“Cariogram” as a predictor of new caries in 9 year old children with myofunctional treatment (case report)

Nendika Dyah Ayu Murika Sari*  -  Universitas Muhammadiyah Surakarta
Aloysia Supartinah Santoso  -  Universitas Gadjah Mada

(*) Corresponding Author
DOI: 10.30659/odj.13.2.140-149

Background: Young children in the second phase of mixed-dentition commonly have malocclusion due to crowding and bad habits. Without immediate treatment, malocclusion might cause caries. Risk variables can predict multifactorial caries. The application's "cariogram" can predict new caries. The purpose to report anterior and posterior crowded and tongue biting with myofunctional treatment and predict the occurrence of new caries with a "cariogram".

Case Report: A 9-year-old girl came with complaints of large cavities in the lower teeth and teeth that grow crookedly. The results of the intra-oral examination showed multiple caries, pulp necrosis, anterior and posterior crowded, accompanied by bad habits of tongue biting. The results of panoramic X-ray examination showed all tooth buds and no abnormalities, cephalometric examination showed a class I skeletal pattern, retrognathic skeletal with retrusive mandible, mandibular growth vertically and downwards more than normal. The treatment performed is to predict the occurrence of new caries with a periodic "cariogram", fissure sealant, restoration on multiple caries, extraction on necrotic teeth, topical fluoride application, use of myobrace and routine check-ups.

Conclusion: Preventing malocclusion and caries by treating crowded teeth and tongue biting. Correcting malocclusion requires myobrace and "cariogram" prediction of new caries.

