IADR Abstract Archives
Effectiveness of Different Preventive Programs in Young Adults at High Caries Risk: A Clinical Study
Objectives: The purpose of this study was to evaluate the effectiveness of different preventive programs in young adults at high caries risk using ‘Cariogram’ software.
Methods: 154 young adults (18-25years) with high caries risk were evaluated in this study. Dental caries risk for all teeth assessment was made clinically and radiographically determined according to WHO criteria. At baseline, data on general health, diet, oral hygiene and use of fluoride were obtained. Saliva analyses included MS and LB counts, secretion rate and buffer capacity were carried out. Subjects were divided seven different preventive groups (OH+:Positive control, OH-:Negative control, FV:Fluoride varnish, KV:Chlorhexidine varnish, PT:Probiotic tablet, PFV: FV+PT, PKV: KV+PT). They were followed for 12 weeks (baseline, 1 week, 4 week and 12 week) with visits except for OH- group. Plaque index, diet frequency and salivary chair-side tests to record the flow rate, buffer capacity and MS and LB counts were performed at each visit. Based on these data, ten caries-related variables were collected and inserted into the Cariogram software to calculate the actual chance of avoiding caries for each subject for all visits. The DMFT/S was calculated one year later.
Results: The use of 1450 ppm fluoridated toothpaste, chewing probiotic tablet, single fluoride and chlorhexidine varnish application or combine usage with probiotic tablet resulted in a statistically significant modification of the caries-risk profile, increasing the actual chance of avoiding caries in the future for all subjects at each visit following baseline (p<0.001). The significant changes essentially related to the all Cariogram parameters (diet,bacteria,susceptibility,circumstances). When the factors in Cariogram were separately assessed, only saliva secretion rate were determined to effect the caries formation significantly after one year (p<0.05).
Conclusions: The regularly short-term (one year) use of 1450 ppm fluoridated toothpaste is able to reduce the caries risk in young adults, which can be clearly demonstrated using Cariogram software.
Methods: 154 young adults (18-25years) with high caries risk were evaluated in this study. Dental caries risk for all teeth assessment was made clinically and radiographically determined according to WHO criteria. At baseline, data on general health, diet, oral hygiene and use of fluoride were obtained. Saliva analyses included MS and LB counts, secretion rate and buffer capacity were carried out. Subjects were divided seven different preventive groups (OH+:Positive control, OH-:Negative control, FV:Fluoride varnish, KV:Chlorhexidine varnish, PT:Probiotic tablet, PFV: FV+PT, PKV: KV+PT). They were followed for 12 weeks (baseline, 1 week, 4 week and 12 week) with visits except for OH- group. Plaque index, diet frequency and salivary chair-side tests to record the flow rate, buffer capacity and MS and LB counts were performed at each visit. Based on these data, ten caries-related variables were collected and inserted into the Cariogram software to calculate the actual chance of avoiding caries for each subject for all visits. The DMFT/S was calculated one year later.
Results: The use of 1450 ppm fluoridated toothpaste, chewing probiotic tablet, single fluoride and chlorhexidine varnish application or combine usage with probiotic tablet resulted in a statistically significant modification of the caries-risk profile, increasing the actual chance of avoiding caries in the future for all subjects at each visit following baseline (p<0.001). The significant changes essentially related to the all Cariogram parameters (diet,bacteria,susceptibility,circumstances). When the factors in Cariogram were separately assessed, only saliva secretion rate were determined to effect the caries formation significantly after one year (p<0.05).
Conclusions: The regularly short-term (one year) use of 1450 ppm fluoridated toothpaste is able to reduce the caries risk in young adults, which can be clearly demonstrated using Cariogram software.