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Maritess Oliveros-Villarico¹, Patimaporn Pungchanchaikul², Supatra Watthanasaen³

¹Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen Thailand; Subsection of Pediatric Dentistry, Department of Clinical Dental Health Sciences, College of Dentistry, University of the Philippines Manila, Manila, Philippines.

International dental journal

|August 24, 2024

概括

像CRAF,CAMBRA和Cariogram这样的虫风险评估工具在预测菲律宾儿童未来虫时是无效的. 需要新的,更准确的工具,以有效预防高风险人群的.

科学领域:

儿科牙科儿科牙科
公共卫生公共卫生
牙科流行病学牙科流行病学

背景情况:

牙损伤风险评估对于牙科诊断至关重要,在患病率较低的人群中被证明是有效的.
菲律宾儿童持续表现出高病发病率,需要对这一人口群体中现有的工具进行评估.
目前的虫风险评估 (CRA) 工具可能不适合高虫率的人群.

研究的目的:

为了前性地比较三种可用的空风险评估工具的预测有效性.
评估虫风险评估表格 (CrAF),风险评估虫管理 (CAMBRA) 和虫图谱在预测菲律宾幼儿未来虫的有效性.
确定当前CRA工具在高病流行环境中的局限性.

主要方法:

一项前性研究涉及菲律宾卡洛坎市703名年龄在4-24个月的儿童.
使用修改的国际虫检测和评估系统 (ICDAS) 标准进行口头检查和护理人员采访.
使用CRAF,CAMBRA和Cariogram进行基线风险评估,然后在2年后记录虫发病率.

主要成果:

观察到高基线虫发病率 (29.2%) 和2年虫发病率为76.5%.
CrAF显示高灵敏度 (93.1%),但特异性低 (3.9%);CAMBRA具有类似的模式 (71.7%的灵敏度,34.2%的特异性).
图显示的敏感度低 (23.5%),但特异性高 (80.3%).

结论:

评估的任何虫风险评估工具 (CrAF,CAMBRA,Cariogram) 都没有显示出足够的准确性 (灵敏度+特异性<160) 来预测高风险人群中的虫.
现有的CRA工具不足以识别菲律宾小孩患有脏病的高风险.
开发更有效,更准确的虫风险评估工具对于高虫人口的有效预防策略至关重要.

关键词:

牙腐烂是一种牙腐烂.影响影响影响影响一个主要的牙.风险评估风险评估风险评估敏感度敏感度敏感度具体性具体性具体性

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