叉分类。切割点的选择，使儿童在上四分之一的龋齿经验，形成预测和真正的高龋组，留下约75%的低龋组。还计算了Pearson相关性。乳牙龋（6岁）的敏感性和特异性分别为57%和85%。对于恒牙列，6岁时的敏感度最低（28%），9岁时达到68%，并一直保持到12岁。特异性从92%（6年）下降至85%（9年），然后稳定增加至93%（12年）。相关系数随着年龄的增长而增加，从0.37增加到0.82。在筛查儿童高龋增量时，乳牙列龋似乎比恒牙第一磨牙龋更好。当目的是确定那些受试者的高龋齿增量以后，在9岁的筛查似乎是准确的，后来做的。
The aim of the present study was to evaluate the power of past caries experience in primary and permanent dentition in predicting caries prevalence at the age of 13 yr. Clinical and radiographical examination was performed in 512 13-yr-olds by a trained research team. The 6-12-yr dmfs and DMFS values were obtained from the Public Dental Care records. For evaluating the accuracy of predictions, the children were cross-classified according to each past caries score and the 13-yr score. The cutting points were selected so that the children in the upper quartile of caries experience formed the predicted and true high caries groups, leaving about 75% in the low caries groups. Pearson correlations were also calculated. Sensitivity and specificity of caries in primary teeth (6 yr) were 57% and 85%, respectively. For permanent dentition, sensitivity was the lowest (28%) at the age of 6, reached 68% at the age of 9 and remained at that level until age 12. Specificity decreased from 92% (6 yr) to 85% (9yr) and then steadily increased to 93% (12 yr). Correlation increased with age from 0.37 to 0.82. When screening for high caries increment in young children, caries in primary dentition seems a better screening criterion than caries in permanent first molars. When the aim is to identify those subjects with high caries increment later on, screening at age 9 seems as accurate as that done later.