Dentists’ use of caries risk assessment and individualized caries prevention for their adult patients: findings from The Dental Practice-Based Research Network: Dentists’ use of CRA and ICP in adult patients
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Riley JL, Gordan VV, Ajmo CT, Bockman H, Jackson MB, Gilbert GH, for The Dental PBRN Collaborative Group. Dentists’ use of caries risk assessment and individualized caries prevention for their adult patients: findings from The Dental Practice-Based Research Network. Community Dent Oral Epidemiol 2011; 39: 564–573. © 2011 John Wiley & Sons A/S Abstract – 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 (CRA) and individualized caries prevention (ICP). 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 CRA 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 CRA. The association between CRA and individualized prevention was weaker than expected (r = 0.21). Dentists who perform CRA provide ICP to 57% of their patients, compared with 42% for dentists who do not perform CRA. Based on their responses to radiographic and clinical scenarios in the questionnaire, dentists who use CRA appear to use this information in restorative decisions. Conclusion: A substantial percentage of DPBRN dentists do not perform CRA, and there is not a strong linkage between its use and use of individualized preventive regimens for adult patients. More progress in the implementation of current scientific evidence in this area is warranted.
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Cites
Assessing patients' caries risk
Fontana, M., & Zero, D. T. (2006) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2006.0380 · Cited by 261 · see citing works
Reich, E., Lussi, A., & Newbrun, E. (1999) · International Dental Journal · doi:10.1111/j.1875-595x.1999.tb00503.x · Cited by 223 · see citing works
Clinical Applications and Outcomes of Using Indicators of Risk in Caries Management
Zero, D. T., Fontana, M., & Lennon, Á. M. (2001) · Journal of Dental Education · doi:10.1002/j.0022-0337.2001.65.10.tb03461.x · Cited by 205 · see citing works
Prevention policies in the light of the changed distribution of dental caries
Burt, B. A. (1998) · Acta Odontologica Scandinavica · doi:10.1080/000163598422956 · Cited by 201 · see citing works
Evidence-based dentistry in clinical practice
Ismail, A. I., & Bader, J. D. (2004) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2004.0024 · Cited by 154 · see citing works
Diagnosis and Management of Dental Caries Throughout Life
(2001) · Journal of Dental Education · doi:10.1002/j.0022-0337.2001.65.10.tb03466.x · Cited by 153 · see citing works
Variation, treatment outcomes, and practice guidelines in dental practice
Bader, J., & Shugars, D. (1995) · Journal of Dental Education · doi:10.1002/j.0022-0337.1995.59.1.tb02920.x · Cited by 151 · see citing works
Clinical Protocols for Caries Management by Risk Assessment
Jenson, L. E., Budenz, A. W., Featherstone, J. D. B., et al. (2007) · Journal of the California Dental Association · doi:10.1080/19424396.2007.12221277 · Cited by 150 · see citing works
Patient Caries Risk Assessment
Twetman, S., & Fontana, M. (2009) · Monographs in oral science · doi:10.1159/000224214 · Cited by 138 · see citing works
Conklin, J. (2002) · Technometrics · doi:10.1198/tech.2002.s650 · Cited by 132 · see citing works
What do we know about how dentists make caries-related treatment decisions?
Bader, J. D., & Shugars, D. A. (1997) · Community Dentistry and Oral Epidemiology · doi:10.1111/j.1600-0528.1997.tb00905.x · Cited by 128 · see citing works
Clinical Diagnosis of Dental Caries: A European Perspective
Pitts, N. B. (2001) · Journal of Dental Education · doi:10.1002/j.0022-0337.2001.65.10.tb03472.x · Cited by 127 · see citing works
(2009) · PubMed · Cited by 97 · see citing works
Evans, R., Pakdaman, A., Dennison, P., et al. (2008) · Australian Dental Journal · doi:10.1111/j.1834-7819.2007.00004.x · Cited by 87 · see citing works
Caries Risk Assessment in an Educational Environment
Doméjean‐Orliaguet, S., Gansky, S. A., & Featherstone, J. D. (2006) · Journal of Dental Education · doi:10.1002/j.0022-0337.2006.70.12.tb04238.x · Cited by 77 · see citing works
Restorative treatment decisions on occlusal caries in Scandinavia
Espelid, I., Tveit, A. B., Mejàre, I., et al. (2001) · Acta Odontologica Scandinavica · doi:10.1080/000163501300035724 · Cited by 75 · see citing works
Models for financing dental services. A review.
