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

ABSTRACTObjective To use an alumni-centered, practice-based research network to evaluate white spot lesions (WSLs) among treated orthodontic patients.Materials and Methods: An initial survey was conducted to ascertain whether orthodontic alumni from Texas A&M University Baylor College of Dentistry were willing to participate. Twenty randomly selected alumni participated, providing 158 treated cases. Each alumnus (1) obtained internal review board consent; (2) submitted pre- and posttreatment photographs of 10 consecutively finished cases; (3) completed a treatment survey; and (4) had the patient/parent complete the American Dental Association (ADA) Caries Risk Assessment.Results: Almost 90% of the alumni surveyed were willing to participate in the practice-based research, primarily because a fellow alumnus asked them to. Approximately 28% of the patients developed WSLs. The average patient developed 2.4 white spots, affecting 12.7% of the teeth examined. WSLs were significantly (P < .001) more (2.3−3.2 times) likely for patients who were identified on the ADA Caries Risk Assessment. The risk of developing WSLs during treatment was also increased for those with fair (2.7 times) or poor (3.5 times) oral hygiene, poor gingival health (2.3 times), and extended treatment times (2.1 times).Conclusions: There is a substantial risk of developing WSLs among private practice patients, depending partially on the length of treatment. Patients at greatest risk can be identified prior to treatment based on the ADA Caries Risk Assessment, oral hygiene, and gingival health.

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Caries risk assessment and individualized caries prevention

Dental Abstracts ◽

10.1016/j.denabs.2012.04.098 ◽

2012 ◽

Vol 57 (6) ◽

pp. 328

Keyword(s):

Risk Assessment ◽

Caries Prevention ◽

Caries Risk ◽

Caries Risk Assessment

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Adherence to Nice Guidelines on Recall Intervals and the FGDP(UK) Selection Criteria for Dental Radiography

Primary Dental Journal ◽

10.1308/205016813804971546 ◽

2013 ◽

Vol 2 (1) ◽

pp. 50-56 ◽

Cited By ~ 1

Author(s):

Nicholas A Drage ◽

Kristian JM Davies

Keyword(s):

Risk Assessment ◽

Selection Criteria ◽

Disease Risk ◽

Dental Radiography ◽

Adult Patients ◽

Health Board ◽

Caries Risk ◽

Caries Risk Assessment ◽

Nice Guidelines ◽

Child Patients

Aim The study investigated adherence of GDPs to National Institute for Health and Clinical Excellence (NICE) guidelines on recall intervals and the FGDP(UK)'s Selection Criteria for Dental Radiography. It also explored any factors that might influence GDPs’ compliance with the guidelines. Method A previously piloted questionnaire was circulated to all GDPs within the district of the Cardiff and Vale University Health Board (UHB). The questionnaire sought demographic data as well as answers to questions relating to compliance with guidelines. Results Of 215 questionnaires, 133 (61.9%) were returned. One hundred a nd thirty (97.7%) respondents were familiar with NICE recall guidelines and 112 (84.2%) were familiar with the FGDP(UK) publication Selection Criteria for Dental Radiography. Thirty six (27.7%) ‘always’ followed the NICE recall guidelines and, overall, 108 (81.8%) ‘always or mostly’ followed the guidance. Fifty one (38.6%) respondents ‘always’ carried out a caries risk assessment for adult patients and 57 (43.5%) ‘always’ carried out a caries risk assessment for child patients. Seventy nine (59.8%) reported that they ‘always or mostly’ recorded the patient's disease risk category in the notes. Fifty two (39.7%) respondents ‘always’ took bitewing radiographs that corresponded to disease risk. Overall, however, 119 GDPs (90.8%) ‘always or mostly’ took bitewing radiographs at appropriate intervals according to disease risk. Bitewing radiographs for new adult patients were prescribed more often for new child patients. The dentist's length of experience, NHS commitment, country of graduation, access to digital radiography or panoramic machines, receipt of any postgraduate qualifications or involvement in dental foundation training were proven not to have any statistically significant association with adherence to NICE or FGDP(UK) guidelines. Conclusions Most dentists are familiar with NICE guidelines on recall intervals and the FGDP(UK)'s Selection Criteria for Dental Radiography. The number of dentists who always comply with these sets of guidance is low. None of the variables investigated were shown to have any statistically significant association with adherence to these guidelines.

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Evaluating the impact of caries prevention and management by caries risk assessment guidelines on clinical practice in a dental teaching hospital

BMC Oral Health ◽

10.1186/s12903-016-0217-9 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 2

Author(s):

Gillian H. M. Lee ◽

Colman McGrath ◽

Cynthia K. Y. Yiu

Keyword(s):

Risk Assessment ◽

Clinical Practice ◽

Teaching Hospital ◽

Caries Prevention ◽

Caries Risk ◽

Caries Risk Assessment ◽

Assessment Guidelines ◽

The Impact

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Dentists’ practice patterns regarding caries prevention: results from a dental practice-based research network

BMJ Open ◽

10.1136/bmjopen-2013-003227 ◽

2013 ◽

Vol 3 (9) ◽

pp. e003227 ◽

Cited By ~ 12

Author(s):

Yoko Yokoyama ◽

Naoki Kakudate ◽

Futoshi Sumida ◽

Yuki Matsumoto ◽

Gregg H Gilbert ◽

...

Keyword(s):

Practice Patterns ◽

Caries Prevention ◽

Research Network ◽

Dental Practice ◽

Practice Based Research

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Multicenter study on caries risk assessment in Japanese adult patients

Journal of Dentistry ◽

10.1016/j.jdent.2015.07.010 ◽

2015 ◽

Vol 43 (10) ◽

pp. 1223-1228 ◽

Cited By ~ 4

Author(s):

Masumi Arino ◽

Ito Ataru ◽

Shozo Fujiki ◽

Seiichi Sugiyama ◽

Mikako Hayashi

Keyword(s):

Risk Assessment ◽

Multicenter Study ◽

Adult Patients ◽

Caries Risk ◽

Caries Risk Assessment ◽

Japanese Adult

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How Dentists Diagnose and Treat Defective Restorations: Evidence from The Dental Practice-based Research Network

Operative Dentistry ◽

10.2341/08-131-c ◽

2009 ◽

Vol 34 (6) ◽

pp. 664-673 ◽

Cited By ~ 60

Author(s):

V. V. Gordan ◽

C. W. Garvan ◽

J. S. Richman ◽

J. L. Fellows ◽

D. B. Rindal ◽

...

Keyword(s):

Treatment Planning ◽

Clinical Relevance ◽

Planning Process ◽

Surgical Intervention ◽

Preventive Treatment ◽

Research Network ◽

Dental Practice ◽

Caries Risk ◽

Practice Based Research

Clinical Relevance Dentists who did not assess caries risk as a routine part of the treatment planning process were more likely to choose a surgical intervention and less likely to choose a preventive treatment.

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