基于风险评估的龋病管理：一项基于实践的研究网络研究结果
Caries Management by Risk Assessment: Results from a Practice-Based Research Network Study.
作者信息
Rechmann Peter, Chaffee Benjamin W, Rechmann Beate M T, Featherstone John D B
机构信息
University of California, San Francisco, School of Dentistry, Department of Preventive and Restorative Dental Sciences, and Director of Clinical Sciences Research Group.
University of California, San Francisco, School of Dentistry, Department of Preventive and Restorative Dental Sciences.
出版信息
J Calif Dent Assoc. 2019 Jan;47(1):15-24.
Abstract
Thirty dentists with clinical practices outside of a university setting were trained and calibrated successfully in DMFS and ICDAS-scoring. This randomized, controlled, parallel-arm, double-blind 2-year clinical trial with individual-level caries risk assignment of 460 patients to standard of care as control versus active CAMBRA treatment as intervention demonstrated that caries risk level, as well as caries disease indicators, were significantly reduced in the CAMBRA intervention group compared to the controls at all recall time points.
摘要
30名在大学环境以外从事临床工作的牙医成功接受了DMFS和ICDAS评分的培训与校准。这项随机、对照、平行组、双盲的2年临床试验，将460名患者按照个体龋齿风险分配为对照组接受标准护理，干预组接受积极的CAMBRA治疗。结果表明，在所有回访时间点，与对照组相比，CAMBRA干预组的龋齿风险水平以及龋齿疾病指标均显著降低。
相似文献
1
Caries Management by Risk Assessment: Results from a Practice-Based Research Network Study.
J Calif Dent Assoc. 2019 Jan;47(1):15-24.
2
Calibration of dentists for Caries Management by Risk Assessment Research in a Practice Based Research Network - CAMBRA PBRN.
BMC Oral Health. 2018 Jan 4;18(1):2. doi: 10.1186/s12903-017-0457-3.
3
Changes in Caries Risk in a Practice-Based Randomized Controlled Trial.
Adv Dent Res. 2018 Feb;29(1):15-23. doi: 10.1177/0022034517737022.
4
A pilot study of dentists' assessment of caries detection and staging systems applied to early caries: PEARL Network findings.
Gen Dent. 2016 May-Jun;64(3):20-7.
5
Application of International Caries Detection and Assessment System (ICDAS) and Caries Management by Risk Assessment (CAMBRA) systems in child cancer patients: a clinical case report.
Eur Arch Paediatr Dent. 2017 Jun;18(3):219-224. doi: 10.1007/s40368-017-0290-z. Epub 2017 May 13.
6
How do dental students determine patients' caries risk level using the Caries Management By Risk Assessment (CAMBRA) system?
J Dent Educ. 2015 Mar;79(3):278-85.
7
Efficacy of an adenosine triphosphate meter for evaluating caries risk in clinical dental practice.
J Am Dent Assoc. 2019 Oct;150(10):873-882. doi: 10.1016/j.adaj.2019.05.025. Epub 2019 Aug 28.
8
Knowledge, attitudes and practices of dental hygienists regarding caries management by risk assessment.
J Dent Hyg. 2015 Feb;89(1):55-62.
9
Adopting caries risk assessment in all practice environments.
Gen Dent. 2016 Jul-Aug;64(4):66-72.
10
Integrating Caries Management by Risk Assessment (CAMBRA) and Prevention Strategies Into the Contemporary Dental Practice.
Compend Contin Educ Dent. 2018 Apr;39(4):226-233; quiz 234.
引用本文的文献
1
Comparative Study of Methods for Caries Risk Evaluation: CAMBRA, the Cariogram, and Caries Risk Semaphore.
J Clin Med. 2025 Jul 30;14(15):5378. doi: 10.3390/jcm14155378.
2
Comparative evaluation of Turkish dentists' knowledge, attitudes, and practices in caries management according to specialty education.
BMC Med Educ. 2025 Jun 5;25(1):839. doi: 10.1186/s12909-025-07447-6.
