Cariostat法对成年患者的龋活跃性检测的效果评价  

Evaluation of the effectiveness of Cariostat test on caries activity in adult patients

作　　者：卞成玥 关卓 孙思怡 崔闯 江飞[1,2] 张光东[1,2] BIAN Chengyue;GUAN Zhuo;SUN Siyi;CUI Chuang;JIANG Fei;ZHANG Guangdong(Jiangsu Key Laboratory of Oral Diseases,Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学口腔疾病研究江苏省重点实验室,江苏南京210029 [2]南京医科大学附属口腔医院综合诊疗科,江苏南京210029

出　　处：《口腔医学》2024年第7期522-526,共5页Stomatology

基　　金：国家自然科学基金(82270955)。

摘　　要：目的 研究Cariostat检测法用于成年患者患龋风险评估的可行性,为不同年龄段成年门诊患者的龋病防治提供参考依据。方法 用Cariostat检测法对南京医科大学附属口腔医院门诊就诊的52例不同年龄段成年患者(18~24岁,25~34岁,35~44岁,45~54岁,≥55岁)进行龋活跃性检测。并按照世界卫生组织《口腔健康调查基本方法》第5版的标准进行口腔检查,同时进行现场问卷调查,用于Cariogram系统评估。口腔检查包括牙列状况、患龋情况等,问卷调查包括饮食习惯、口腔保健习惯等。分析不同年龄段成年门诊患者患龋现状,用Cariostat法检测不同年龄段成年门诊患者的龋活跃性,得出其患龋风险等级,并与Cariogram系统评估的患龋风险等级进行比较,评价Cariostat检测法与Cariogram龋风险评估系统的一致性。结果 Cariostat检测法得出的不同龋风险等级的成年门诊患者低风险组与中、高风险组的龋面均有差异(P<0.05),Cariogram不同龋风险等级的成年门诊患者低风险组与中、高风险组的龋均、龋面均有差异(P<0.05);Cariostat检测法与Cariogram龋风险评估系统对成年患者龋风险等级的评估结果表明,在≥55岁组Kappa值为0.467(P<0.05),为中等一致性。结论 Cariostat检测法有利于了解成年门诊患者的龋活跃性,尤其是对55岁及以上患者更为准确有效。Objective To investigate the feasibility of using Cariostat test for caries risk assessment in adult outpatients and provide a reference basis for caries prevention and treatment in adult outpatients of different ages. Methods Fifty-two adult patients of different ages(18-24, 25-34, 35-44, 45-54, and ≥55 years old) attending outpatient clinics of The Affiliated Stomatological Hospital of Nanjing Medical University were tested for caries activity using the Cariostat test. Oral examinations were conducted according to the criteria of the 5th edition of the Basic Methods of Oral Health Surveys of the World Health Organization, and on-site questionnaire surveys were performed for the Cariogram assessment system. Oral examinations included assessments of dental arch conditions and caries status, while questionnaire surveys covered dietary habits, oral health care habits, etc. The caries status of adult outpatients of different age groups was analyzed, and caries activity was assessed using the Cariostat test. The caries risk levels were determined, and the consistency between the Cariostat test and the Cariogram assessment system was evaluated. Results It was found that there was a difference in mean decayed, missing and filled surfaces(DMFS) between the low-risk group of adult outpatients with different caries risk levels classed by the Cariostat test and the intermediate and high-risk groups(P<0.05). There was a difference in mean decayed, missing and filled teeth(DMFT) and mean DMFS between the low-risk group of adult outpatients with different caries risk levels classed by Cariogram and the intermediate and high-risk groups(P<0.05). The evaluation results of caries risk levels in adult outpatients classed by the Cariostat test and the Cariogram assessment system showed a Kappa value of 0.467(P<0.05) in the ≥55 years old group, indicating moderate consistency. Conclusion The Cariostat test is useful in understanding the caries activity of adult outpatients and is particularly accurate and effective in patients

关 键 词：成年人 龋风险评估 Cariostat Cariogram 龋病预防 

分 类 号：R781.1[医药卫生—口腔医学]