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A simple colorimetric method for the clinical evaluation of caries activity in adults

J Korean Dent Assoc > Volume 55(6); 2017 > Article
The Journal of The Korean Dental Association 2017;55(6):413-422.
Published online June 30, 2017.
성인의 치면세균막 내 산생성능력과 치아우식경험과의 연관성
김효정1, 구혜민2, 이은송3, 권호근4, 김백일5
1연세대학교 치과대학 예방치과학교실
2연세대학교 치과대학 예방치과학교실
3연세대학교 치과대학 예방치과학교실
4연세대학교 치과대학 예방치과학교실
5연세대학교 치과대학 예방치과학교실
A simple colorimetric method for the clinical evaluation of caries activity in adults
Hyo-Jung Kim1, Hye-Min Ku2, Eun-Song Lee3, Ho-Keun Kwon4, Baek-Il Kim5
1Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry
2Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry
3Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry
4Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry
5Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry
Abstract
Purpose
The aim of this study was to confirm the validity of the CariviewTM, test in adults by assessing correlations between CariviewTM, scores and caries experience using a quantitative light-induced fluorescence (QLF) technique. Methods: This retrospective cross-sectional study included 111 patients aged 19-64 years who visited a dental clinic in Seoul from 2015 to 2016, and underwent the CariviewTM, test and had their teeth photographed with the Qraycam. Plaque was scraped with sterilized cotton swabs, and then placed in a culture medium and incubated at 37°C for 48 h. Finally, the degree of color change was evaluated, and scored on a 0-100 point scale. Caries experience index included not only cavitated lesions but also early caries that were detected on white and fluorescence images. Participants were divided into low, moderate and high caries risk groups according to the CariviewTM, score, and caries experience was compared between risk groups using ANCOVA. Spearman correlation coefficients were calculated to analyze the associations between CariviewTM, scores and caries indices. Result: The mean age of the participants was 40 years, and the mean CariviewTM, score was 53.6pm20.7. The WDMFT and the DMFT indices significantly increased with caries risk, and this increase was significantly different between the low- and high-risk groups. The CariviewTM, test scores were significantly correlated with the WDMFT (r = 0.28, P = 0.003) and DMFT (r = 0.29, P = 0.002) indices. Conclusion: The CariviewTM, test could be a clinically useful and simple method for assessing caries risk in adults.
Key Words: Dental caries activity tests;DMF Index;Quantitative light-induced fluorescence;


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