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.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
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.基于实践的研究网络中龋齿管理风险评估研究（CAMBRA PBRN）对牙医的校准。
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.一项基于实践的随机对照试验中龋齿风险的变化
Adv Dent Res. 2018 Feb;29(1):15-23. doi: 10.1177/0022034517737022.
4
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.国际龋病检测与评估系统（ICDAS）和基于风险评估的龋病管理（CAMBRA）系统在儿童癌症患者中的应用：一例临床病例报告
Eur Arch Paediatr Dent. 2017 Jun;18(3):219-224. doi: 10.1007/s40368-017-0290-z. Epub 2017 May 13.
6
7
Efficacy of an adenosine triphosphate meter for evaluating caries risk in clinical dental practice.临床口腔实践中使用三磷酸腺苷仪评估龋齿风险的效果。
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.牙科保健员在通过风险评估进行龋病管理方面的知识、态度和实践。
J Dent Hyg. 2015 Feb;89(1):55-62.
9
Adopting caries risk assessment in all practice environments.在所有医疗实践环境中采用龋病风险评估。
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.将基于风险评估的龋病管理（CAMBRA）和预防策略融入当代牙科实践。
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.龋病风险评估方法的比较研究：CAMBRA、龋病预测图和龋病风险信号法
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.根据专业教育对土耳其牙医在龋病管理方面的知识、态度和实践进行比较评估。
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.基于风险的龋病管理在学龄前儿童中的效果：一项随机对照单盲试验。
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.关于父母的概念性知识与儿童口腔健康结果的认知视角
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.采用龋病风险评估（CAMBRA）方案对巴基斯坦普通人群进行龋病风险评估——一项多中心分析研究。
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.在大学医院儿科牙科诊所就诊的埃及儿童龋齿风险的预测因素
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.各年龄段基于证据的龋病管理——实用指南
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.四种龋病风险评估方法的比较
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.西藏昌都地区 3-5 岁儿童龋齿情况分析及龋齿影响因素
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.新型含 QASi 纳米颗粒抗菌修复复合材料预防脱矿：一项原位研究。
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.无论健康与否——口腔微生物群对我们意味着什么？生态学视角。
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.一项基于实践的随机对照试验中龋齿风险的变化
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.基于实践的研究网络中龋齿管理风险评估研究（CAMBRA PBRN）对牙医的校准。
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.校准对学生和临床教师龋病风险评估表现的影响。
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.教师校准对龋齿风险评估和质量保证的影响。
J Dent Educ. 2016 Nov;80(11):1294-1300.
6
7
Approximal and occlusal carious lesions: Restorative treatment decisions by California dentists.近中面和咬合面龋损：加利福尼亚州牙医的修复治疗决策
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.高龋风险成年人的非手术防龋剂与龋齿增量：一项回顾性队列研究
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.国际龋病分类与管理系统（ICCMS™）：龋病管理路径示例
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.2002年至2012年法国咬合面龋损治疗的变化：证据与临床实践之间持续存在差距。
Caries Res. 2015;49(4):408-16. doi: 10.1159/000381355. Epub 2015 Jun 24.
Zotero 插件