Development of the Dundee Caries Risk Assessment Model (DCRAM) - Risk model development using a novel application of CHAID analysis

Community Dentistry and Oral Epidemiology

Volumn 40, Issue 1, 2012, Pages 37-45

  MacRitchie, Heather M B ^a   Longbottom, Christopher ^b   Robertson, Margaret ^a   Nugent, Zoann ^b   Chan, Karen ^b   Radford, John R ^c   Pitts, Nigel B ^b  

^a NHS TAYSIDE   (United Kingdom)

^b Dental Health Services and Research Unit   (United Kingdom)

^c UNIVERSITY OF DUNDEE   (United Kingdom)

Author keywords

community; dental caries; preschool children; risk assessment model

Indexed keywords

AGE; ARTICLE; CHI SQUARE DISTRIBUTION; DENTAL CARIES; HUMAN; INFANT; METHODOLOGY; PRESCHOOL CHILD; QUESTIONNAIRE; RISK ASSESSMENT; STATISTICAL MODEL; STATISTICS; UNITED KINGDOM;

AGE FACTORS; CHI-SQUARE DISTRIBUTION; CHILD, PRESCHOOL; DENTAL CARIES; HUMANS; INFANT; MODELS, STATISTICAL; QUESTIONNAIRES; RISK ASSESSMENT; SCOTLAND;

EID: 84855709433     PISSN: 03015661     EISSN: 16000528     Source Type: Journal    
DOI: 10.1111/j.1600-0528.2011.00630.x     Document Type: Article

References (73)

