International Journal of Clinical Pediatric Dentistry

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VOLUME 12 , ISSUE 6 ( November-December, 2019 ) > List of Articles

RESEARCH ARTICLE

Evaluation of CRAFT as a Tool for Caries Risk Assessment in 3- to 6-year-old Children and its Validation against Alban's Test: A Pilot Study

Jagruti H Thakur, HN Subhadra

Citation Information : Thakur JH, Subhadra H. Evaluation of CRAFT as a Tool for Caries Risk Assessment in 3- to 6-year-old Children and its Validation against Alban's Test: A Pilot Study. Int J Clin Pediatr Dent 2019; 12 (6):538-542.

DOI: 10.5005/jp-journals-10005-1698

License: CC BY-NC 4.0

Published Online: 24-11-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Introduction: Dental caries is a multifactorial disease and a dynamic process that can be prevented and reversed during the early stage. Risk assessment is an important step in decision-making and treatment planning. There are no valid tools available for the Indian population. Caries risk assessment for treatment (CRAFT) is a chairside tool for caries risk assessment and management. Valid, reliable, economical, and chairside caries risk assessment tool is the need of the hour for general and pediatric dentists. Aim: To evaluate CRAFT as a tool for caries risk prediction among 3-years to 6-years-old children and to validate it against Alban test. Materials and methods: A pilot study was conducted, including forty 3-years to 6-years-old children. Salivary samples were collected and inoculated on B.C.G.-Dextrose Agar. Caries activity was assessed using Alban test. Their parents/guardians completed the CRAFT assessment in entirety. Results: The data were tabulated and subjected to suitable statistical analysis. High positive correlation between CRAFT scores and Alban's test (Spearman's Rho = 0.874) was found. Conclusion: CRAFT scores were highly correlated with Alban scores in 3- to 6-year-old children. CRAFT could be successfully employed as a reliable, economical, chairside, and clinically feasible risk assessment tool with further research on a larger sample size. Clinical significance: CRAFT can provide a framework for the clinician for preventive care and enhance patient–participation for CRA.


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  1. Kassebaum NJ, Smith AG, Bernabé E, et al. GBD 2015 Oral Health Collaborators. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990–2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dental Res 2017;96(4):380–387. DOI: 10.1177/0022034517693566.
  2. Pitts NB. Are we ready to move from operative to non-operative/preventive treatment of dental caries in clinical practice? Caries Res 2004;38(3):294–304. DOI: 10.1159/000077769.
  3. Featherstone JD. Dental caries: a dynamic disease process. Aust Dent J 2008;53(3):286–291. DOI: 10.1111/j.1834-7819.2008.00064.x.
  4. Guo L, Shi W. Salivary biomarkers for caries risk assessment. J Calif Dent Asso 2013;41(2):107–118.
  5. Burt BA. Concepts of risk in dental public health. Community Dent Oral Epidemiol 2005;33(4):240–247. DOI: 10.1111/j.1600-0528.2005.00231.x.
  6. Young DA, Featherstone JD. Implementing caries risk assessment and clinical interventions. Dent Clin North Am 2010;54(3):495–505. DOI: 10.1016/j.cden.2010.04.002.
  7. Resta G, Pozzoli GA, Monestiroli P, et al. The Snyder test modified by Arthur Alban. Prev Stomatol 1982;8(2):7–9.
  8. Baca P, Parejo E, Bravo M, et al. Discriminant ability for caries risk of modified colorimetric tests. Med Oral Patol Oral Cir Bucal 2011;16(7):e978–e983. DOI: 10.4317/medoral.17358.
  9. Kutsch VK, Young DA. New directions in the etiology of dental caries disease. J Calif Dent Assoc 2011;39(10):716–721.
  10. Simón-Soro A, Mira A. Solving the etiology of dental caries. Trends Microbiol 2015;23(2):76–82. DOI: 10.1016/j.tim.2014.10.010.
  11. Moynihan P, Petersen PE. Diet, nutrition and the prevention of dental diseases. Public Health Nutr 2004;7(1a):201–226. DOI: 10.1079/PHN2003589.
  12. Bali RK, Mathur VB, Talwar BB, et al. National oral health survey and fluoride mapping 2002. Dental Council of India (DCI); 2004.
  13. Powell LV. Caries prediction: a review of the literature. Community Dent Oral Epidemiol 1998;26(6):361–371. DOI: 10.1111/j.1600-0528.1998.tb01974.x.
  14. Li Y, Wang W. Predicting caries in permanent teeth from caries in primary teeth: an eight-year cohort study. J Dent Res 2002;81(8): 561–566. DOI: 10.1177/154405910208100812.
  15. da Silva Bastos VD, Freitas-Fernandes LB, da Silva Fidalgo TK, et al. Mother-to-child transmission of Streptococcus mutans: a systematic review and meta-analysis. J Dent 2015;43(2):181–191. DOI: 10.1016/j.jdent.2014.12.001.
  16. Berkowitz RJ. Acquisition and transmission of mutans streptococci. CDA 2003;31(2):135–138.
  17. Hafez HS, Shaarawy SM, Al-Sakiti AA, et al. Dental crowding as a caries risk factor: a systematic review. Am J Orthod Dentofacial Orthop 2012;142(4):443–450. DOI: 10.1016/j.ajodo.2012.04.018.
  18. Lamont RJ, Hajishengallis GN, Jenkinson HF. Oral Microbiol Immunol. ASM press; 2014.
  19. Lenander-Lumikari M, Loimaranta V. Saliva and dental caries. Adv Dent Res 2000;14(1):40–47. DOI: 10.1177/08959374000140010601.
  20. Tellez M, Gomez J, Pretty I, et al. Evidence on existing caries risk assessment systems: are they predictive of future caries? Community Dent Oral Epidemiol 2013;41(1):67–78. DOI: 10.1111/cdoe.12003.
  21. Petersen PE. Sociobehavioural risk factors in dental caries–international perspectives. Community Dent Oral Epidemiol 2005 Aug;33(4):274–279. DOI: 10.1111/j.1600-0528.2005.00235.x.
  22. Peres MA, Peres KG, De Barros AJ, et al. The relation between family socioeconomic trajectories from childhood to adolescence and dental caries and associated oral behaviours. J Epidemiol Community Health 2007;61(2):141–145. DOI: 10.1136/jech.2005.044818.
  23. Bratthall D, Hänsel Petersson G. Cariogram–a multifactorial risk assessment model for a multifactorial disease. Community Dent Oral Epidemiol 2005;33(4):256–264. DOI: 10.1111/j.1600-0528.2005.00233.x.
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