How do dental students determine patients' caries risk level using the Caries Management By Risk Assessment (CAMBRA) system?
نویسندگان
چکیده
Research has demonstrated the validation of specific caries risk assessment (CRA) systems, but little is known about how dental practitioners assign a caries risk level to their patients. The aim of this study was to explore dental students' decision making in caries risk assignment when using the Caries Management By Risk Assessment (CAMBRA) system. Multiple correspondence analysis and chi-squared automated interaction detector analysis were performed on data collected retrospectively for a period of six years (2003-09) at the University of California, San Francisco predoctoral dental clinic. The study population consisted of 12,952 patients from six years of age through adult who received a baseline CRA during the period, were new to CAMBRA, and had not received any prior CAMBRA recommendations. The results showed variation in decision making and risk level assignment, illustrated by the range of percentages for the three scores (low, moderate, and high/extreme caries risk) when CRA was assigned for the first time. For those first-time CRAs, decision making was mainly based on four factors: cavities or caries lesions into dentin on radiograph, restorations during the last three years due to caries, visible heavy plaque, and interproximal lesions into enamel (by radiographs). This study's findings provide important data regarding one group of CAMBRA users and thus contribute to the development of knowledge about the implementation of caries risk assessment in contemporary dental practice.
منابع مشابه
Assessment of implementation of a CAMBRA-based program in a dental school environment.
Caries development is determined by a balance of protective and pathological factors, so the clinician should be able to identify and document those factors, understand their relative weight in disease development or reversal, and make recommendations to patients that will lead to risk reduction. The caries management by risk assessment (CAMBRA) protocol frames these factors into an easy-to-fol...
متن کاملEvaluation of knowledge, attitude and self-reported practice of final year dental students regarding preventive care and caries risk assessment in the comprehensive care clinic
Background and Aims: Supporting the preventive approach is important in training future dentists. The purpose of the present study was to evaluate the knowledge, attitude and practice of senior dental students regarding non-invasive management of dental caries. Materials and Methods: A cross-sectional study was conducted in 2019 using total sampling method and a valid and reliable questionnair...
متن کاملCAMBRA: Best Practices in Dental Caries Management A Peer-Reviewed Publication Written by Michelle Hurlbutt, RDH, MSDH
The current approach to dental caries focuses on modifying and correcting factors to favor oral health. Caries management by risk assessment (CAMBRA) is an evidence-based approach to preventing or treating dental caries at the earliest stages. Caries protective factors are biologic or therapeutic measures that can be used to prevent or arrest the pathologic challenges posed by the caries risk f...
متن کاملCaries management by risk assessment.
Caries disease is multifactorial. Whether caries disease will be expressed and damage dental hard tissue is dependent on the patient's own unique make-up of pathogenic risk factors and protective factors. Objectives This manuscript will review the science of managing caries disease based on assessing caries risk. Methods The caries balance/imbalance model and a practical caries risk assessment ...
متن کاملارزیابی خطر بروز پوسیدگی و نقش آن در پیشگیری
Over 20 years, several analytical approaches have been designed to predict caries in children.Caries Risk Assessment is a recently developed technique concern to caries prediction.This procedure involves three stages as follows:1- Determination and assessment of the dental caries risk factors.2- Examination and evaluation of each individual child to be specifically diagnosed the level of 3- car...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of dental education
دوره 79 3 شماره
صفحات -
تاریخ انتشار 2015