Fulltext - SBU

More documents

Recommendations

Info

Table 5.4 continued Author Year, reference Country Sample, n Age (years) at start Teeth tested, Caries prevalence at start Obs time (yrs) Drop-out Explained Diagnostic criteria Examiner (n) Reliability Petti et al 2000 [77] Italy 3 primary schools in Rome caries-free only included (39% of total sample) n: 314 Age: 6–7 Primary and permanent Mean dft: 1.6 DMFT: 0.6 Increment Mean new dmft: 0.5, Mean new DMFT: 0.2 2 3 WHO 1987 BW 3 examiners Yes Pienihäkkinen 1987 [44] Finland Institutionalised Hungarian children 1. Xylitol group 2. F and control group n: 276 Age: 7–12 Permanent Mean D en MFS: 1.8 Increment Mean new D en MFS: 2.0 2 30 Analysed WHO No BW (fibre optics) 7 examiners at start, 3 thereafter Yes Pienihäkkinen 1987 [45] Finland Institutionalised Hungarian children (n=350) 1. Xylitol group 2. F and control group n: 276 Age: 7–12 Permanent Mean D en MFS: 1.8 Increment Mean new D en MFS: 2.0 2 19 WHO No BW (fibre optics) 7 examiners at start, 3 thereafter Yes 262 Karies – diagnostik, riskbedömning och icke-invasiv behandling
Predictor variables Validating criteria Statistical methods Results* Sensitivity and specificity Study quality and relevance Comments Repeated salivary MS 0 vs 1–3, 0–1 vs 2–3, 0–2 vs 3 positive tests Fluoride intake, sucrose intake plaque ≥1 new dft or DFT If exfoliated at follow-up: counted as caries Only caries-free at baseline included Se, Sp, PPV, NPV Modest improvement of MS multiple tests 0 vs 1–3 positive tests Se: 50%; Sp: 80%; PPV: 0.59; NPV: 0.74 Low F, high plaque Se: 57%; Sp: 94% Low Only cariesfree included. Bias from study design ≥1 incipient lesion or buccal or lingual surfaces LB>10 5 CFU/ml saliva Yeasts ≥5 CFU/ml Saliva salivary buffer capacity: pH ≤5 and combinations of these Age ≤9: 2–3 new DMFS Age ≥10: 4–5 new DMFS Proportion high risk: Median value (value not stated) Se, Sp, log regression Incipient lesions (inc) Se: 52%; Sp: 87% Combinations Inc and/or LB + yeasts Se: 67%; Sp: 76% Inc and/ or LB + yeasts Se: 70%; Sp: 71% Salivary buffering Se: 63%; Sp: 69 Accuracy max 0.77 Low Very cariesactive children; open cavities common; not applicable to populations of today Salivary buffering; 2 levels: pH ≤4 and pH ≤5 ≥3 new DMFS Proportion high risk: Varying Se, Sp Best for pH ≤5 at age ≤9 yrs Se: 58% girls; 52% boys Sp: 64% girls; 63% boys Same material as Pienihäkkinen 1987 [44]. Important confounders not included The table continues on the next page KAPITEL 5 • Riskbedömning 263
Page 1 and 2:
Karies - diagnostik, riskbedömning
Page 3:
Karies - diagnostik, riskbedömning
Page 6 and 7:
Primärt urval av studier 63 Bedöm
Page 8 and 9:
Resultat 176 FOTI 176 DiFOTI 176 DI
Page 10 and 11:
Metodik 356 Litteratursökning 356
Page 13 and 14:
SBU:s sammanfattning och slutsatser
Page 15 and 16:
Bakgrund Karies är en kronisk sjuk
Page 17 and 18:
Gradering av slutsatsernas evidenss
Page 19 and 20:
Visuell-taktil diagnostik Studier s
Page 21 and 22:
Hur kan kariesskador predikteras me
Page 23 and 24:
Barn (1-3 år) som borstar tändern
Page 25 and 26:
Kostnadseffektivitet för diagnosti
Page 27:
undersöks. Frekvensen röntgenunde
Page 30 and 31:
sönderfall av tanden, då patiente
Page 32 and 33:
av tandhälsan och har inga symtom.
Page 34 and 35:
ning. Riskbedömning görs rutinmä
Page 36 and 37:
Betydelsen av effektiv tidig behand
Page 38 and 39:
Validitet och reliabilitet Validite
Page 40 and 41:
negativa prediktionsvärdet (NPV) b
