Long-Term Adoption of Caries Management by Risk Assessment Among Dental Students in a University Clinic
Identifieur interne : 000F99 ( Main/Exploration ); précédent : 000F98; suivant : 001000Long-Term Adoption of Caries Management by Risk Assessment Among Dental Students in a University Clinic
Auteurs : Benjamin W. Chaffee ; John D. B. FeatherstoneSource :
- Journal of dental education [ 0022-0337 ] ; 2015.
Abstract
Evaluate the long-term adoption of a risk-based caries management program at a university dental clinic.
We extracted data from electronic records of adult non-edentulous patients who underwent a comprehensive oral evaluation in the university predoctoral clinic, from July 2007 through June 2014 (N=21,984). Consistency with caries management guidelines was measured as the percentage of patients with caries risk designation (low, moderate, high, or extreme) and by the percentage of patients provided non-operative anti-caries agents within each designated caries-risk category. Additionally, we identified patient and provider characteristics associated with risk assessment completion and with provision of anti-caries therapy.
The percentage of patients with documented caries risk grew steadily from 62.3% in 2007-2008 to 92.8% in 2013-2014. Overall, receipt of non-operative anti-caries agents increased with rising caries risk, from low (6.9%), moderate (14.1%), high (36.4%), to extreme (51.4%), but percentages were stable over the study period. Younger patients were more likely to have a completed risk assessment, and among high- and extreme-risk patients, delivery of anti-caries therapy was more common among patients who were younger, identified as Asian or Caucasian, received public dental benefits, or were seen by a student in the four-year doctoral program or in the final year of training.
Extensive compliance in documenting caries risk was achieved within a decade of implementing risk-based clinical guidelines. Caries risk was the most strongly associated of several factors related to delivery of non-operative therapy. In dental education, transition to a risk-based, prevention-focused curriculum may require a long-term commitment.
Url:
PubMed: 25941147
PubMed Central: 4441821
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 002696
- to stream Pmc, to step Curation: 002696
- to stream Pmc, to step Checkpoint: 000C98
- to stream Ncbi, to step Merge: 005B10
- to stream Ncbi, to step Curation: 005B10
- to stream Ncbi, to step Checkpoint: 005B10
- to stream Main, to step Merge: 001001
- to stream Main, to step Curation: 000F99
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Long-Term Adoption of Caries Management by Risk Assessment Among Dental Students in a University Clinic</title>
<author><name sortKey="Chaffee, Benjamin W" sort="Chaffee, Benjamin W" uniqKey="Chaffee B" first="Benjamin W." last="Chaffee">Benjamin W. Chaffee</name>
</author>
<author><name sortKey="Featherstone, John D B" sort="Featherstone, John D B" uniqKey="Featherstone J" first="John D. B." last="Featherstone">John D. B. Featherstone</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">25941147</idno>
<idno type="pmc">4441821</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441821</idno>
<idno type="RBID">PMC:4441821</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">002696</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002696</idno>
<idno type="wicri:Area/Pmc/Curation">002696</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002696</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000C98</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000C98</idno>
<idno type="wicri:Area/Ncbi/Merge">005B10</idno>
<idno type="wicri:Area/Ncbi/Curation">005B10</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">005B10</idno>
<idno type="wicri:doubleKey">0022-0337:2015:Chaffee B:long:term:adoption</idno>
<idno type="wicri:Area/Main/Merge">001001</idno>
<idno type="wicri:Area/Main/Curation">000F99</idno>
<idno type="wicri:Area/Main/Exploration">000F99</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Long-Term Adoption of Caries Management by Risk Assessment Among Dental Students in a University Clinic</title>
<author><name sortKey="Chaffee, Benjamin W" sort="Chaffee, Benjamin W" uniqKey="Chaffee B" first="Benjamin W." last="Chaffee">Benjamin W. Chaffee</name>
</author>
<author><name sortKey="Featherstone, John D B" sort="Featherstone, John D B" uniqKey="Featherstone J" first="John D. B." last="Featherstone">John D. B. Featherstone</name>
</author>
</analytic>
<series><title level="j">Journal of dental education</title>
<idno type="ISSN">0022-0337</idno>
<idno type="eISSN">1930-7837</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">Evaluate the long-term adoption of a risk-based caries management program at a university dental clinic.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">We extracted data from electronic records of adult non-edentulous patients who underwent a comprehensive oral evaluation in the university predoctoral clinic, from July 2007 through June 2014 (N=21,984). Consistency with caries management guidelines was measured as the percentage of patients with caries risk designation (low, moderate, high, or extreme) and by the percentage of patients provided non-operative anti-caries agents within each designated caries-risk category. Additionally, we identified patient and provider characteristics associated with risk assessment completion and with provision of anti-caries therapy.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">The percentage of patients with documented caries risk grew steadily from 62.3% in 2007-2008 to 92.8% in 2013-2014. Overall, receipt of non-operative anti-caries agents increased with rising caries risk, from low (6.9%), moderate (14.1%), high (36.4%), to extreme (51.4%), but percentages were stable over the study period. Younger patients were more likely to have a completed risk assessment, and among high- and extreme-risk patients, delivery of anti-caries therapy was more common among patients who were younger, identified as Asian or Caucasian, received public dental benefits, or were seen by a student in the four-year doctoral program or in the final year of training.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Extensive compliance in documenting caries risk was achieved within a decade of implementing risk-based clinical guidelines. Caries risk was the most strongly associated of several factors related to delivery of non-operative therapy. In dental education, transition to a risk-based, prevention-focused curriculum may require a long-term commitment.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Chaffee, Benjamin W" sort="Chaffee, Benjamin W" uniqKey="Chaffee B" first="Benjamin W." last="Chaffee">Benjamin W. Chaffee</name>
<name sortKey="Featherstone, John D B" sort="Featherstone, John D B" uniqKey="Featherstone J" first="John D. B." last="Featherstone">John D. B. Featherstone</name>
</noCountry>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000F99 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000F99 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Santé |area= EdenteV2 |flux= Main |étape= Exploration |type= RBID |clé= PMC:4441821 |texte= Long-Term Adoption of Caries Management by Risk Assessment Among Dental Students in a University Clinic }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:25941147" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \ | NlmPubMed2Wicri -a EdenteV2
This area was generated with Dilib version V0.6.32. |