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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Baseline Caries Risk Assessment as a Predictor of Caries Incidence</title><author><name sortKey="Chaffee, Benjamin W" sort="Chaffee, Benjamin W" uniqKey="Chaffee B" first="Benjamin W." last="Chaffee">Benjamin W. Chaffee</name><affiliation><nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff></affiliation></author><author><name sortKey="Cheng, Jing" sort="Cheng, Jing" uniqKey="Cheng J" first="Jing" last="Cheng">Jing Cheng</name><affiliation><nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff></affiliation></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><affiliation><nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25731155</idno><idno type="pmc">4417378</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4417378</idno><idno type="RBID">PMC:4417378</idno><idno type="doi">10.1016/j.jdent.2015.02.013</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">002597</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002597</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Baseline Caries Risk Assessment as a Predictor of Caries Incidence</title><author><name sortKey="Chaffee, Benjamin W" sort="Chaffee, Benjamin W" uniqKey="Chaffee B" first="Benjamin W." last="Chaffee">Benjamin W. Chaffee</name><affiliation><nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff></affiliation></author><author><name sortKey="Cheng, Jing" sort="Cheng, Jing" uniqKey="Cheng J" first="Jing" last="Cheng">Jing Cheng</name><affiliation><nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff></affiliation></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><affiliation><nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of dentistry</title><idno type="ISSN">0300-5712</idno><idno type="eISSN">1879-176X</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P2">Few studies have evaluated clinical outcomes following caries risk assessment in large datasets that reflect risk assessments performed during routine practice.</p><sec id="S1"><title>OBJECTIVE</title><p id="P3">From clinical records, compare 18-month caries incidence according to baseline caries risk designation.</p></sec><sec id="S2"><title>METHODS</title><p id="P4">For this retrospective cohort study, data were collected from electronic records of non-edentulous adult patients who completed an oral examination and caries risk assessment (CRA) at a university instructional clinic from 2007 to 2012 (N=18,004 baseline patients). The primary outcome was the number of new decayed/restored teeth from the initial CRA to the ensuing oral examination, through June 30, 2013 (N=4468 patients with follow-up). We obtained doubly-robust estimates for 18-month caries increment by baseline CRA category (low, moderate, high, extreme), adjusted for patient characteristics (age, sex, payer type, race/ethnicity, number of teeth), provider type, and calendar year.</p></sec><sec id="S3"><title>RESULTS</title><p id="P5">Adjusted mean decayed, restored tooth (DFT) increment from baseline to follow-up was greater with each rising category of baseline caries risk, from low (0.94), moderate (1.26), high (1.79), to extreme (3.26). The percentage of patients with any newly affected teeth (DFT increment >0) was similar among low-risk and moderate-risk patients (cumulative incidence ratio, RR: 1.01; 95% confidence interval, CI: 0.83, 1.23), but was increased relative to low-risk patients among high-risk (RR: 1.28; 95% CI: 1.10, 1.52), and extreme-risk patients (RR: 1.52; 95% CI: 1.23, 1.87).</p></sec><sec id="S4"><title>CONCLUSIONS</title><p id="P6">These results lend evidence that baseline caries risk predicts future caries in this setting, supporting the use of caries risk assessment to identify candidate patients for more intensive preventive therapy.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0354422</journal-id><journal-id journal-id-type="pubmed-jr-id">4687</journal-id><journal-id journal-id-type="nlm-ta">J Dent</journal-id><journal-id journal-id-type="iso-abbrev">J Dent</journal-id><journal-title-group><journal-title>Journal of dentistry</journal-title></journal-title-group><issn pub-type="ppub">0300-5712</issn><issn pub-type="epub">1879-176X</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25731155</article-id><article-id pub-id-type="pmc">4417378</article-id><article-id pub-id-type="doi">10.1016/j.jdent.2015.02.013</article-id><article-id pub-id-type="manuscript">NIHMS672895</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Baseline Caries Risk Assessment as a Predictor of Caries Incidence</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Chaffee</surname><given-names>Benjamin W.</given-names></name><role>Assistant Professor</role><xref ref-type="aff" rid="A1">a</xref><email>benjamin.chaffee@ucsf.edu</email></contrib><contrib contrib-type="author"><name><surname>Cheng</surname><given-names>Jing</given-names></name><role>Associate Professor</role><xref ref-type="aff" rid="A1">a</xref><email>jing.cheng@uscf.edu</email></contrib><contrib contrib-type="author"><name><surname>Featherstone</surname><given-names>John D. B.</given-names></name><role>Professor and Dean</role><xref ref-type="aff" rid="A1">a</xref><email>jdbf@ucsf.edu</email></contrib></contrib-group><aff id="A1"><label>a</label>Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</aff><author-notes><corresp id="FN1">Address for correspondence: Benjamin W. Chaffee, Division Oral Epidemiology and Dental Public Health, UCSF School of Dentistry, 3333 California Street, Suite 495, San Francisco CA 94143-1361; phone: 1 (415) 476-9226; fax: 1 (415) 502-8447, <email>benjamin.chaffee@ucsf.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>21</day><month>3</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>27</day><month>2</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>5</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>5</month><year>2016</year></pub-date><volume>43</volume><issue>5</issue><fpage>518</fpage><lpage>524</lpage><pmc-comment>elocation-id from pubmed: 10.1016/j.jdent.2015.02.013</pmc-comment>
<permissions><copyright-statement>© 2015 Published by Elsevier B.V.</copyright-statement><copyright-year>2015</copyright-year></permissions><abstract><p id="P2">Few studies have evaluated clinical outcomes following caries risk assessment in large datasets that reflect risk assessments performed during routine practice.</p><sec id="S1"><title>OBJECTIVE</title><p id="P3">From clinical records, compare 18-month caries incidence according to baseline caries risk designation.</p></sec><sec id="S2"><title>METHODS</title><p id="P4">For this retrospective cohort study, data were collected from electronic records of non-edentulous adult patients who completed an oral examination and caries risk assessment (CRA) at a university instructional clinic from 2007 to 2012 (N=18,004 baseline patients). The primary outcome was the number of new decayed/restored teeth from the initial CRA to the ensuing oral examination, through June 30, 2013 (N=4468 patients with follow-up). We obtained doubly-robust estimates for 18-month caries increment by baseline CRA category (low, moderate, high, extreme), adjusted for patient characteristics (age, sex, payer type, race/ethnicity, number of teeth), provider type, and calendar year.</p></sec><sec id="S3"><title>RESULTS</title><p id="P5">Adjusted mean decayed, restored tooth (DFT) increment from baseline to follow-up was greater with each rising category of baseline caries risk, from low (0.94), moderate (1.26), high (1.79), to extreme (3.26). The percentage of patients with any newly affected teeth (DFT increment >0) was similar among low-risk and moderate-risk patients (cumulative incidence ratio, RR: 1.01; 95% confidence interval, CI: 0.83, 1.23), but was increased relative to low-risk patients among high-risk (RR: 1.28; 95% CI: 1.10, 1.52), and extreme-risk patients (RR: 1.52; 95% CI: 1.23, 1.87).</p></sec><sec id="S4"><title>CONCLUSIONS</title><p id="P6">These results lend evidence that baseline caries risk predicts future caries in this setting, supporting the use of caries risk assessment to identify candidate patients for more intensive preventive therapy.</p></sec></abstract><kwd-group><kwd>Caries Risk Assessment</kwd><kwd>Dental Caries</kwd><kwd>Epidemiology</kwd><kwd>Caries Management</kwd><kwd>Longitudinal Studies</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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