Caries risk assessment with the ‘Bangkok checklist’ in preschool children: A prospective cohort study
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Caries risk assessment with the ‘Bangkok checklist’ in preschool children : A prospective cohort study. / Agouropoulos, Andreas; Birpou, Eleftheria; Twetman, Svante; Kavvadia, Katerina.
In: International Journal of Paediatric Dentistry, Vol. 32, No. 1, 2022, p. 82-89.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Caries risk assessment with the ‘Bangkok checklist’ in preschool children
T2 - A prospective cohort study
AU - Agouropoulos, Andreas
AU - Birpou, Eleftheria
AU - Twetman, Svante
AU - Kavvadia, Katerina
N1 - Publisher Copyright: © 2021 BSPD, IAPD and John Wiley & Sons Ltd
PY - 2022
Y1 - 2022
N2 - Background: Caries risk assessment in preschool children is poorly validated in prospective studies. Aim: To validate the Bangkok checklist (BCL) in predicting caries development in a cohort of preschool children from low and moderate socioeconomic areas and compare it with two established risk assessment tools. Design: We followed 146 preschool children, aged 2-5 years for 2 years. At baseline, the caries risk category (low, moderate, high) was determined with three checklists: (a) BCL, (b) American Academy of Pediatric Dentistry form (CRAF), and (c) Caries Management By Risk Assessment (CAMBRA). Data were collected from questionnaires and clinical examinations. Caries increment was recorded by counting the number of surfaces that changed from sound to decayed. We used Kendall's tau, Poisson regression models and ROC analysis to assess the predictive ability of the different checklists. Results: Over 50% of the children developed new caries on a yearly basis. The BCL assigned the majority of the children (87%) into the high-risk category. Sensitivity was 88% but specificity was low (16%). Accuracy of BCL was similar to CRAF but inferior to CAMBRA. Conclusions: Bangkok checklist had a very limited performance in accurately predicting future early childhood caries in this population.
AB - Background: Caries risk assessment in preschool children is poorly validated in prospective studies. Aim: To validate the Bangkok checklist (BCL) in predicting caries development in a cohort of preschool children from low and moderate socioeconomic areas and compare it with two established risk assessment tools. Design: We followed 146 preschool children, aged 2-5 years for 2 years. At baseline, the caries risk category (low, moderate, high) was determined with three checklists: (a) BCL, (b) American Academy of Pediatric Dentistry form (CRAF), and (c) Caries Management By Risk Assessment (CAMBRA). Data were collected from questionnaires and clinical examinations. Caries increment was recorded by counting the number of surfaces that changed from sound to decayed. We used Kendall's tau, Poisson regression models and ROC analysis to assess the predictive ability of the different checklists. Results: Over 50% of the children developed new caries on a yearly basis. The BCL assigned the majority of the children (87%) into the high-risk category. Sensitivity was 88% but specificity was low (16%). Accuracy of BCL was similar to CRAF but inferior to CAMBRA. Conclusions: Bangkok checklist had a very limited performance in accurately predicting future early childhood caries in this population.
KW - caries management
KW - early childhood caries
KW - preschool children
KW - risk assessment
U2 - 10.1111/ipd.12794
DO - 10.1111/ipd.12794
M3 - Journal article
C2 - 33768727
AN - SCOPUS:85105394944
VL - 32
SP - 82
EP - 89
JO - International Journal of Paediatric Dentistry
JF - International Journal of Paediatric Dentistry
SN - 0960-7439
IS - 1
ER -
ID: 271763569