Caries risk assessment in young adults: A 3-year validation of clinical guidelines used in Public Dental Service
(2013) In Acta Odontologica Scandinavica 71(6). p.1645-1650- Abstract
- Objectives. To validate a risk classification model according to the Public Dental Service (PDS) guidelines with the actual 3-year caries outcome in terms of predictive values. Materials and methods. All 19-year-old patients registered at eight public dental clinics in Skane, Sweden were invited to participate (n = 1699). The study group who completed the baseline examination consisted of 1295 subjects, representing 10% of the age group attending the public dental care in the region. A risk classification of each patient in four categories was made by the patient's regular team according to the guidelines. At the follow-up 3 years later, 75.8% were accessible. The final examinations included bitewing radiographs and the actual caries... (More)
- Objectives. To validate a risk classification model according to the Public Dental Service (PDS) guidelines with the actual 3-year caries outcome in terms of predictive values. Materials and methods. All 19-year-old patients registered at eight public dental clinics in Skane, Sweden were invited to participate (n = 1699). The study group who completed the baseline examination consisted of 1295 subjects, representing 10% of the age group attending the public dental care in the region. A risk classification of each patient in four categories was made by the patient's regular team according to the guidelines. At the follow-up 3 years later, 75.8% were accessible. The final examinations included bitewing radiographs and the actual caries increment for 982 patients was calculated. Results. At baseline, 11.9% were assessed as being at 'high' or 'very high' risk. The dropouts had significantly more caries than the remaining patients (p < 0.05). The general disease activity was low, but those grouped into the two highest risk groups displayed significantly more new caries than those at lower risk (p < 0.05). With a cutoff value DDFS > 0 vs DFS = 0, the sensitivity was 81% and the specificity 56% for 'low' risk vs any risk. By combining the 'low' and 'some' risk categories, the PDS model generated an improved specificity (94%). Conclusions. The risk assessment scheme used by the Public Dental Service for young adults relied basically on past and current caries activity and 65-70% of the patients were correctly classified. The model was most effective to screen out patients with low caries risk. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4200930
- author
- Petersson, Gunnel Hansel ; Ericson, Ewa ; Isberg, Per-Erik LU and Twetman, Svante
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- risk classification, guidelines, risk model
- in
- Acta Odontologica Scandinavica
- volume
- 71
- issue
- 6
- pages
- 1645 - 1650
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000326678700043
- scopus:84887218403
- pmid:23834530
- ISSN
- 1502-3850
- DOI
- 10.3109/00016357.2013.788734
- language
- English
- LU publication?
- yes
- id
- df8a9ee2-4e1f-4d61-9acf-97e334454a4f (old id 4200930)
- date added to LUP
- 2016-04-01 13:30:37
- date last changed
- 2022-01-27 19:36:23
@article{df8a9ee2-4e1f-4d61-9acf-97e334454a4f,
abstract = {{Objectives. To validate a risk classification model according to the Public Dental Service (PDS) guidelines with the actual 3-year caries outcome in terms of predictive values. Materials and methods. All 19-year-old patients registered at eight public dental clinics in Skane, Sweden were invited to participate (n = 1699). The study group who completed the baseline examination consisted of 1295 subjects, representing 10% of the age group attending the public dental care in the region. A risk classification of each patient in four categories was made by the patient's regular team according to the guidelines. At the follow-up 3 years later, 75.8% were accessible. The final examinations included bitewing radiographs and the actual caries increment for 982 patients was calculated. Results. At baseline, 11.9% were assessed as being at 'high' or 'very high' risk. The dropouts had significantly more caries than the remaining patients (p < 0.05). The general disease activity was low, but those grouped into the two highest risk groups displayed significantly more new caries than those at lower risk (p < 0.05). With a cutoff value DDFS > 0 vs DFS = 0, the sensitivity was 81% and the specificity 56% for 'low' risk vs any risk. By combining the 'low' and 'some' risk categories, the PDS model generated an improved specificity (94%). Conclusions. The risk assessment scheme used by the Public Dental Service for young adults relied basically on past and current caries activity and 65-70% of the patients were correctly classified. The model was most effective to screen out patients with low caries risk.}},
author = {{Petersson, Gunnel Hansel and Ericson, Ewa and Isberg, Per-Erik and Twetman, Svante}},
issn = {{1502-3850}},
keywords = {{risk classification; guidelines; risk model}},
language = {{eng}},
number = {{6}},
pages = {{1645--1650}},
publisher = {{Taylor & Francis}},
series = {{Acta Odontologica Scandinavica}},
title = {{Caries risk assessment in young adults: A 3-year validation of clinical guidelines used in Public Dental Service}},
url = {{http://dx.doi.org/10.3109/00016357.2013.788734}},
doi = {{10.3109/00016357.2013.788734}},
volume = {{71}},
year = {{2013}},
}