Loma Linda University School of Dentistry, Loma Linda, California, United States of America.
Loma Linda University School of Public Health, Loma Linda, California, United States of America.
J Contemp Dent Pract. 2023 Jun 1;24(6):409-413. doi: 10.5005/jp-journals-10024-3527.
To evaluate the distribution of caries risk category of patients at a dental institution and determine adherence to providers' recommendations.
A cross-sectional retrospective review of 1,235 patients records that included data collection on demographics, the sum of the number of decayed, missing due to caries, and filled teeth in the permanent teeth (DMFT), presence of frequent snacking, stimulated salivary flow rate, stimulated saliva pH, saliva buffering capacity, biofilm activity, caries risk category, anti-caries prescription accept/decline, and change in the caries risk category. Statistical analysis was carried out through Pearson's Chi-squared test and linear model ANOVA with a significance level of 0.05.
Pearson's Chi-squared test showed a statistically significant difference in frequency by risk category ( < 0.001) indicating that patients were skewed toward high and extreme caries risk. Linear model ANOVA showed that higher risk categories were associated with lower salivary flow rates ( = 0.010) and higher biofilm activity ( < 0.001). About, 1 out of 3 patients were reported to have frequent snacking ( = 391, 32%). Frequent snacking patients were more likely to present with higher caries risk assessment ( < 0.001), younger age ( < 0.001), and female ( < 0.001). Despite recommendations from the dental student provider, only 27% accepted the anti-cavity prescriptions while 61% declined the recommendation.
Distribution of caries risk category is not evenly distributed, but rather skewed toward high and extreme caries risk levels. Despite the identified risks, there is low adherence to the recommendations provided by healthcare providers. The results underscore the necessity for targeted interventions and initiatives aimed at fostering behavioral changes to enhance oral health outcomes.
There is a high need for targeted interventions and initiatives that promote behavioral changes to enhance oral health outcomes.
评估某家牙科机构患者的龋齿风险类别分布情况，并确定其对医务人员建议的遵循情况。
这是一项回顾性的横断研究，共纳入了 1235 名患者的病历记录，收集的数据包括人口统计学信息、恒牙的龋失补（DMFT）总数、是否经常吃零食、刺激性唾液流率、唾液 pH 值、唾液缓冲能力、生物膜活性、龋齿风险类别、抗龋齿处方的接受/拒绝情况以及龋齿风险类别的变化。统计分析采用 Pearson's Chi-squared 检验和线性模型 ANOVA，显著性水平为 0.05。
Pearson's Chi-squared 检验显示，风险类别与频率之间存在显著差异（<0.001），表明患者倾向于高风险和极高风险的龋齿类别。线性模型 ANOVA 显示，较高的风险类别与较低的唾液流率（=0.010）和较高的生物膜活性（<0.001）相关。约有 1/3 的患者（=391，32%）报告经常吃零食。经常吃零食的患者更有可能被评估为高风险的龋齿（<0.001），年龄更小（<0.001），且为女性（<0.001）。尽管有牙科学生医务人员的建议，但只有 27%的患者接受了抗龋齿处方，而 61%的患者拒绝了该建议。
龋齿风险类别的分布并不均衡，而是偏向于高风险和极高风险水平。尽管存在风险，但对医务人员建议的遵循度较低。研究结果强调了需要采取有针对性的干预措施和倡议，以促进行为改变，从而改善口腔健康结果。
有很高的需求需要采取有针对性的干预措施和倡议，以促进行为改变，从而改善口腔健康结果。