Grytten, J. I. (2005) · PubMed · Cited by 72 · see citing works
Brown, L. J., Kaste, L. M., Selwitz, R. H., et al. (1996) · The Journal of the American Dental Association · doi:10.14219/jada.archive.1996.0203 · Cited by 70 · see citing works
CARIES RISK ASSESSMENT: RELEVANCE TO THE PRACTITIONER
POWELL, L. V. (1998) · The Journal of the American Dental Association · doi:10.14219/jada.archive.1998.0209 · Cited by 69 · see citing works
the DPBRN Collaborative Group, Makhija, S. K., Gilbert, G. H., Rindal, D. B., Benjamin, P., Richman, J. S., Pihlstrom, D. J., & Qvist, V. (2009) · BMC Oral Health · doi:10.1186/1472-6831-9-26 · Cited by 64 · see citing works
Self-citationIdentification of high caries risk adults: attitudes, social factors and diseases.
Jd, B., Kohout, F. J., & Rj, H. (1988) · PubMed · Cited by 64 · see citing works
Evidence-Based Caries, Risk Assessment, and Treatment
Fontana, M., Young, D. A., & Wolff, M. S. (2009) · Dental Clinics of North America · doi:10.1016/j.cden.2008.10.003 · Cited by 60 · see citing works
Caries management by risk assessment: implementation guidelines.
Young, D. A., Featherstone, J. D. B., Roth, J. R., et al. (2007) · PubMed · Cited by 58 · see citing works
Validation of a Simple Approach to Caries Risk Assessment
Bader, J. D., Perrin, N., Maupomé, G., Rindal, D. B., & Rush, W. A. (2005) · Journal of Public Health Dentistry · doi:10.1111/j.1752-7325.2005.tb02790.x · Cited by 46 · see citing works
Caries management: technical solutions to biological problems or evidence‐based care?
Bælum, V. (2007) · Journal of Oral Rehabilitation · doi:10.1111/j.1365-2842.2007.01784.x · Cited by 44 · see citing works
A pilot study of risk-based prevention in private practice
Bader, J. D., Shugars, D. A., Kennedy, J. E., et al. (2003) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2003.0354 · Cited by 41 · see citing works
Restorative Treatment Strategies Reported by French University Teachers
Tubert‐Jeannin, S., Doméjean‐Orliaguet, S., Riordan, P. J., et al. (2004) · Journal of Dental Education · doi:10.1002/j.0022-0337.2004.68.10.tb03855.x · Cited by 37 · see citing works
Risk assessment and caries prediction
Pitts, N. B. (1998) · Journal of Dental Education · doi:10.1002/j.0022-0337.1998.62.10.tb03244.x · Cited by 35 · see citing works
Modern management of dental caries: the cutting edge is not the dental bur.
Anderson, M., & Omnell, K.-Å. (1995) · PubMed · Cited by 29 · see citing works
Restorative treatment threshold reported by Iranian dentists.
