Document Type : Original Article

Authors

Dept. of Public Health Dentistry, Ragas Dental College and Hospital, Chennai, Tamil Nadu, India.

10.30476/dentjods.2023.98075.2051

Abstract

Statement of the Problem: It is essential to address caries risk at an early stage for the prevention of dental caries. Mobile application CaRisk is designed in a particular way to self-assess the dental caries risk by the individual’s themselves.
Purpose: The current study aimed to assess the dental caries risk among age groups 5-6 and 35-44 using self-assessment caries risk mobile application CaRisk and compare it with the deft and DMFT values.
Materials and Method: This cross-sectional study was conducted in Chennai, India; to evaluate the risk of dental caries in children aged 5 to 6 and adults aged 35 to 44. The scores of the mobile application CaRisk and the decayed- extracted- filled teeth (deft)/ decayed-missing-filled-teeth (DMFT) caries risk assessment were evaluated. Descriptive statistics were performed. The risk category was determined by frequency. Chi-square analysis was done to determine whether the DMFT scores and the CaRisk mobile app were associated. The correlation was performed between the CaRisk mobile application and DMFT scores.
Results: Association was found between the caries risk assessment score of the mobile application CaRisk and the DMFT and deft scores of the adults and children for both the age groups 5-6 and 35-44 years respectively and it indicates that it was found to be statistically significant. Pearson’s correlation was performed to assess the strength of association and R-values obtained for the age group 5-6 and 35-44 years respectively, which was statistically significant (0.892 and 0.840).
Conclusion: This CaRisk mobile application scores correlate with the deft and DMFT scores and it is an effective self-diagnosis tool for assessing dental caries risk assessment. Further, it is suggested that the mobile application CaRisk should be tested among a huge population.

