Journal vol.2 no.1 abstract2 of The Japan Health Care Dental Association

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The Journal of The Japan Health Care Dental Association

The Journal of The Japan Health Care Dental Association Vol.2 No.1, 2000
abstract

An Individualized Program for the Prevention of Dental Caries Based on the Risk Prediction in the Long-Term Occlusal Enhancement

Tomoe Ito, Masako Kusmoto, Katsuhiko Taura

The incidence of dental caries is thought to be greatly influenced by the respective risk factors in individuals. We have been trying to establish an individual program for the prevention of dental caries based on the risk prediction in the long-term occlusal enhancement. The procedures of our individual program are as follows:

At first, all caries risk factors were examined. After the risk profile is predicted for diagnosis of caries pathogenesis, the preventive menu is selected and the program is provided for a patient before orthodontic treatment. Then, the changes of the patient's risk of caries are monitored throughout the long- term occlusal enhancement.

This study was designed to evaluate the efficacy of our individualized program. The subjects consisted of 64 patients who were cared by our individualized program during the first phase treatment of the long-term occlusal enhancement.

The results of this study were as follows:

  1. Significant correlation was observed between the LB-score and DMFT.
  2. Several preventive prescriptions were supplied to the group of high LB-score .
  3. The LB-score was useful for understanding the respective caries risk in individuals.
  4. Although the LB-score tended to inclease during the 1st phase treatment period, 30% of the patients could maintain low LB-score. Accordingly, attention should be paid to the other risk factors as well .
  5. The incidence of new caries was significantly prevented during the period of this study. Therefore, the efficacy of this individual program was confirmed.

In conclusion, a systematic management for the prevention of dental caries can be performed without aggravation of the caries risk in individuals throughout the long-term occlusal enhancement.

J Health Care Dent 2000; 2: 18-25.

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