Journal of the Korean Academy of Pediatric Dentistry 2009;36(3):337-347.
Published online August 31, 2009.
CORRELATION OF CARIES ACTIVITY BETWEEN MOTHERS AND CHILDREN WITH CARIOGRAM AND EVALUATION OF CARIES RISK FACTORS
Suk-Woo Lee, Je-Seon Song, Byung-Jai Choi, Hyung-Jun Choi, Jae-Ho Lee
Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University 
Cariogram을 이용한 모자간 우식활성도의 상관성 및 우식위험요소 평가
이석우, 송제선, 최병재, 최형준, 이제호
연세대학교 치과대학 소아치과학교실 및 구강과학연구소
Correspondence:  Jae-Ho Lee,  Tel: 02-2228-8800, Email: leejh@yuhs.ac
Received: 5 November 2008   • Accepted: 28 February 2009
Abstract
Dental caries during infantile and early childhood period is a complex disease resulting from multiple caries factors. Streptococcus mutans(S. mutans) plays a critical role in the initiation of caries, and its early transmission through mothers provides a strong etiologic factor for future development of caries in the primary dentition. Therefore, early detection of caries risk factor is important for prevention of caries. Recent studies about etiologic factors of caries have brought advent of various tools for caries risk assessment in order to predict progress of caries more accurately. Cariogram is a common tool for caries risk assessment, which illustrates present caries risk assessment and correlation of caries risk factors for an individual graphically. The aim of this study was to assess if there is any correlation in the level of S. mutans and caries activity and to verify the effect of caries risk factors between children with age ranging from 3 to 5 years with severe early childhood caries(S-ECC) and their mothers using caries-related salivary test and Cariogram. The results of this study were as follows. 1. Children with S-ECC had a statistically higher level of Streptococcus mutans compared to caries-free children(p<0.05). 2. There was significant correlation between mothers and their children in the aspect of the level of Streptococcus mutans(p<0.05). 3. When caries activity was assessed using Cariogram, significant correlation between mothers and their children was found(p<0.05). 4. When each caries risk factor was evaluated for its affect on caries activity, host was more influential factor compared to microorganism and diet in children. Based on these results, we could conclude that assessing the level of S. mutans can be an effective tool for predicting possibility of caries formation in future. Since prediction of future caries progression and evaluation of caries risk factor became possible with Cariogram, we may conduct early and preventive measures for treatment of caries.
Key Words: Streptococcus mutans, Cariogram, Caris risk assessment, Caries risk factor


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