Keywords

  • Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007; 369: 51-59.
  • Mitha MM, Nijesh JE, Preetha EC, Indra P, Mohammed J, Vaishnavi S. Caries risk assessment among 12–13 year old school-going children of government and private schools of Tirupur district, Tamil Nadu. J Indian Soc Pedod Prev Dent. 2016; 34: 244-248.
  • Bagramian RA, Garcia-Godoy F, Volpe AR. The global increase in dental caries. A pending public health crisis. Am J Dent. 2009; 22: 3-8.
  • Fact sheets: oral health: Geneva: World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/oralhealth
  • Frencken JE, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis- a comprehensive review. J Clin Periodontol. 2017; 44 Suppl 18: S94–S105.
  • Wen PYF, Chen MX, Zhong YJ, Dong QQ, Wong HM. Global Burden and inequality of dental caries, 1990 to 2019. J Dent Res. 2022; 101: 392–399.
  • Uribe SE, Innes N, Maldupa I. The global prevalence of early childhood caries: A systematic review with meta-analysis using the WHO diagnostic criteria. Int J Paediatr Dent. 2021; 31: 817–830.
  • Teshome A, Muche A, Girma B. Prevalence of dental caries and associated factors in East Africa, 2000-2020: Systematic review and meta-analysis. Front Public Health. 2021; 9: 1-15.
  • Pandey P, Nandkeoliar T, Tikku AP, Singh D, Singh MK. Prevalence of dental caries in the Indian population: A systematic review and meta-analysis. J Int Soc Prev Community Dent. 2021; 11: 256–265.
  • Bashir NZ. Update on the prevalence of untreated caries in the US adult population, 2017-2020. J Am Dent Assoc. 2022; 153: 300–308.
  • Gu ZW, Zhang SS, Zhang RJ, Tang H, Sun XY, Liu XN, et al. Prevalence of caries in mainland China: Evidence from 1980 to 2018: A systematic review and meta-analysis. Chin J Dent Res. 2019; 22: 251–63.
  • Skeie MS, Sen A, Dahllöf G, Fagerhaug TN, Høvik H, Klock KS. Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. BMC Oral Health. 2022; 22: 620.
  • Souror Y, Gharote H. Dental caries prevalence status in Saudi Arabia and neighboring eastern countries in the last decade– a review. Available at: https://www.researchsquare.com/article/rs-1780823/v1
  • Petersson GH, Twetman S. Caries risk assessment in young adults: a 3 year validation of the Cariogram model. BMC Oral Health. 2015; 15: 1-5.
  • Featherstone JDB, Crystal YO, Alston P, Chaffee BW, Domejean S, Rechmann P, et al. A comparison of four caries risk assessment methods. Front Oral Health. 2021; 2: 1-13.
  • Jawdekar A. CRAFT-A proposed framework for caries risk assessment in Indian children. Available at: https:// www.researchgate.net/publication/359520000_CRAFT-A_Proposed_Framework_for_Caries_Risk_Assessment_in_Indian_ Children
  • App [Internet]. MIDentistry.app. [cited 2023 Apr 26]. Available at: https://midentistry.app/about
  • Lakhotia R, Madhusudhan KS, Nagar P, Jenny A, Vatsala N. Determination of caries risk by your fingertips – A mobile application based study. RGUHS J Dent Sci. 2022; 14: 7–12.
  • Detsomboonrat P, Jaroonvechatam J, Chaiboon P, Urwannachotima N. Development and psychometric test of the myRisk mobile application for caries risk assess-ment. Int J Dent Hyg. 2022. doi: 10.1111/idh.12645.
  • Wright A. Evaluation of two mobile health apps for patients with breast cancer using the Mobile Application Rating Scale. MHealth. 2021; 7: 60.
  • Deshpande S, Radke U, Karemore T, Mohril R, Rawlani S, Ingole P. A novel mobile app for oral cancer awareness amongst general population: Development, implementation, and evaluation. J Contemp Dent Pract. 2019; 20: 190–196.
  • American Academy of Pediatric Dentistry. Caries-risk assessment and management for infants, children, and adolescents. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2022: available at: https://www.aapd.org/globala-ssets/media/policies_guidelines/bp_cariesriskassessment.pdf?v=new
  • Miglani S. Burden of Dental Caries in India: Current Scenario and Future Strategies. Int J Clin Pediatr Dent. 2020; 13: 155–159.
  • Anusha R, Madankumar PD. Dental Caries Risk Assessment Among 6-10 Year Old School Going Children- A Pilot Study. SF Dent Oral Res J. 2017; 4: 1- 6.
  • American Dental Association. Basel: Caries Risk Assessment form >6 years: Council of Scientific Affairs. Available at: https://www.ada.org/-/media/project/ada-organiz-ation/ada/ada-org/files/resources/public-programs/give-kids-a-smile/gkas_caries_risk_assessment_forms.pdf
  • American dental association. Basel: Caries risk assessment form 0-6 years: Council of scientific affairs. Available at: https://www.ada.org/-/media/project/ada-organiz-ation/ada/ada-org/files/resources/research/oral-health-topics/topics _caries_under6.pdf
  • Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005; 83: 661-669.
  • Yeung CA. Book review: Oral health surveys: Basic methods. 5th ed. Br Dent J. 2014; 217: 333.
  • Nithya K, Peedikayil CF, Chandru TP, Kottayi S, Ismail S, Aparna TP. Caries prevalence and associated risk factors in school children at Kannur in Kerala, India: A cross-sectional study. J Indian Assoc. Public Health Dent. 2021; 19: 32-36.
  • Janakiram C, Antony B, Joseph J, Venkitachalam R. Prevalence of Dental Caries in India among the WHO Index Age Groups: A Meta-Analysis. J Clin Diagn Res. 2018; 12: 8-13.
  • Sadegh-Zadeh SA, Rahmani Qeranqayeh A, Benkhalifa E, Dyke D, Taylor L, Bagheri M. Dental Caries Risk Assessment in Children 5 Years Old and under via Machine Learning. Dent J (Basel). 2022; 10: 1-15.
  • Akhtar H, Naz F, Waseem FS, Shahnawaz D. Caries risk assessment in adult population using American dental association model. J Pak Dent Assoc. 2015; 24: 129-135.
  • Giacaman RA, Miranda Reyes P, Bravo León V. Caries risk assessment in Chilean adolescents and adults and its association with caries experience. Braz Oral Res. 2013; 27: 7-13.
  • Harris R, Nicoll AD, Adair PM, Pine CM. Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health. 2004; 21: 71-85.
  • Naik SP, Moyin S, Patel B, Warad LP, Punathil S, Sudeep CB. Caries risk assessment of 12-13-year-old government and private school going children of mysore city using cariogram: A comparative study. J Int Soc Prev Community Dent. 2018; 8: 160-167.
  • Patnana AK, Chugh A, Chugh VK, Rathore K, Solanki I, Kumar P. Caries experience scores revisited for caries risk assessment using cariogram model- A cross-sectional study. Indian J Dent Res. 2022; 33: 135–140.
  • Detsomboonrat P, Jaroonvechatam J, Chaiboon P, Urwannachotima N. Development and psychometric test of the myRisk mobile application for caries risk assessment. Int J Dent Hyg. 2022. doi: 10.1111/idh.12645.