Ghasemi, H., Murtomaa, H. T., Torabzadeh, H., et al. (2008) · PubMed · Cited by 26 · see citing works
Lith, A., Lindstrand, C., & Hg, G. (2002) · Dentomaxillofacial Radiology · doi:10.1038/sj.dmfr.4600710 · Cited by 25 · see citing works
Service patterns associated with coronal caries in private general dental practice
Brennan, D. S., & Spencer, A. J. (2007) · Journal of Dentistry · doi:10.1016/j.jdent.2007.03.005 · Cited by 25 · see citing works
Restorative Treatment Decisions for Deep Proximal Carious Lesions in Primary Molars
Qudeimat, M. A., Al-Saiegh, F., Alomari, Q. D., et al. (2007) · European Archives of Paediatric Dentistry · doi:10.1007/bf03262568 · Cited by 22 · see citing works
Exploring the contributions of components of caries risk assessment guidelines
Bader, J. D., Perrin, N., Maupomé, G., et al. (2007) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.2007.00399.x · Cited by 22 · see citing works
Caries risk assessment/treatment programs in U.S. dental schools
Yorty, J. S., & Brown, K. (1999) · Journal of Dental Education · doi:10.1002/j.0022-0337.1999.63.10.tb03310.x · Cited by 22 · see citing works
Lith, A., Lindstrand, C., & Hg, G. (2002) · Dentomaxillofacial Radiology · doi:10.1038/sj.dmfr.4600705 · Cited by 20 · see citing works
Fluoride Knowledge and Prescription Practices Among Dentists
Narendran, S., Chan, J. T., Turner, S. D., et al. (2006) · Journal of Dental Education · doi:10.1002/j.0022-0337.2006.70.9.tb04166.x · Cited by 19 · see citing works
Wright, D., & Batchelor, P. A. (2002) · BDJ · doi:10.1038/sj.bdj.4801288 · Cited by 18 · see citing works
Caries risk assessment practices among Texas pediatric dentists.
Trueblood, R., Kerins, C. A., & Seale, N. S. (2008) · PubMed · Cited by 18 · see citing works
Gilbert, G. H., Bader, J. D., Litaker, M. S., et al. (2008) · Journal of Public Health Dentistry · doi:10.1111/j.1752-7325.2007.00069.x · Cited by 15 · see citing works
Self-citationNainar, S. M. H., & Straffon, L. H. (2006) · Journal of Dental Education · doi:10.1002/j.0022-0337.2006.70.3.tb04085.x · Cited by 12 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- [13]Bahleda L Fontana M Evaluating the use of caries risk assessment procedures by Indianapolis area dentists (abstract P8) Indiana University School of Dentistry Proceedings 2003 25 Printing Partners of Indianapolis Indianapolis
- [17]Menard S Applied Logitic Regression 1995 Sage Publications Thousand Oaks
Cited by
Sorted by citations
Dental Practice-Based Research Networks (D-PBRN) worldwide: a scoping review.
Canceill, T., Monsarrat, P., Faure-Clement, E., Tohme, M., Vergnes, J.-N., & Grosgogeat, B. (2021) · Journal of Dentistry · doi:10.1016/j.jdent.2020.103523 · Cited by 20 · see citing works
- Authors
- Riley, J. L., Gordan, V. V., Ajmo, C. T., Bockman, H., Jackson, M. B., Gilbert, G. H., & for The Dental PBRN Collaborative Group
- Affiliations
- University of Florida Health (US)
- University of Alabama at Birmingham (US)
- University of Florida (US)
- Corresponding author
- Gordan, Valeria V.
- Venue
- Community Dentistry and Oral Epidemiology
- Publisher
- Wiley
- Published
- 2011-07-04
- Volume
- 39
- Issue
- 6
- Pages
- 564-573
- ISSN
- 0301-5661 (ISSN-L)
- PMC
- PMC3193859
- OpenAlex
- W1599122875
- Semantic Scholar
- 1194d089e1c4fce358cc4b48b108906bb54be3fb
- Cited by
- 76
- References
- 41
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 5 · 2022: 4 · 2021: 4 · 2020: 11 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 9 · 2015: 9 · 2014: 3 · 2013: 3 · 2012: 4
- FWCI
- 3.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Community Dentistry And Oral Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Dental and Craniofacial Research (U01-DE-16746, U01DE016746, U01‐DE‐16747, U01DE016747)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Health Sciences › Health Professions › General Health Professions › Dental Education, Practice, Research
- Keywords
- caries risk assessment, adult patients, caries risk factors, dental practice characteristics
- MeSH terms
- Adult, Dental Caries, Female, Humans, Male, Surveys and Questionnaires, Risk Factors, United States, Risk Assessment, Practice Patterns, Dentists', Precision Medicine
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