1. Merrett MCW, Goold S, Jones CM, Levin KA, McCall DR, Macpherson LMD, et al., National Dental Inspection Programme of Scotland: Report of the 2006 Survey of P1 Children. Scottish Dental Epidemiological Co-ordinating Committee 2006 ISBN 978-0-9550957-2-6.
2. Spencer AJ,. Skewed distributions-new outcome measures. Community Dent Oral Epidemiol 1997; 25: 52-9. (Pubitemid 127533977)
3. Jones CM,. Capitation, registration and social deprivation in England; and inverse 'dental' care law. Br Dent J 2001; 190: 203-6. (Pubitemid 33756671)
4. Batchelor PA, Sheiham A,. The limitations of a 'high-risk' approach for the prevention of dental caries. Community Dent Oral Epidemiol 2002; 30: 302-12.
5. Batchelor PA, Sheiham A,. The distribution of burden of dental caries in schoolchildren: a critique of the high-risk caries prevention strategy for populations. BMC Oral Health 2006; 6: 3.
6. Ballantyne-MacRitchie HM,. A partnership between dentists and health visitors to identify high caries risk Scottish pre-school children. PhD Thesis, University of Dundee, 2000.
7. Young DA, Featherstone JDB, Roth JR, Anderson M, Autio-Gold J, Christensen GJ, et al., Caries management by risk assessment: implementation guidelines. CDA J 2007; 35: 799-805.
8. nd edn. Copenhagen: Blackwell Munksgaard Ltd, 2008; 527-51.
9. Burt BA,. Concepts of risk in dental public health. Community Dent Oral Epidemiol 2005; 33: 240-7. (Pubitemid 41638644)
10. Zero D, Fontana M, Lennon AM,. Clinical applications and outcomes of using indicators of risk in caries management. J Dent Educ 2001; 65: 1126-32.
11. Disney JA, Graves RC, Stamm JW, Bohannan HM, Abernathy JR, Zack DD,. The University of North Carolina Caries Risk Assessment Study: further developments in caries risk prediction. Community Dent Oral Epidemiol 1992; 20: 64-75.
12. Stamm JW, Stewart PW, Bohannan HM, Disney JA, Graves RC, Abernathy JR,. Conference-prevention revisited London 1990-risk assessment for oral diseases. Adv Dent Res 1991; 5: 4-17.
13. Koch GG, Beck JD,. Statistical methodologies useful for the analysis of data from risk assessment studies. J Public Health Dent 1992; 3: 146-67.
14. Stamm JW, Disney JA, Beck JD, Weintraub JA, Stewart PW,. The University of North Carolina Caries Risk Assessment Study: final results and some alternative modeling approaches. In:, Bowen WH, Tabak LA, editors. Cariology for the nineties. Rochester, New York: University of Rochester, 1993; 209-34.
15. Reisine S, Litt M, Tinanoff N,. A biopsychosocial model to predict caries in pre-school children. Paediatr Dent 1994; 16: 413-8.
16. Grindefjord M, Dahllof G, Nilsson B, Modeer T,. Prediction of dental caries development in 1-year old children. Caries Res 1995; 29: 343-8.
17. Grindefjord M, Dahllof G, Nilsson B, Modeer T,. Stepwise prediction of dental caries in children up to 3.5 years of age. Caries Res 1996; 30: 256-66. (Pubitemid 126462868)
18. Helfenstein U, Steiner M, Menghini G,. The use of generalized additive models (GAM) in dentistry. Community Dent Health 1997; 14: 221-6. (Pubitemid 127522476)
19. Hausen H,. Caries prediction-state of the art. Community Dent Oral Epidemiol 1997; 25: 87-96. (Pubitemid 127533982)
20. Al Ghanim NA, Adenubi JO, Wyne AA, Khan NB,. Caries prediction model in pre-school children in Riyadh, Saudia Arabia. Int J Paediatr Dent 1998; 8: 115-22. (Pubitemid 128491580)
21. Powell LV,. Caries prediction: a review of the literature. Community Dent Oral Epidemiol 1998; 26: 361-71. (Pubitemid 128543219)
22. Kopycka-Kedzierawski DT, Billings RJ,. Application of nonhomogenous Markov models for analyzing longitudinal caries risk. Community Dent Oral Epidemiol 2006; 34: 123-9. (Pubitemid 43356886)
23. Radford JR, Ballantyne HM, Nugent ZJ, Beighton D, Robertson M, Longbottom C, et al., Caries associated microorganisms in infants from different socio-economic backgrounds in Scotland. J Dent 2000; 28: 307-12.
24. Radford JR, Ballantyne HM, Nugent ZJ, Beighton D, Robertson M, Longbottom C, et al., Does social deprivation in 1, 2, 3 and 4-year-old Scottish infants influence the frequency of isolation of caries associated microorganisms. J Dent 2001; 29: 325-32. (Pubitemid 33660574)
