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Quintessence Publishing: Journals: ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Summer 2010
Volume 11 , Issue 2

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The Use of Cariogram to Evaluate Caries-Risk Profiles in Orthodontic Patients

Anas H. Al Mulla, BDS, MSc/Saad Al Kharsa, DDS, MSc/Heidrun Kjellberg, BDS, PhD/Dowen Birkhed, BDS, PhD

Pages: 160–167
PMID: 20552103

This article describes the usefulness of Cariogram software in three orthodontic patients with high-, medium-, and low-risk caries profiles. Caries-related indicators and information needed for the Cariogram model were registered. The prebonding decayed and filled surfaces (DFS) indices for patient 1 (15-year-old girl) and patient 2 (18-year-old woman) were > 5, while in patient 3 (15-year-old boy), the DFS index was < 2. The data were entered into the interactive Cariogram software, which shows the various caries-related indicators. Patients 1, 2, and 3 had 6%, 58%, and 87%, respectively, actual chance of avoiding new caries. Patient 1 had high lactobacilli and medium mutans streptococci scores and a high caries risk. Patient 2 had a high DFS index and low buffer capacity, resulting in a medium caries risk. Patient 3 had low mutans streptococci and high lactobacilli scores and a low DFS index, resulting in a low caries risk. The Cariogram is available free online and is a useful educational model to illustrate a patient’s caries risk. World J Orthod 2010;11:160–167.

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