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Caries protocol compliance issues.

William F Bird¹

¹Department of Preventive and Restorative Dental Sciences, University of California at San Francisco School of Dentistry, 94143, USA. birdb@dentistry.ucsf.edu

Journal of the California Dental Association

|April 16, 2003

Summary

Achieving success in caries control programs requires looking beyond individual patient compliance. A new paradigm emphasizes six global factors, including education, policy, and access to care, for effective caries risk management.

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Area of Science:

Dental Public Health
Behavioral Science in Dentistry

Background:

Caries control programs often measure success by clinical outcomes like bacterial counts and decayed, missing, or filled surfaces (DMFS) scores.
However, true compliance with caries risk protocols involves more than these individualistic clinical measures.

Purpose of the Study:

To propose a new paradigm for understanding and improving compliance with caries risk protocols.
To identify key global factors influencing compliance beyond individual patient behavior.

Main Methods:

The manuscript outlines a conceptual framework for a global caries protocol compliance paradigm.
It identifies six critical areas that influence compliance: beneficiary education, health provider network education, community and state agencies, legislative commitment, access to care, and research.

Main Results:

Compliance is influenced by a complex interplay of individual, provider, and external societal factors.
A multi-faceted approach considering education, policy, and access is crucial for effective caries control.

Conclusions:

A paradigm shift is needed to address the broader influences on compliance in caries control.
Implementing a global approach encompassing six key areas can enhance the success of caries risk management programs.

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