25. Fyffe HE, Deery C, Nugent ZJ, Nuttall NM, Pitts NB,. Effect of diagnostic threshold on the validity and reliability of epidemiological caries diagnosis using the Dundee Selectable Threshold Method for caries diagnosis. Community Dent Oral Epidemiol 1997; 28: 42-51.
26. Beighton D,. A simplified procedure for estimating the level of Streptococcus mutans in the mouth. Br Dent J 1986; 160: 329-30.
27. Carstairs V, Morris R,. Deprivation and health in Scotland. Aberdeen: Aberdeen University Press; 1991.
28. Kass GV,. An exploratory technique for investigating large quantities of categorical data. Appl Stat 1980; 29: 119-27.
29. Magidson J,. Improved statistical techniques for response modeling. Journal of Direct Marketing 1988; 2: 6-18.
30. Griffin SO, Griffin PM, Gooch BF, Barker LK,. Comparing the costs of three sealant delivery strategies. J Dent Res 2002; 81: 641-5.
31. Zavras AI, Edelstein BL, Vamvakidis A,. Health care savings from microbiological caries risk screening of toddlers: a cost estimation model. J Public Health Dent 2000; 60: 182-8.
32. Axelsson P,. The effect of a needs-related caries preventive program in children and young adults-results after 20 years. BMC Oral Heath 2006; 6 (Suppl 1): S7.
33. Petersen PE,. Sociobehavioural risk factors in dental caries-international perspectives. Community Dent Oral Epidemiol 2005; 33: 274-9. (Pubitemid 41638647)
34. Pitts NB,. Inequalities in children's caries experience: the nature and size of the UK problem. Community Dent Health 1998; 15 (Suppl): 296-300. (Pubitemid 128533438)
35. Thitasomakul S, Thearmontree A, Piwat S, Chankanka O, Pithpornchaiyakul W, Teanpaisan R, et al., A longitudinal study of early childhood caries in 9- to 18-month old Thai infants. Community Dent Oral Epidemiol 2006; 34: 429-36. (Pubitemid 44715417)
36. Messer LB,. Assessing caries risk in children. Aust Dent J 2000; 45: 10-6.
37. Wendt LK, Carlsson E, Hallonsten AL, Birkhed D,. Early dental caries risk assessment and prevention in pre-school children: evaluation of a new strategy for dental care in a field study. Acta Odontol Scand 2001; 59: 261-6. (Pubitemid 33636611)
38. Reich E, Lussi A, Newbrun E,. Caries risk assessment. Int Dent J 1999; 49: 15-26.
39. Harris R, Nicoll AD, Adair PM, Pine CM,. Risk factors for dental caries in children: a systematic review of the literature. Community Dent Health 2004; 21 (1 Suppl): 71-85. (Pubitemid 38918777)
40. Hallett KB, O'Rourke PK,. Early childhood caries and infant feeding practice. Community Dent Health 2002; 19: 237-42.
41. Southward LH, Robertson A, Wells-Parker E, Eklund NP, Silberman SL, Crall JJ, et al., Oral health status of Mississippi Delta 3- to 5-year olds in child care: an exploratory study of dental health status and risk factors for dental disease and treatment needs. J Public Health Dent 2006; 66: 131-7. (Pubitemid 44870217)
42. Rupesh S, Nayak UA,. Genetic sensitivity to the bitter taste of 6-n propythiouracil: a new risk determinant for dental caries in children. J Indian Soc Pedod Prev Dent 2006; 24: 63-8. (Pubitemid 44048149)
43. Slade GD, Sanders AE, Bill CJ,. Risk factors for dental caries in the five-year-old South Australian population. Aust Dent J 2006; 51: 130-9. (Pubitemid 44049418)
44. Tsai AI, Chen C-Y, Li L-A, Hsiang C-L, Hsu K-H,. Risk indicators for early childhood caries in Taiwan. Community Dent Oral Epidemiol 2006; 34: 437-45. (Pubitemid 44715418)
45. Du M, Luo Y, Zeng X, Alkhatib N, Bedi R,. Caries in preschool children and its risk factors in 2 provinces in China. Quintessence Int 2007; 38: 143-51.
46. Folayan M, Sowole A, Kola-Jebutu A,. Risk factors for caries in children from South-Western Nigeria. J Clin Pediatr Dent 2007; 32: 171-5.
47. Iida H, Auinger P, Billings RJ, Weitzman MD,. Association between infant breastfeeding and early childhood caries in the United States. Pediatrics 2007; 120: 944-52.
48. Kopycka-Kedzierawski DT, Auinger P, Billings RJ, Weitzman M,. Caries status and overweight in 2- to 18-year-old US children: findings from national surveys. Community Dent Oral Epidemiol 2007; 36: 157-67.
49. Ohlund I, Holgerson PL, Backman B, Lind T, Hernell T, Johansson I,. Diet intake and caries prevalence in four-year-old children living in a low-prevalence country. Caries Res 2007; 41: 26-33.
