Nishimura et al conducted a two-year longitudinal study to show the predictive abilities of a caries activity test, and to include the predicted screening indexes that were based on previous caries activity test results and lifestyle factors that influence caries activity. Results show that caries activity test score at 18 months of age not only reflected caries incidence but also predicted caries incidence and screening results in 2- and 3 ½-year-old children. They conclude that a caries activity test could predict 3 ½-year-old children’s caries risk based on 18-month and 2-year-old test results and early weaning, less sucrose intake and toothbrushing by parents were effective in reducing a child’s caries risk.

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