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Related Experiment Video

Updated: Jul 20, 2025

Oral Health Assessment by Lay Personnel for Older Adults
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Assessing Adherence to Provider's Recommendations in Caries Risk Assessment and Management: A Retrospective Data

Marina Morgan1, Karmen Battikha1, Sossana Hanna1

  • 1Loma Linda University School of Dentistry, Loma Linda, California, United States of America.

The Journal of Contemporary Dental Practice
|August 3, 2023
PubMed
Summary

Most dental patients face high or extreme caries risk, yet few adhere to preventive recommendations. Targeted interventions are crucial to improve oral health outcomes by encouraging behavioral changes.

Keywords:
Adherence caries risk assessmentDiet Fluoride.

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Area of Science:

  • Dental Public Health
  • Cariology
  • Preventive Dentistry

Background:

  • Caries risk assessment is crucial for personalized preventive strategies.
  • Understanding patient risk distribution and adherence is vital for effective dental care.
  • Previous studies highlight the prevalence of dental caries but lack focus on risk category distribution and adherence.

Purpose of the Study:

  • To analyze the distribution of caries risk categories among dental patients.
  • To assess patient adherence to healthcare providers' anti-caries recommendations.
  • To identify factors associated with higher caries risk.

Main Methods:

  • Retrospective review of 1,235 patient records.
  • Data collected included demographics, DMFT index, snacking habits, salivary parameters, and caries risk.
  • Statistical analyses included Pearson's Chi-squared test and ANOVA.

Main Results:

  • A significant skew towards high and extreme caries risk categories was observed (p < 0.001).
  • Higher caries risk correlated with lower salivary flow rates (p = 0.010) and increased biofilm activity (p < 0.001).
  • Frequent snacking was associated with higher risk, younger age, and female gender (p < 0.001). Only 27% accepted anti-cavity prescriptions, while 61% declined.

Conclusions:

  • Caries risk is unevenly distributed, with a concentration in high/extreme categories.
  • Patient adherence to preventive recommendations is notably low.
  • There is a critical need for targeted interventions to promote behavioral changes for improved oral health.