Page 42 and 43:
ytterligare i Faktaruta 1.6. Exempe
Page 44 and 45:
Samhällsnivå Sociodemografi och v
Page 46 and 47:
Faktaruta 1.1 Olika aspekter på va
Page 48 and 49:
Faktaruta 1.3 Fyrfältstabell med k
Page 50 and 51:
Faktaruta 1.4 Diagram som illustrer
Page 52 and 53:
Faktaruta 1.6 Beräkning av likelih
Page 54 and 55:
Faktaruta 1.7 Nomogram som visar hu
Page 56 and 57:
Referenser 1. Fiske J, Davis DM, Fr
Page 59 and 60:
2. Metodik för sökning och utvär
Page 61 and 62:
Primärt urval av studier För att
Page 63 and 64:
laget för slutsatserna. En metod s
Page 65 and 66:
• Förklarat/analyserat bortfall
Page 67 and 68:
Otillräckligt vetenskapligt underl
Page 69 and 70:
3. Praxisundersökning avseende bit
Page 71 and 72:
svenska och norska tonåringar unde
Page 73 and 74:
Totalt antal undersökta Stockholm
Page 75 and 76:
Østfold Totalt antal undersökta %
Page 77 and 78:
4. Diagnostik 4.1 Visuell-taktil di
Page 79 and 80:
Bakgrund Den primära metoden för
Page 81 and 82:
undersökare och bedömdes ha ett m
Page 83 and 84:
diagnostik av emaljkaries på tuggy
Page 85 and 86:
Aktiv (pågående) och inaktiv (kro
Page 87 and 88:
Tabell 4.1.1 Inklusionskriterier f
Page 89 and 90:
Dropout/ missing data Method or tec
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Table 4.1.7 continued Author, year,
Page 107 and 108:
Page 109 and 110:
Referenser 1. Rocha RO, Ardenghi TM
Page 111 and 112:
tion compared with conventional rad
Page 113 and 114:
63. Banerjee A, Watson TF, Kidd EA.
Page 115 and 116:
93. Rosén B, Birkhed D, Nilsson K,
Page 117 and 118:
4.2 Röntgendiagnostik Slutsatser G
Page 119 and 120:
antingen med kabel eller via trådl
Page 121 and 122:
Risker med röntgenstrålning Rönt
Page 123 and 124:
När observatörerna skulle bestäm
Page 125 and 126:
Faktaruta 4.2.2 Nomogrammet som byg
Page 127 and 128:
Metodik för litteraturgenomgång E
Page 129 and 130:
procent och specificiteten mellan 9
Page 131 and 132:
0,1 99 0,2 LR+ LR- 0,5 Visuell insp
Page 133 and 134:
Intern och extern validitet Diagnos
Page 135 and 136:
Kommentarer Vilka tänder eller tan
Page 137 and 138:
för att en tvådimensionell bild a
Page 139 and 140:
Method Number of teeth and surfaces
Page 141 and 142:
52 molars and 11 premolars with occ
Page 143 and 144:
Method Comparison method Outcome me
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Referenser 1. Akdeniz BG, Grondahl
Page 159 and 160:
33. Espelid I, Tveit AB. A comparis
Page 161 and 162:
66. Caliskan Yanikoglu F, Östurk F
Page 163 and 164:
in proximal surfaces versus direct
Page 165 and 166:
131. Wenzel A, Hintze H. The choice
Page 167 and 168:
4.3 Tilläggsmetoder för kariesdia
Page 169 and 170:
kariesskada [81,82]. En diagnostisk
Page 171 and 172:
(a) (b) (c) (d) (e) Figur 4.3.1 Eff
Page 173 and 174:
scerar starkt, medan demineralisera
Page 175 and 176:
förhållandet var tvärtom för pr
Page 177 and 178:
Tabell 4.3.1 Inklusionskriterier f
Page 179 and 180:
Dropout/ missing data Comparison me
Page 181 and 182:
Number of individuals Number of tee
Page 183 and 184:
Number of individuals Number of tee
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
Referenser 1. Grossman ES, Cleaton-
Page 191 and 192:
30. Hall AF, DeSchepper E, Ando M,
Page 193 and 194:
of occlusal caries in children. Car
Page 195:
4.4. Etiska aspekter Som det framg
Page 198 and 199:
• Salivens flöde och/eller buffr
Page 200 and 201:
för riskfaktorn ifråga innan sjuk
Page 202 and 203:
medel vid beslutsfattande. I slutä
Page 204 and 205:
55 procent). Karjalainen och medarb
Page 206 and 207:
Kariesskador i primära tänder som
Page 208 and 209:
som hade högst sockerkonsumtion fa
Page 210 and 211: Övriga inkluderade studier har lå
Page 212 and 213: områdena Aiken och Portland i Nort
Page 214 and 215: studier visar att låg- och mellanr
Page 216 and 217: Faktaruta 5.1 Inklusionskriterier f
Page 218 and 219: Table 5.1 Caries prediction in pre-
Page 220 and 221: Table 5.1 continued Author Year, re
Page 228 and 229: Table 5.2 Caries prediction in pre-
Page 236 and 237: Table 5.3 Caries prediction in scho
Page 250 and 251: Table 5.4 Caries prediction in scho
Page 268 and 269: Table 5.5 Caries prediction in adul
Page 274 and 275: Table 5.6 Caries prediction in adul
Page 290 and 291: Table 5.7 Tillförlitligheten hos t
Page 292 and 293: Table 5.8 Post-eruptive age as risk
Page 296 and 297: Table 5.9 Post-eruptive age as risk
Page 300 and 301: Table 5.10 Excluded studies. Author
Page 302 and 303: Table 5.10 continued Author, year,
Page 308 and 309: 19. Karjalainen S, Söderling E, Se
Page 310 and 311:
social factors and diseases. Int De
Page 312 and 313:
isk assessment program in an elderl
Page 314 and 315:
121. Demers M, Brodeur JM, Simard P
Page 316 and 317:
study. Community Dent Oral Epidemio
Page 318 and 319:
private practice. Community Dent Or
Page 320 and 321:
221. Schröder U, Granath L. Dietar
Page 322 and 323:
groups. Oral Surg Oral Med Oral Pat
Page 324 and 325:
287. Ravald N, Birkhed D, Hamp SE.
Page 326 and 327:
En nyss frambruten tand är mer mot
Page 328 and 329:
Övriga produkter Ozon De syraprodu
Page 330 and 331:
En studie, som undersökte effekten
Page 332 and 333:
för få för slutsatser om effekti
Page 334 and 335:
Table 6.2 Treatment of early corona
Page 336 and 337:
Table 6.3 Treatment of early corona
Page 338 and 339:
Table 6.3 continued Author Year, re
Page 340 and 341:
Page 342 and 343:
Table 6.4 Treatment of early root s
Page 344 and 345:
Page 346 and 347:
Table 6.5 Excluded studies. Author,
Page 348 and 349:
Referenser 1. Abernathy JR, Graves
Page 350 and 351:
composite resin restorations. Acta
Page 353 and 354:
7. Ekonomiska aspekter Slutsatser A
Page 355 and 356:
Kostnaden för visuell-taktil under
Page 357 and 358:
Faktaruta 7.1 Hur beräknas kostnad
Page 359 and 360:
7.1 7.1 1 800 Kronor Kronor 1 600 1
Page 361 and 362:
8. Tänkbara praxisförändringar T
Page 363:
Referenser 1. Ekstrand K. Faglig vi
Page 366 and 367:
DFS DFT dft DiFOTI Dikotomisering D
Page 368 and 369:
Likelihood-kvot Lingual Makroskopis
Page 370 and 371:
Rotcement Sensitivitet Specificitet
Page 372 and 373:
Svante Twetman Professor, odontolog
Page 375 and 376:
Bilaga 1. Sökstrategier Kapitel 4.
Page 377 and 378:
Kapitel 5 fortsättning NOT Cariost
Page 379 and 380:
Bilaga 2. Granskningsmallar Diagnos
Page 381 and 382:
Studier om riskbedömning Första f
Page 383 and 384:
Studier om behandling av tidiga kar
Page 385 and 386:
Bilaga 3. Sensitivitet, specificite
Page 387 and 388:
9 8 8,0 8,0 LR+ emalj LR- emalj LR
Page 389 and 390:
Sensitivitet och specificitet 2,0 1
Page 391 and 392:
200 Procent 180 160 140 120 100 80
Page 393 and 394:
180 160 140 120 100 80 60 40 20 0 8
Page 395 and 396:
15. Lussi A. Comparison of differen
Page 397 and 398:
49. Kordic A, Lussi A, Luder HU. Pe
Page 399 and 400:
Ont i ryggen, ont i nacken (2000),
Page 401:
Rapporter på engelska Obstructive
show all

Fulltext - SBU

Create successful ePaper yourself

Delete template?

Save as template?