A simplified caries risk test in stimulated saliva from elderly patients.

Abstract:

OBJECTIVES:To evaluate and compare lactobacilli species (LB) and mutans streptococci (MS) caries risk identification by means of a Caries Risk Test Bacteria (CRT Bacteria test), with a conventional laboratory test (CLT), as well as their correlation with the dental caries experience [(decayed-missing-filled teeth (DMFT index)] in subjects 60 years of age and older. DESIGN:Cross-sectional study. SETTING:Epidemiologic and Health Service Research Unit, Aging Area. XXI Century National Medical Center; Mexican Institute of Social Security (IMSS). SUBJECTS:A total of 696 elderly subjects residing in southwestern Mexico City. METHODS:The DMFT index was determined in 696 subjects and saliva collected by stimulation. This was processed with a CRT Bacteria test and a CLT (the gold standard) test. Subjects with high [> or =10(5) colony forming units (CFU)/ml] and low caries risk (<10(5) CFU/ml) were assessed. RESULTS:The CRT Bacteria test sensitivity (Sen) and specificity (Spe) were 0.97 and 0.86 for LB, respectively, with positive and negative predictor values of 0.92 and 0.95 respectively. For MS, Sen and Spe was 0.92 and 0.90, and 0.96 and 0.81 respectively. The receiver operating characteristic area under the curve (ROC area) in LB and MS was 0.94 and 0.89, respectively; thus, a correlation existed between the caries experience and the LB and MS caries risk, similar to that present with the CLT test. CONCLUSION:The CRT Bacteria test shows similar results to those of the CLT test in subjects 60 years of age and over.

journal_name

Gerodontology

journal_title

Gerodontology

authors

Sánchez-García S,Gutiérrez-Venegas G,Juárez-Cedillo T,Reyes-Morales H,Solórzano-Santos F,García-Peña C

doi

10.1111/j.1741-2358.2007.00184.x

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

26-33

issue

1

eissn

0734-0664

issn

1741-2358

pii

GER184

journal_volume

25

pub_type

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