There was no single indicator with both high sensitivity and
specificity for the identification of individuals at high risk
before they develop caries. In addition to the sensitivity,
specificity, and positive predictive values, the study also
systematically examined the prediction efficiency, calculated
from true caries-active and caries-free status, for each of the
tooth groups over the grand total. The predictive value of
85.4% suggests that nine out of ten children who had caries in
their primary molars will develop caries in their permanent
teeth. Accordingly, a combination of caries present on
primary molars (the highest sensitivity) and caries-free
primary maxillary anterior teeth (the highest specificity)
would be the best predictor for distinguishing children as
high- or low-risk for caries.
specificity (98%) was caries on all maxillary anterior teeth.
There was no single indicator with both high sensitivity andspecificity for the identification of individuals at high riskbefore they develop caries. In addition to the sensitivity,specificity, and positive predictive values, the study alsosystematically examined the prediction efficiency, calculatedfrom true caries-active and caries-free status, for each of thetooth groups over the grand total. The predictive value of85.4% suggests that nine out of ten children who had caries intheir primary molars will develop caries in their permanentteeth. Accordingly, a combination of caries present onprimary molars (the highest sensitivity) and caries-freeprimary maxillary anterior teeth (the highest specificity)would be the best predictor for distinguishing children ashigh- or low-risk for caries.specificity (98%) was caries on all maxillary anterior teeth.
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