Diagnosis and Risk Prediction of Dental Caries, Volume 2 by Per Axelsson

By Per Axelsson

The second one quantity of the sequence offers readers with present wisdom in regards to the etiology, editing elements, and threat evaluate of dental caries, as well as improvement, analysis, and epidemiology. for every subject addressed, the writer presents unique clinical history, a good illustrated advisor to enforcing cutting-edge practices, conclusions, and destiny recommendations.

Table of Contents:

1. Etiologic elements fascinated about Dental Caries

2. exterior editing components concerned with Dental Caries

3. inner editing components curious about Dental Caries

4. Prediction of Caries possibility and hazard Profiles

5. improvement and prognosis of Carious Lesions

6. Epidemiology of Dental Caries

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Example text

The number of lactobacilli in saliva seems to be fairly stable during the daytime. Significantly higher levels are often obtained if saliva is collected in the early morning, before breakfast and toothbrushing, than if samples are obtained during the rest of the day, especially for subjects with high numbers of lactobacilli. Fig 37 Distribution of caries increment in children with different combined levels of mutans streptococci and lactobacilli scores. Score systems based on Dentocult SM for mutans streptococci and Dentocult LB for lactobacilli, both systems ranging from score 0 (low levels of bacteria) to score 3.

However, the dilemma is that no method will guarantee that 100% of the selected high-risk individuals are "true" highrisk individuals. The percentage of "true" high-risk individuals among the selected group of high-risk individuals is termed sensitivity of the risk predictive method. Similarly, methods are used to select nonrisk or low-risk individuals. The percentage of "true" nonrisk individuals is termed specificity of the predictive method used. These principles may be exemplified in Fig 41 (a to c) showing the outline of a typical study with the aim of evaluating the predictive power of a risk marker of dental caries.

In particular this is important in infants and children with erupting permanent teeth. Wendt et al (1994) found that the caries incidence in infants and toddlers aged 1 to 3 years was strongly correlated to the plaque scores and oral hygiene regimens even at 1 year of age. Selection of caries-risk patients Inability of a sole salivary MS test to predict caries risk As already mentioned in this chapter, numerous cross-sectional as well as longitudinal studies have shown significant correlations between salivary MS levels and caries prevalence and caries incidence (for review, see Bratthall, 1991; Bratthall and Ericsson, 1994; Beighton et al, 1989).

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