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Related Experiment Video

Updated: Jul 20, 2026

Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Outcomes associated with dentists' risk assessment.

D Brad Rindal¹, William A Rush, Nancy A Perrin

¹HealthPartners Research Foundation, Minneapolis, MN 55440-1524, USA. d.brad.rindal@healthpartners.com

Community Dentistry and Oral Epidemiology

|September 5, 2006

Summary

Fluoride preventive interventions did not significantly reduce caries-related dental procedures in at-risk adults. Compliance with preventive treatment guidelines was also found to be incomplete, impacting patient outcomes.

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Last Updated: Jul 20, 2026

Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Area of Science:

Dental Public Health
Preventive Dentistry
Health Services Research

Background:

Caries risk assessment (CRA) is crucial for identifying individuals needing preventive dental care.
Fluoride-based interventions are standard for caries prevention.
Understanding the effectiveness of these interventions in real-world settings is essential.

Purpose of the Study:

To evaluate the impact of fluoride-based preventive interventions on caries-related restorative procedures in at-risk adults.
To determine if caries risk level influences the effectiveness of preventive fluoride treatments.
To assess compliance with preventive treatment guidelines.

Main Methods:

Retrospective analysis of administrative data from two dental health plans.
Inclusion of 45,693 adults with at least 1 year pre- and 2.5 years post-CRA enrollment.
Variables included caries risk assessment scores, preventive treatment receipt, and number of teeth with caries-related procedures.

Main Results:

In Plan A, home-use fluoride recommendations showed no significant association with reduced caries-related procedures across all risk levels.
In Plan B, in-office fluoride application was significantly associated with an increased likelihood of having at least one caries-related procedure (P < 0.001).
No significant reduction in caries-related procedures was observed for individuals receiving fluoride interventions compared to controls, stratified by risk level.

Conclusions:

Compliance with guidelines for preventive treatment recommendations and administration for high-caries-risk patients was suboptimal.
The study did not find evidence that fluoride interventions led to significant reductions in caries-related procedures when stratified by risk level.
Further research may be needed to optimize preventive strategies and improve adherence to guidelines.