SALIVARY CARIES-RELATED TESTS AS PREDICTORS OF FUTURE CARIES INCREMENT IN TEENAGERS - A 3-YEAR LONGITUDINAL-STUDY

被引：37

作者：

ALALUUSUA, S

KLEEMOLAKUJALA, E

GRONROOS, L

EVALAHTI, M

机构：

[1] Department of Pedodontics and Orthodontics, Institute of Dentistry, University of Helsinki

来源：

ORAL MICROBIOLOGY AND IMMUNOLOGY | 1990年 / 5卷 / 02期

关键词：

caries increment; dental caries; lactobacilli; mutans streptococci; prediction;

D O I：

10.1111/j.1399-302X.1990.tb00231.x

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

The aim of the study was to evaluate the capability of caries‐related salivary tests and a test based on past caries experience (baseline DPS) to select persons at high risk for caries. The subjects (n = 122) were 12–17 years old at the beginning of the study. Caries was registered and salivary samples were taken annually during the 3‐study period. The 3‐year caries increment was positively correlated to the baseline DPS (r = 0.46, p < 0.001), salivary level of mutans streptococci (r = 0.30, p < 0.001) and lactobacilli (r = 0.30, p < 0.001), and combined level of mutans streptococci and lactobacilli (r = 0.39, p < 0.001) and negatively correlated to the buffering capacity of saliva (r =−0.22, p < 0.05). Tests based on either past caries experience or mutans streptococci or lactobacilli levels alone were not efficient in selecting persons at high risk for caries. Among the tests, DPS was the most sensitive and specific. A combination of either microbial test and DPS was more efficient to select persons at risk than various alternatives alone. The sensitivity was 84% and the specificity 62% for the combination of lactobacilli test and DPS and 71% and 79% respectively for the combination of mutans streptococci and DPS. In the former combination the positive prediction value was 43% and in the latter 56%. Copyright © 1990, Wiley Blackwell. All rights reserved

引用

页码：77 / 81

页数：5

共 19 条

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