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08:47
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Patient stratification for preventive care in dentistry
W V Giannobile1, T M Braun, A K Caplis
1Michigan Center for Oral Health Research, University of Michigan School of Dentistry, Ann Arbor, MI, USA. william.giannobile@umich.edu
Journal of Dental Research
|June 12, 2013
Summary
For low-risk adults, one or two annual preventive dental visits showed no significant difference in preventing tooth loss. High-risk individuals, however, benefited more from two visits, suggesting personalized preventive care strategies.
Area of Science:
- Dental Public Health
- Personalized Medicine
- Biomarkers in Dentistry
Background:
- Preventive dental care is crucial for reducing tooth loss.
- Evidence supporting biannual (twice-yearly) preventive visits for all adults is limited.
- Risk-based stratification may optimize preventive dentistry resource allocation.
Purpose of the Study:
- To evaluate the association between tooth loss and one versus two annual preventive dental visits.
- To compare outcomes in high-risk (HiR) and low-risk (LoR) adult patients.
- To explore the impact of risk factors (smoking, diabetes, interleukin-1 genotype) on tooth loss and healthcare costs.
Main Methods:
- Retrospective analysis of 16-year insurance claims for 5,117 adults.
- Classification of patients into HiR (≥1 risk factor) and LoR (no risk factors) groups.
- Evaluation of tooth extraction events and oral healthcare costs.
Main Results:
- LoR patients showed no significant difference in tooth loss rates between one or two annual visits (16.4% vs. 13.8%).
- HiR patients had significantly lower tooth loss rates with two annual visits compared to one (16.9% vs. 22.1%, p = .002).
- Increasing risk factors correlated with higher tooth loss events and increased costs for multiple risk factors.
Conclusions:
- A personalized medicine approach, integrating genetic biomarkers with traditional risk factors, can guide preventive dentistry resource allocation.
- Biannual preventive care may be more beneficial for high-risk individuals than for low-risk individuals.
- Stratifying patients based on risk factors is essential for effective preventive dental strategies.
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