3
Effectiveness of risk-based caries management among Chinese preschool children: a randomized controlled single-blind trial.
BMC Oral Health. 2024 Jun 8;24(1):673. doi: 10.1186/s12903-024-04442-z.
4
An Epistemic Look at Parental Conceptual Knowledge and Oral Health Outcomes in Children.
Glob Pediatr Health. 2024 Mar 7;11:2333794X241234580. doi: 10.1177/2333794X241234580. eCollection 2024.
5
Caries risk assessment by Caries Management by Risk Assessment (CAMBRA) Protocol among the general population of Pakistan-a multicenter analytical study.
PeerJ. 2024 Jan 31;12:e16863. doi: 10.7717/peerj.16863. eCollection 2024.
6
Predictors of Caries Risk among Egyptian Children Attending Pediatric Dental Clinics at a University Hospital.
Saudi J Med Med Sci. 2023 Jul-Sep;11(3):219-228. doi: 10.4103/sjmms.sjmms_128_23. Epub 2023 Jul 15.
7
Evidence-Based Caries Management for All Ages-Practical Guidelines.
Front Oral Health. 2021 Apr 27;2:657518. doi: 10.3389/froh.2021.657518. eCollection 2021.
8
A Comparison of Four Caries Risk Assessment Methods.
Front Oral Health. 2021 Apr 28;2:656558. doi: 10.3389/froh.2021.656558. eCollection 2021.
9
Analysis of dental caries and the impact factors of caries in children aged 3-5 years old in Changdu, Xizang.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2021 Feb 1;39(1):53-57. doi: 10.7518/hxkq.2021.01.008.
10
Demineralization prevention with a new antibacterial restorative composite containing QASi nanoparticles: an in situ study.
Clin Oral Investig. 2021 Sep;25(9):5293-5305. doi: 10.1007/s00784-021-03837-4. Epub 2021 Feb 19.
本文引用的文献
1
In Sickness and in Health-What Does the Oral Microbiome Mean to Us? An Ecological Perspective.
Adv Dent Res. 2018 Feb;29(1):60-65. doi: 10.1177/0022034517735295.
2
Changes in Caries Risk in a Practice-Based Randomized Controlled Trial.
Adv Dent Res. 2018 Feb;29(1):15-23. doi: 10.1177/0022034517737022.
3
Calibration of dentists for Caries Management by Risk Assessment Research in a Practice Based Research Network - CAMBRA PBRN.
BMC Oral Health. 2018 Jan 4;18(1):2. doi: 10.1186/s12903-017-0457-3.
4
The Effect of Calibration on Caries Risk Assessment Performance by Students and Clinical Faculty.
J Dent Educ. 2017 Jun;81(6):667-674. doi: 10.21815/JDE.017.013.
5
The Effects of Faculty Calibration on Caries Risk Assessment and Quality Assurance.
J Dent Educ. 2016 Nov;80(11):1294-1300.
6
A pilot study of dentists' assessment of caries detection and staging systems applied to early caries: PEARL Network findings.
Gen Dent. 2016 May-Jun;64(3):20-7.
7
Approximal and occlusal carious lesions: Restorative treatment decisions by California dentists.
J Am Dent Assoc. 2016 May;147(5):328-38. doi: 10.1016/j.adaj.2015.10.006. Epub 2016 Feb 9.
8
Non-operative anti-caries agents and dental caries increment among adults at high caries risk: a retrospective cohort study.
BMC Oral Health. 2015 Sep 24;15(1):111. doi: 10.1186/s12903-015-0097-4.
9
The International Caries Classification and Management System (ICCMS™) An Example of a Caries Management Pathway.
BMC Oral Health. 2015;15 Suppl 1(Suppl 1):S9. doi: 10.1186/1472-6831-15-S1-S9. Epub 2015 Sep 15.
10
Changes in Occlusal Caries Lesion Management in France from 2002 to 2012: A Persistent Gap between Evidence and Clinical Practice.
Caries Res. 2015;49(4):408-16. doi: 10.1159/000381355. Epub 2015 Jun 24.
Zotero 插件