Comparison of risk assessment based on clinical judgement and Cariogram in addition to patient perceived treatment need

BMC Oral Health

Research Article

Dan Ericson¹  Gunnel Hänsel Petersson¹  Sigvard Åkerman²  Per-Erik Isberg³ 

[1] Department of Cariology, Faculty of Odontology, Malmö University, SE-205 06, Malmö, Sweden;Department of Orofacial Pain and Jaw function, Faculty of Odontology, Malmö University, Malmö, Sweden;Department of Statistics, Lund University School of Economics and Management, Lund University, Lund, Sweden;

关键词: Caries risk assessment;    Dental caries;    Guidelines;    Prediction;    Risk model;   

DOI  :  10.1186/s12903-016-0238-4

 received in 2016-01-22, accepted in 2016-06-29,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundPredicting future risk for oral diseases, treatment need and prognosis are tasks performed daily in clinical practice. A large variety of methods have been reported, ranging from clinical judgement or “gut feeling” or even patient interviewing, to complex assessments of combinations of known risk factors. In clinical practice, there is an ongoing continuous search for less complicated and more valid tools for risk assessment. There is also a lack of knowledge how different common methods relates to one another. The aim of this study was to investigate if caries risk assessment (CRA) based on clinical judgement and the Cariogram model give similar results. In addition, to assess which factors from clinical status and history agree best with the CRA based on clinical judgement and how the patient’s own perception of future oral treatment need correspond with the sum of examiners risk score.MethodsClinical examinations were performed on randomly selected individuals 20–89 years old living in Skåne, Sweden. In total, 451 individuals were examined, 51 % women. The clinical examination included caries detection, saliva samples and radiographic examination together with history and a questionnaire. The examiners made a risk classification and the authors made a second risk calculation according to the Cariogram.ResultsFor those assessed as low risk using the Cariogram 69 % also were assessed as low risk based on clinical judgement. For the other risk groups the agreement was lower. Clinical variables that significantly related to CRA based on clinical judgement were DS (decayed surfaces) and combining DS and incipient lesions, DMFT (decayed, missed, filled teeth), plaque amount, history and soft drink intake. Patients’ perception of future oral treatment need correlated to some extent with the sum of examiners risk score.ConclusionsThe main finding was that CRA based on clinical judgement and the Cariogram model gave similar results for the groups that were predicted at low level of future disease, but not so well for the other groups. CRA based on clinical judgement agreed best with the number of DS plus incipient lesions.

【 授权许可】

CC BY   
© The Author(s). 2016