성인의 치면세균막 내 산생성능력과 치아우식경험과의 연관성
A simple colorimetric method for the clinical evaluation of caries activity in adults
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Purpose: The aim of this study was to confirm the validity of the CariviewTM‚ test in adults by assessing correlations between CariviewTM‚ scores and caries experience using a quantitative light-induced fluorescence (QLF) technique. Methods: This retrospective cross-sectional study included 111 patients aged 19-64 years who visited a dental clinic in Seoul from 2015 to 2016, and underwent the CariviewTM‚ test and had their teeth photographed with the Qraycam. Plaque was scraped with sterilized cotton swabs, and then placed in a culture medium and incubated at 37°C for 48 h. Finally, the degree of color change was evaluated, and scored on a 0-100 point scale. Caries experience index included not only cavitated lesions but also early caries that were detected on white and fluorescence images. Participants were divided into low, moderate and high caries risk groups according to the CariviewTM‚ score, and caries experience was compared between risk groups using ANCOVA. Spearman correlation coefficients were calculated to analyze the associations between CariviewTM‚ scores and caries indices. Result: The mean age of the participants was 40 years, and the mean CariviewTM‚ score was 53.6 20.7. The WDMFT and the DMFT indices significantly increased with caries risk, and this increase was significantly different between the low- and high-risk groups. The CariviewTM‚ test scores were significantly correlated with the WDMFT (r = 0.28, P = 0.003) and DMFT (r = 0.29, P = 0.002) indices. Conclusion: The CariviewTM‚ test could be a clinically useful and simple method for assessing caries risk in adults.
Abstract
Purpose: The aim of this study was to confirm the validity of the CariviewTM‚ test in adults by assessing correlations between CariviewTM‚ scores and caries experience using a quantitative light-induced fluorescence (QLF) technique. Methods: This retrospective cross-sectional study included 111 patients aged 19-64 years who visited a dental clinic in Seoul from 2015 to 2016, and underwent the CariviewTM‚ test and had their teeth photographed with the Qraycam. Plaque was scraped with sterilized cotton swabs, and then placed in a culture medium and incubated at 37°C for 48 h. Finally, the degree of color change was evaluated, and scored on a 0-100 point scale. Caries experience index included not only cavitated lesions but also early caries that were detected on white and fluorescence images. Participants were divided into low, moderate and high caries risk groups according to the CariviewTM‚ score, and caries experience was compared between risk groups using ANCOVA. Spearman correlation coefficients were calculated to analyze the associations between CariviewTM‚ scores and caries indices. Result: The mean age of the participants was 40 years, and the mean CariviewTM‚ score was 53.6 20.7. The WDMFT and the DMFT indices significantly increased with caries risk, and this increase was significantly different between the low- and high-risk groups. The CariviewTM‚ test scores were significantly correlated with the WDMFT (r = 0.28, P = 0.003) and DMFT (r = 0.29, P = 0.002) indices. Conclusion: The CariviewTM‚ test could be a clinically useful and simple method for assessing caries risk in adults.
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