PMID- 24666244 OWN - NLM STAT- MEDLINE DCOM- 20151215 LR - 20181202 IS - 1502-3850 (Electronic) IS - 0001-6357 (Linking) VI - 72 IP - 8 DP - 2014 Nov TI - Does caries risk assessment predict the incidence of caries for special needs patients requiring general anesthesia? PG - 721-8 LID - 10.3109/00016357.2014.898788 [doi] AB - OBJECTIVES: The aim of this study was to correlate the caries-related variables of special needs patients to the incidence of new caries. MATERIALS AND METHODS: Data for socio-demographic information and dental and general health status were obtained from 110 patients treated under general anesthesia because of their insufficient co-operation. The Cariogram program was used for risk assessment and other caries-related variables were also analyzed. Within a defined follow-up period (16.3 +/- 9.5 months), 64 patients received dental examinations to assess newly developed caries. RESULTS: At baseline, the mean (SD) values of the DMFT (decayed, missing and filled teeth) and DT (decayed teeth) for the total patients were 9.2 (6.5) and 5.8 (5.3), respectively. During the follow-up period, new caries occurred in 48.4% of the patients and the mean value (SD) of the increased DMFT (iDMFT) was 2.1 (4.2). The patients with a higher increment of caries (iDMFT >/=3) showed significantly different caries risk profiles compared to the other patients (iDMFT <2) (p < 0.05). Close correlations existed between the caries increment and several caries-related variables; baseline DMFT, insufficient self-tooth-brushing and malocclusion were greatly associated with new caries development. CONCLUSIONS: Caries risk assessment could predict the incidence of future caries in hospital-based dentistry. Past caries experience and inadequate oral hygiene maintenance were largely related to caries development in special needs patients. FAU - Chang, Juhea AU - Chang J AD - Clinic for Persons with Disabilities, Seoul National University Dental Hospital, Dental Research Institute, School of Dentistry, Seoul National University , Seoul , Korea. FAU - Kim, Hae-Young AU - Kim HY LA - eng PT - Comparative Study PT - Journal Article DEP - 20140325 PL - Sweden TA - Acta Odontol Scand JT - Acta odontologica Scandinavica JID - 0370344 SB - IM MH - Adolescent MH - Adult MH - Aged MH - *Anesthesia, Dental MH - *Anesthesia, General MH - Child MH - DMF Index MH - *Dental Care for Disabled MH - Dental Caries/*etiology MH - *Dental Caries Susceptibility MH - Dental Plaque Index MH - Female MH - Follow-Up Studies MH - Forecasting MH - Health Status MH - Humans MH - Male MH - Malocclusion/complications MH - Middle Aged MH - Oral Health MH - Periodontal Index MH - Risk Assessment MH - Saliva/chemistry MH - Self Care MH - Toothbrushing MH - Young Adult OTO - NOTNLM OT - DMFT OT - caries risk assessment OT - cariogram OT - general anesthesia OT - intellectual disabilities OT - special needs patient EDAT- 2014/03/29 06:00 MHDA- 2015/12/17 06:00 CRDT- 2014/03/27 06:00 PHST- 2014/03/27 06:00 [entrez] PHST- 2014/03/29 06:00 [pubmed] PHST- 2015/12/17 06:00 [medline] AID - 10.3109/00016357.2014.898788 [doi] PST - ppublish SO - Acta Odontol Scand. 2014 Nov;72(8):721-8. doi: 10.3109/00016357.2014.898788. Epub 2014 Mar 25.