Caries risk assessment practices among Texas pediatric dentists
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Updated: Jul 6, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Rachel Trueblood1, Carolyn A Kerins, N Sue Seale
1Department of Pediatric Dentistry, Baylor College of Dentistry, Health Science Center, Texas A&M University, Dallas, Texas, USA.
Purpose:
The purpose of this study was to determine current caries risk assessment (CRA) practices of Texas pediatric dentists.
Methods:
A 20-question survey was sent to all 204 active members of the Texas Academy of Pediatric Dentistry. The mailing list was obtained from the Texas Academy of Pediatric Dentistry roster.
Results:
The response rate was 62% (127/204). Eighty-three percent of respondents reported that parents are receptive to education about caries risk factors. Socioeconomic status was unrelated to receptivity. Ninety-three percent of respondents reported that they are actively involved in CRA. Thirty-eight percent of those responding reported performing CRAs on greater than 76% of their patients; 9% reported no CRA use. Forty percent of respondents reported that they assess caries risk but do not document the caries risk status. Seventy percent of respondents reported a desire for more CRA education. No significant differences were found between: (1) year o fgraduation; (2) practice type; or (3) payer sources received and CRA practices.
Conclusions:
A need exists for more comprehensive caries risk assessment practices and increased documentation of caries risk status by Texas pediatric dentists. The continuing education of dental professionals in caries risk assessment is essential.
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