Keywords: caries; cariogram; crowded; myobrace; tongue biting

  1. Richter CH, Anindita PS, Kawengian SES. Hubungan antara Status Gizi dengan Gigi Berjejal pada Anak Usia 11 sampai 12 Tahun di SD Negeri 45 Manado. e-GiGi. 2021;9(2):152. doi:10.35790/eg.9.2.2021.33705
  2. Abdul WM, Chandra P, Kulshrestha R, Singh K, Rastogi R, Umale V. Open bite malocclusion: An overview. J Oral Heal Craniofacial Sci. 2018;(June):011-020. doi:10.29328/journal.johcs.1001022
  3. Sari NDAM, Utomo RB. Speech Disorder in Anterior Open Bite (AOB): Systematic Review. Dentika Dent J. 2022;25(2):66-71. doi:10.32734/dentika.v25i2.9146
  4. Assaf DDC, Knorst JK, Busanello-Stella AR, et al. Association between malocclusion, tongue position and speech distortion in mixed-dentition schoolchildren: An epidemiological study. J Appl Oral Sci. 2021;29:1-11. doi:10.1590/1678-7757-2020-1005
  5. Kemenkes RI. Laporan Riskesdas 2018 Kementrian Kesehatan Republik Indonesia. Lap Nas Riskesdas 2018. 2018;53(9):154-165. https://www.yankes.kemkes.go.id/assets/downloads/PMK No. 57 Tahun 2013 tentang PTRM.pdf
  6. Christiono S, Putranto RR. Caries Status Early Childhood Caries in Indonesian Children with Special Needs : Study in SDLB Central Java. ODONTO Dent J. 2016;2(1):1. doi:10.30659/odj.2.2.4-10
  7. Ritter A V. Sturdevant’s Art & Science of Operative Dentistry-e-Book. Elsevier Health Sciences; 2017.
  8. Vesthi NA, Aditya G, Amalina R. Hubungan Kadar Urea Saliva Terhadap Derajat Keasaman (pH) Saliva pada Anak Usia 12-15 Tahun. ODONTO Dent J. 2015;2(1):57. doi:10.30659/odj.2.2.57-61
  9. Rezki S, . P. Pengaruh pH Plak Terhadap Angka Kebersihan Gigi dan Angka Karies Gigi Anak di Klinik Pelayanan Asuhan Poltekkes Pontianak Tahun 2013. ODONTO Dent J. 2014;1(2):13. doi:10.30659/odj.1.2.13-18
  10. Harris NO, Garcia-Godoy F. Introduction to Primary Preventive Dentistry.; 2004.
  11. Bratthall D, Petersson GH. Cariogram - A multifactorial risk assessment model for a multifactorial disease. Community Dent Oral Epidemiol. 2005;33(4):256-264. doi:10.1111/j.1600-0528.2005.00233.x
  12. Aggarwal I, Wadhawan M, Dhir V. Myobraces: Say No to Traditional Braces. Int J Oral Care Res. 2016;4(239):82-85. doi:10.5005/jp-journals-10051-0019
  13. Paola da Cunha B, Desirée de JP, Monica Lage da C, Viviane de Andrade C de P. How the myobrace appliance works: Advantages and disadvantages. J Dent Probl Solut. 2021;8:019-023. doi:10.17352/2394-8418.000098
  14. Ramirez-Yanez GO, Flutter J. Facial Symmetry Improves After Treating Malocclusions with the MyobraceTM System. EC Dent Sci. 2019;4(2016):707-712.
  15. Rautela M, Aeron H, Dhawan P. Myobrace; From Braces to No Braces. Guident. 2018;(April):1-4.
  16. Nery SS, Araujo PX de, Alves MJM, Araujo EX de, Sobreiro MAF. Ortodontia Miofuncional - Sistema Myobrace® relato de caso clínico / Myofunctional Orthodontics - Myobrace system® clinical case report. Brazilian J Heal Rev. 2022;5(4):12147-12161. doi:10.34119/bjhrv5n4-016
  17. Cabral RN, Hilgert LA, Faber J, Leal SC. Caries risk assessment in schoolchildren - A form based on Cariogram® software. J Appl Oral Sci. 2014;22(5):397-402. doi:10.1590/1678-775720130689
  18. Sari NDAM, Bernice SF, Anwaristi AY, et al. Penyuluhan di SDN 2 Krikilan sebagai Upaya Mewujudkan Kesehatan Gigi Anak di Masa Pandemi. Poltekita J Pengabdi Masy. 2022;3(4):842-849. doi:10.33860/pjpm.v3i4.1221
  19. Sampakang T, Gunawan PN, . J. Status Kebersihan Mulut Anak Usia 9-11 Tahun Dan Kebiasaan Menyikat Gigi Malam Sebelum Tidur Di Sdn Melonguane. e-GIGI. 2015;3(1):1-6. doi:10.35790/eg.3.1.2015.6406
  20. Dean JA, Jones JE, Sanders BJ, Vinson LAW, Yepes JF. McDonald and Avery’s Dentistry for the Child and Adolescent. Elsevier; 2022.
  21. Kaswindiarti S, Sari NDAM, Nurnaini LD, Ropika I. Pemeriksaan, Diagnosis, Dan Rencana Perawatan Kedokteran Gigi Anak. Muhammadiyah University Press; 2025.
  22. Bansal M, Sangha R, Simran, Walia NK. Caries Risk Assessment: Cariogram-An Insight. Int Healthc Res J. 2019;3(5):167-175.
  23. Dou L, Luo J, Fu X, Tang Y, Gao J, Yang D. The validity of caries risk assessment in young adults with past caries experience using a screening Cariogram model without saliva tests. Int Dent J. 2018;68(4):221-226. doi:10.1111/idj.12378
  24. Duggal M, Cameron AC, Toumba J. Paediatric Dentistry at a Glance. Wiley-Blackwell; 2013.
  25. Marwah N. Text Book of Pediatric Dentistry. 3rd Edition. Jaypee Brothers Medical Publishers; 2016.
  26. Cagetti MG, Bontà G, Lara JS, Campus G. Caries risk assessment using different Cariogram models. A comparative study about concordance in different populations—Adults and children. PLoS One. 2022;17(6 6):1-11. doi:10.1371/journal.pone.0264945

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