The use of Cariogram to evaluate caries-risk profiles in orthodontic patients.
This article describes the usefulness of Cariogram software in three orthodontic patients with high-, medium-, and low-risk caries profiles. Caries-related indicators and information needed for the Cariogram model were registered. The prebonding decayed and filled surfaces (DFS) indices for patient 1 (15-year-old girl) and patient 2 (18-year-old woman) were >5, while in patient 3 (15-year-old boy), the DFS index was <2. The data were entered into the interactive Cariogram software, which shows the various caries-related indicators. Patients 1, 2, and 3 had 6%, 58%, and 87%, respectively, actual chance of avoiding new caries. Patient 1 had high lactobacilli and medium mutans streptococci scores and a high caries risk. Patient 2 had a high DFS index and low buffer capacity, resulting in a medium caries risk. Patient 3 had low mutans streptococci and high lactobacilli scores and a low DFS index, resulting in a low caries risk. The Cariogram is available free online and is a useful educational model to illustrate a patient's caries risk.
Al Mulla
Anas H
AH
Department of Cariology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. a.almulla@mac.com
Al Kharsa
Saad
S
Kjellberg
Heidrun
H
Birkhed
Dowden
D
D000293:Adolescent; D058491:Bacterial Load; D002021:Buffers; D002327:Cariostatic Agents / Q000627:therapeutic use; D003188:Composite Resins / Q000737:chemistry; D004245:DMF Index; D001840:Dental Bonding; D003731:Dental Caries / Q000209:etiology*; D003733:Dental Caries Susceptibility / Q000502:physiology*; D003774:Dental Plaque Index; D005247:Feeding Behavior; D005260:Female; D005459:Fluorides / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007778:Lactobacillus / Q000302:isolation & purification; D008297:Male; D016910:Orthodontic Brackets; D009971:Orthodontics, Corrective / Q000295:instrumentation; D023861:Photography, Dental; D016300:Radiography, Bitewing; D019279:Resin Cements / Q000737:chemistry; D018570:Risk Assessment; D012463:Saliva / Q000378:metabolism / Q000502:physiology; D012984:Software; D013295:Streptococcus mutans / Q000302:isolation & purification; D014099:Toothbrushing / Q000379:methods; D014100:Toothpastes / Q000627:therapeutic use
D002021:Buffers; D002327:Cariostatic Agents; D003188:Composite Resins; C429652:Reliance Light Bond; D019279:Resin Cements; D014100:Toothpastes; D005459:Fluorides