Caries Risk Assessment pada Dewasa

Menggunakan Cariogram
Liliya Doitchinova1, Dimitar Kirov2, Janet Nikolova3, Snezhanka Topalova-Pirinska3
1
Department of Pediatric Dentistry, Faculty of Dental Medicine, Medical University of Sofia, Sofia,
Bulgaria
2
Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University of Sofia,
Sofia, Bulgaria
3
Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University of Sofia, Sofia,
Bulgaria

Abstrak
Pendahuluan: Penelitian ini mengidentifikasi risiko karies pada pasien dewasa dengan menggunakan
produk software Swedia Cariogram. Deteksi dini dan manajemen tepat waktu faktor risiko
perkembangan karies sangat penting untuk pencegahan dan perawatan pencegahan non-operatif.
Tujuan: Mengidentifikasi pasien yang berisiko tinggi mengalami karies dan menerapkan program
profilaksis yang ditujukan pada pasien individu berdasarkan penilaian faktor risiko individu.
Bahan dan metode: Penelitian ini melibatkan 59 wanita dan 41 pria berusia 19–65 tahun. Riwayat medis
rinci diperoleh dari semua pasien yang menjalani pemeriksaan klinis menyeluruh, evaluasi saliva dengan
uji Saliva-Check Buffer (GC) dan kadar Streptococcus mutans dan Lactobacillus menggunakan CRT
Bacteria kit (produk Ivoclar Vivadent AG), dan penilaian kadar risiko karies menggunakan software
Cariogram.
Hasil: Hasil penelitian menunjukkan bahwa faktor risiko terpenting adalah sebagai berikut: DMFT, (rs
[100] = 0,358, p <0,001), kadar Lactobacilli (rs [100] = 0,321, p <0,001), kadar Streptococcus mutans (rs
[100] = 0,302, p <0,05), jumlah plak (rs [100] = 0,291, p <0,05), frekuensi asupan makanan (rs [100] =
0,252, p <0,05), dan kandungan diet (rs [ 100] = 0,220, p <0,05). Koefisien korelasi yang tidak signifikan
dalam penilaian risiko ditunjukkan dengan penerapan fluorida (rs [100] = 0.114, p> 0.05), laju saliva (rs
[100] = 0.018, p> 0.05), dan kapasitas buffer saliva (rs [100]) = 0,144, p> 0,05).
Kesimpulan: Cariogram adalah metode yang sangat berguna dalam praktek klinis untuk evaluasi resiko
karies dan penatalaksanaan non-operatif yang bersifat preventif.

Kata kunci
faktor risiko karies, cariogram, lansia, software evaluasi risiko, kerusakan gigi
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