We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Validation of an early childhood caries risk assessment tool in a low-income Hispanic population.
- Authors
Custodio‐Lumsden, Christie L.; Wolf, Randi L.; Contento, Isobel R.; Basch, Charles E.; Zybert, Patricia A.; Koch, Pamela A.; Edelstein, Burton L.; Custodio-Lumsden, Christie L
- Abstract
<bold>Objectives: </bold>There is a recognized need for valid risk assessment tools for use by both dental and nondental personnel to identify young children at risk for, or with, precavitated stages of early childhood caries (i.e., early stage decalcifications or white spot lesions).The aim of this study is to establish concurrent criterion validity of "MySmileBuddy" (MSB), a novel technology-assisted ECC risk assessment and behavioral intervention tool against four measures of ECC activity: semi-quantitative assays of salivary mutans streptococci levels, visible quantity of dental plaque, visual evidence of enamel decalcifications, and cavitation status (none, ECC, severe ECC).<bold>Methods: </bold>One hundred eight children 2-6 years of age presenting to a pediatric dental clinic were recruited from a predominantly Spanish-speaking, low-income, urban population. All children received a comprehensive oral examination and saliva culture for assessment of ECC indicators. Their caregivers completed the iPad-based MSB assessment in its entirety (15-20 minutes). MSB calculated both diet and comprehensive ECC risk scores. Associations between all variables were determined using ordinal logistic regression.<bold>Results: </bold>MSB diet risk scores were significantly positively associated with salivary mutans (P < 0.05), and approached significance with visible plaque levels (P < 0.1). MSB comprehensive risk scores were significantly associated with both oral mutans and visible plaque (P < 0.05). Neither was associated with visually evident decalcifications or cavitations.<bold>Conclusions: </bold>Findings suggest that MSB may have clinical utility as a valid risk assessment tool for identifying children with early precursors of cavitations but does not add value in identifying children with extant lesions.
- Subjects
DENTAL caries in children; DENTAL caries risk factors; HEALTH risk assessment; HISPANIC American children; PEDIATRIC dentistry; HEALTH; COMPARATIVE studies; DENTAL caries; DENTAL plaque; HISPANIC Americans; RESEARCH methodology; MEDICAL cooperation; POVERTY; RESEARCH; RESEARCH funding; RISK assessment; STREPTOCOCCUS mutans; EVALUATION research; TOOTH demineralization
- Publication
Journal of Public Health Dentistry, 2016, Vol 76, Issue 2, p136
- ISSN
0022-4006
- Publication type
journal article
- DOI
10.1111/jphd.12122