50. Qin M, Li JL, Zhang S, Ma W,. Risk factors for severe early childhood caries in children younger than 4-years old in Beijing, China. Pediatr Dent 2008; 30: 122-7.
51. Pitts NB,. Risk assessment and caries prediction. J Dent Educ 1998; 62: 762-70.
52. Martens L, Vanobbergen J, Williams S, Aps J, De Maeseneer J,. Determinants of early childhood caries in a group of inner-city children. Quintessence Int 2006; 37: 527-36. (Pubitemid 43944549)
53. Clarke P, Fraer-Lee NJ, Shimono T,. Identifying risk factors for predicting caries in school-aged children using dental health information collected at pre-school age. J Dent Child 2001; 68: 302-3.
54. Pienhakkinen K, Jokela J, Alanen P,. Assessment of caries risk in preschool children. Caries Res 2004; 38: 152-62.
55. Nishimura M, Oda T, Naoyuke K, Matsumara S, Shimono T,. Using a caries activity test to predict caries risk in early childhood. J Am Dent Assoc 2008; 139: 63-71.
56. Marshall TA, Eichenberger-Gilmore JM, Broffitt BA, Warren JJ, Levy SM,. Dental caries and childhood obesity: roles of diet and socioeconomic status. Community Dent Oral Epidemiol 2007; 35: 449-58.
57. Jeppesen BA, Foldspang A,. Can the development of new dental caries in Danish schoolchildren be predicted from surveillance data in the school dental service. Community Dent Oral Epidemiol 2006; 34: 205-12. (Pubitemid 44046544)
58. Pereira da Silva Tagliaferro E, Pereira AC, Meneghim MC, Ambrosano GMB,. Assessment of dental caries predictors in a seven-year longitudinal study. J Public Health Dent 2006; 66: 169-79.
59. Kanellis MJ,. Caries risk assessment and prevention: strategies for head start, early head start and WIC. J Public Health Dent 2000; 3: 210-7.
60. Li Y, Wang W,. Predicting caries in the permanent teeth from caries in primary teeth: an eight year cohort study. J Dent Res 2002; 81: 561-6.
61. van Palenstein Helderman WH, Mulder J, van Hof MA, Truin GJ,. Validation of a Swiss method of caries prediction in Dutch children. Community Dent Oral Epidemiol 2001; 29: 341-5. (Pubitemid 33685775)
62. Bagherian A, Nematollahi H, Afshari JT, Moheghi N,. Comparison of allele frequency for HLA-DR and HLA-DQ between patients with ECC and caries-free children. J Indian Soc Pedod Prevent Dent 2008; 26: 18-21.
63. Sakuma S, Kakamura M, Miyazaki H,. Predictors of dental caries development in 1.5-year-old high-risk children in the Japanese public health service. J Public Health Dent 2007; 7: 14-9.
64. Yonezu T, Yotsuya K, Yakushiji M,. Longitudinal study of prolonged breast- or bottle-feeding on dental caries in Japanese children. Bull Tokyo Dent Coll 2006; 47: 157-60.
65. Tiberia MJ, Milnes AR, Feigal RJ, Morley KR, Richardson DS, Croft WG, et al., Risk factors for early childhood caries in Canadian preschool children seeking care. Pediatr Dent 2007; 29: 201-8.
66. Ollila P, Larmas M,. A seven-year survival analysis of caries onset in primary second molars and permanent first molars in different caries risk groups determined at age two years. Acta Odontol Scand 2007; 65: 29-35.
67. Stewart PW, Stamm JW,. Classification tree prediction models for dental caries from clinical, microbiological and interview data. J Dent Res 1991; 70: 1239-51.
68. Schroeder U, Widenheim J, Peyron M, Hagg E,. Prediction of caries in 1.5-year old children. Swedish Dent J 1994; 18: 95-104.
69. Kingman A,. Statistical issues in risk models for caries. In, Bader JD, editor. Risk assessment in dentistry. Chapel Hill, NC: University of North Carolina Dental Ecology, 1990; 193-200.
70. Hausen H, Karkkainen S, Seppa L,. Application of the high-risk strategy to control dental caries. Community Dent Oral Epidemiol 2000; 28: 26-34.
71. Anderson CE,. Primary care based targeted caries prevention for pre-school children. PhD Thesis, University of Dundee, 2007.
72. Prevention and management of dental decay in the pre-school child. SIGN 83: Nov 2005; Scottish Intercollegiate Guidelines Network; Edinburgh.
73. Diagnosis and management of dental caries throughout life, National Institute of Health Consensus Development Conference Statement, March 26-28, 2001. [No authors] J Dent Educ 2001; 65: 1162-8.