Publicado jun 30, 2013



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Luis Fernando Gamboa

Andrea Cortés

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Resumen

La caries dental es un desequilibrio entre la biopelícula y la superficie dental. Múltiples factores de riesgo asociados a la caries dental contribuyen a la manifestación clínica de la enfermedad. Para predecir el desarrollo de la enfermedad se han propuesto diferentes sistemas de valoración de riesgo de caries, los cuales tienen como objetivo identificar y clasificar el riesgo de los pacientes. Los sistemas de valoración de riesgo de caries, que evalúan entre ocho y dieciocho factores de riesgo, incluyen: Cariogram®, Cambra, la Academia Americana de Odontología Pediátrica, la Asociación Americana de Odontología y la Asociación Dental Americana. Así mismo, se han desarrollado modelos de predicción de riesgo que toman como base los análisis de regresión logística multivariados. Estos modelos evalúan muy pocos factores de riesgo y cumplen con las condiciones básicas de un sistema de predicción: sencillo, preciso, rápido y económico. En este trabajo se examina si mediante el uso de los sistemas y modelos actualmente disponibles para valoración del riesgo de caries dental se puede identificar con suficiente precisión la susceptibilidad individual de presentar futuras lesiones de caries dental. En conclusión, se debe seguir o crear un modelo de predicción de caries válido y preciso que permita de una forma simple, rápida y económica valorar nuestra población de bajo o alto riesgo y darle el tratamiento adecuado para manejar y controlar la caries dental.

 

Dental caries is an imbalance between the biofilm and the tooth surface. Evidence indicates that multiple risk factors contribute to the clinical appearance of dental caries. Consequently, different systems for caries risk assessment (CRA) have been developed to predict the development of the disease, identifying and classifying the individual caries risk for each patient. Some of the CRA systems are Cariogram®, Cambra, the American Academy of Pediatric Dentistry, and American Dental Association, which in general evaluate between 8 and 18 risk factors. Likewise, risk prediction models (RPM) have been developed based on multivariate logistic regression analysis. These models evaluate fewer risk factors than CRA; however, RPM are simple, accurate, fast and economical. This paper examines the accuracy of available CRA and RPM for assessing the risk of dental caries in Colombian population. As conclusion, we must follow or create a predictive model of caries valid and accurate, allowing for a simple, fast and economical value our people and give proper treatment to manage and control dental caries, as low or high risk.

Keywords
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Cómo citar
Gamboa, L. F., & Cortés, A. (2013). Valoración del riesgo de caries: ¿mito o realidad? / Dental Caries Risk Assessment: Myth or Reality?. Universitas Odontologica, 32(68), 69–79. Recuperado a partir de https://revistas.javeriana.edu.co/index.php/revUnivOdontologica/article/view/SICI%3A%202027-3444%28201301%2932%3A68%3C69%3AVCRMOR%3E2.0.CO%3B2-W
Sección
Dossier Temático

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