Dan Boboia 6/4/10 Lit. Review
Title: The Assessment of Nursing Caries and Its Relationship to High Caries in the Permanent Dentition
Author: Kaste et al
Purpose:
Compare prevalence rates of nursing caries obtained by using different nursing caries classification schemes; study the relationship of prior nursing caries to current high caries level determined by a clinical exam in the same children approximately ten years later.
Conclusion:
Different classification schemes yielded different prevalence rates. Classification of nursing caries by buccal or lingual caries in the maxillary incisors found 45% of children with the disorder vs. 61% if measured by 3 or more carious maxillary incisors, or 76% if two or more carious incisors. Nursing caries in these Head Start children showed no increased risk. The Head Start children classified as having caries by 2, 3 or more decayed maxillary anterior teeth had relative risks of 1.6 and 1.4 for high caries 10 years later, whereas the RR for children with a dmft > 5 was 2.4. Maxillary incisor classification shows a positive relationship to the presentation of high caries in the permanent dentition, which was not found when measuring nursing caries by buccal or lingual caries of the maxillary incisors.
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