Effectiveness of a New Protocol for Caries Management in High Risk Patients

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  • March 22, 2019
Creator
  • Swarn, Ayesha
    • Affiliation: School of Dentistry, Department of Operative Dentistry
Abstract
  • Objective: To (1) examine the effectiveness of a home-care protocol (CariFree®, Oral Biotech, Albany, OR) in reducing caries risk in high-risk adults compared to conventional oral hygiene measures and (2) determine the agreement between a chairside ATP bioluminescence test (CariScreen) and laboratory Mutans Streptococci (MS) counts (CFU/mL of saliva). Methods: 24 high caries risk subjects were randomly assigned to intervention (CariFree treatment protocol) or control (brush twice and floss once daily) groups. Plaque and stimulated saliva samples were evaluated at baseline, 1 and 3 months for ATP bioluminescence, buffering capacity, Lactobacillus and MS counts. Results: At all evaluation times, no statistically significant difference was observed within groups or between the intervention and control group. The CariScreen scores showed poor correlation with MS counts. Conclusions: The CariFree protocol did not reduce caries risk of high-risk adults compared to traditional home-care. There was poor correlation between the CariScreen test and MS counts.
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  • ... in partial fulfillment of the requirements for the degree of Master of Science in the School of Dentistry (Operative Dentistry)
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  • Ritter, Andre
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