Caries Risk Assessment in an Educational Environment

Doméjean-Orliaguet, Sophie; Gansky, Stuart A.; Featherstone, J.D.B.

doi:10.1002/j.0022-0337.2006.70.12.tb04238.x

Cited by 57 publications

(49 citation statements)

References 18 publications

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“…Visible cavitation or caries into dentin identified by radiographic examination was shown to significantly correlate with several caries risk factors. 73 Caries lesions leading to restorations within a three-year period was one of the correlated items, 73 which is similar to the criteria applied in some of the included studies reporting a significant influence on restora- tion survival. 15,22,42 Although the included studies reported different methods and cutoff points (Table 1), most of them were able to show an influence of caries-related variables on restoration failure (Table 4).…”

Section: Cariesmentioning

confidence: 86%

Restoration Survival: Revisiting Patients' Risk Factors Through a Systematic Literature Review

Sande

Collares

Corrêa

et al. 2016

Operative Dentistry

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A literature review was conducted to investigate the influence of patient-related factors on restoration survival in posterior permanent teeth as well as to report the methods used to collect these factors. The selection of articles on longitudinal clinical studies investigating the survival of posterior restorations (except full crowns and temporary fillings) and including patient-related factors was performed by applying predefined criteria. The review was organized into two parts, the first describing how patient factors were assessed in the studies (n=45) and the second presenting the statistical significance (n=27) and size of the effect (n=11) of these factors on restoration survival. Patient-related factors mentioned in the studies included age; gender; caries risk; caries activity/severity; decayed, missing, filled teeth; number of restorations; oral hygiene; and bruxism, among others. Sixteen studies included the patient age or age range in the analysis, which was found to be significant in 47% of the studies. Regarding gender, four of 17 reports found a significant effect on survival, showing more failures for men in three studies. The caries risk profile or related variables were included in the analysis of 15 studies, and a significant effect on survival was reported for high-caries-risk individuals (or related variables) in 67% of these studies. Bruxism was also found to influence restoration survival in three of six studies where this variable was investigated. Some issues were found regarding the reporting of methods used to classify patients according to risk and were thoroughly discussed. In view of the information gathered in this review, the assessment of patient factors along with other variables should become part of clinical studies investigating restoration survival, since several of these factors were shown to influence the failure of restorations, regardless of the material type.

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Section: Cariesmentioning

confidence: 86%

Restoration Survival: Revisiting Patients' Risk Factors Through a Systematic Literature Review

Sande

Collares

Corrêa

et al. 2016

Operative Dentistry

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“…(21) found that among Texas pediatric dentists, 39% of respondents used both verbal and written CRA's. A study at a US dental school that examined the impact of initiating the use of a CRA form found that faculty were slow to incorporate its use, but by the end of the second year, a level of 80% compliance was reached (26). The authors suggested that the faculty, some of whom may have been trained at a time when caries restoration was the standard treatment for caries, were skeptical about the importance of CRA in a caries management program.…”

Section: Discussionmentioning

confidence: 99%

“…Less‐than‐optimal treatment follow‐up after CRA has also been reported in a predoctoral teaching clinic. In this program, patients assessed as having high caries risk were supposed to receive a bacterial assessment; however, this was not followed in most cases (26). On the other hand, a study by Bader et al.…”

Section: Discussionmentioning

confidence: 99%

Dentists’ use of caries risk assessment and individualized caries prevention for their adult patients: findings from The Dental Practice-Based Research Network

Riley¹,

Gordan²,

Ajmo³

et al. 2011

Community Dentistry and Oral Epidemiology

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Objectives Few studies have examined dentists' subjective ratings of importance of caries risk factors or tested whether dentists use this information in treatment planning. This study tested several hypotheses related to caries risk assessment and individualized caries prevention. Methods Data were collected as part of a questionnaire entitled “Assessment of Caries Diagnosis and Caries Treatment”, completed by 547 practitioners who belong to The Dental Practice-Based Research Network (DPBRN), a consortium of participating practices and dental organizations. Results Sixty-nine percent of DPBRN dentists perform caries risk assessment on their patients. Recently-graduated dentists, dentists with busier practices, and those who believe a dentist can predict future caries were the most likely to use caries risk assessment. The association between caries risk assessment and individualized prevention was weaker than expected (r=.21). Dentists who perform caries risk assessment provide individualized caries prevention to 57% of their patients, compared to 42% for dentists who do not perform caries risk assessment. Based on their responses to radiographic and clinical scenarios in the questionnaire, dentists who use caries risk assessment appear to use this information in restorative decisions. Conclusion A substantial percentage of DPBRN dentists do not perform caries risk assessment, and there is not a strong linkage between its use and use of individualized preventive regimens for adult patients. More progress in implementation of current scientific evidence in this area is warranted.

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“…As dental caries is a multi-factorial disease, studies to explore interactions between caries risk indicators and disease occurrence are often based on multi-factorial modelling (11)(12)(13)(14). For caries, the etiologic factors are known as 'risk factors' while the non-etiologic factors as 'risk indicators' (15).…”

Section: Introductionmentioning

confidence: 99%

Developing a caries risk assessment model for patients attending University Malaya dental clinic

Asma

Yong

et al. 2013

ADUM

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Aim: In response to the introduction of an integrated dental education program at University of Malaya (UM) in 2011, a study was conducted to develop a caries risk assessment model (CRA) for use in non-surgical caries management for Year 3 and 4 students of the new integrated program. Methods: The CRA model was based on risk indicators used by dental students in the Preventive Dental Clinic (PDC). Patients aged 15 years and above who attended the PDC for the first time in year 2009 and 2010 were used as study sample. Four hundred and fourteen patient names were identified from the student PDC logbook. Of the 414, 359 dental records had complete data and included in the analysis. Data were analysed using SPSS version 17.0. Chi-square test was used for group comparison and associated factors for coronal caries were analysed using Multiple Logistic Regression (MLR). Results: The final model showed that adults, brushing teeth once daily, and not having dental prosthesis/appliance were 3.31 (CI=1.64-6.69), 2.53 (CI=1.19-5.40), and 2.25 (CI=1.25-4.10) more likely to develop coronal caries, respectively, than adolescents, brushing teeth at least twice a day, and having dental prosthesis/appliance. Conclusions: The results indicate that age group, toothbrushing frequency and dental prosthesis status are significant indicators for coronal caries among patients. Outcomes of the study contributed towards bridging the gap between cariology and preventive modules in the new integrated dental program.

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Caries Risk Assessment in an Educational Environment

Cited by 57 publications

References 18 publications

Restoration Survival: Revisiting Patients' Risk Factors Through a Systematic Literature Review

Restoration Survival: Revisiting Patients' Risk Factors Through a Systematic Literature Review

Dentists’ use of caries risk assessment and individualized caries prevention for their adult patients: findings from The Dental Practice-Based Research Network

Developing a caries risk assessment model for patients attending University Malaya dental clinic

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