소아에서 치아 우식 경험과 새로운 치아 우식 활성 비색 검사
Correlation between Caries Experience and New Colorimetric Caries Activity Test in Children
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초록
새로운 우식 활성 비색 검사인 Cariview는 새로운 pH 지시약을 사용해서 치태 세균의 산 생산 능력을 더 잘 반영할 수있다. 본 연구는 소아에서 Cariview와 치아 우식 경험(dmft index)과의 상관성을 평가하고, Cariview를 Dentocult SM과 비교할 목적으로 수행되었다. 만5세 이하 135명의 소아를 대상으로 dmft를 기록했으며, Cariview와 Dentocult SM 두 가지 우식 활성 검사를 제조사 지시에 따라 시행하였다. 그 결과, Cariview는 소아의 치아 우식 경험과 중등도의 상관관계를 보였다(r = 0.43, p < 0.01). 치아 우식증 예측에있어 Cariview는 민감도 68.8%, 특이도 69.2%, ROC 곡선 분석의 곡선하면적(AUC) 0.686으로 Dentocult SM에 비해 양호한 수치를 보였다. Cariview는 비협조적인 어린이에게도 시행이 쉽고 편리하며 시각적인 색상으로 나타나 구강위생교육 도구로서 가치가있다.
Abstract
A new colorimetric test (Cariview) using a new type of pH indicator can reflect the acidogenic potential ofplaque bacteria. The objective of this study was to evaluate the correlation between Cariview and the cariesexperience (measured through the dmft index) of children, and to compare Cariview with Dentocult SM. Having obtained informed consent, 135 children less than 6 years old participated in the study. We examinedtheir dmft index, and performed two caries activity tests (Cariview and Dentocult SM) according to the manufacturers’instructions. In the results, Cariview showed a moderate correlation with the dmft index (r = 0.43, p < 0.01). Cariviewshowed a sensitivity of 68.8%, a specificity of 69.2%, and an area under curve of 0.686 in the ROC curve analysis. Cariview had a significant correlation with the children’s caries experience and had a slightly better explanatoryability than Dentocult SM. Furthermore, Cariview was convenient and easy to use on uncooperative children, and also had an educationaleffect with its visual colors. It is suggested that Cariview could be used clinically to identify the childrensusceptible to develop caries and to establish a preventive strategy.
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