Long-Term Adoption of Caries Management by Risk Assessment Among Dental Students in a University Clinic
Identifieur interne : 001001 ( Main/Merge ); précédent : 001000; suivant : 001002Long-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.
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PubMed: 25941147
PubMed Central: 4441821
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PMC:4441821Le document en format XML
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<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>
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