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Updated: Jun 12, 2025

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Understanding Utilization and Prevention Measures Associated With a Caries Risk Assessment in Oral Health

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|February 26, 2025
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Summary
This summary is machine-generated.

Dental decay management requires tracking caries risk assessment (CRA) utilization. While prevention procedures are common, CRA coding is infrequent, hindering outcome monitoring for children's oral health.

Keywords:
health promotionoral healthpreventive dentistrypublic health dentistryrisk assessment

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Area of Science:

  • Dental Public Health
  • Pediatric Dentistry
  • Health Services Research

Background:

  • Dental decay is a significant public health issue in the U.S.
  • Effective caries risk management is crucial for reducing decay rates.
  • Understanding the utilization of caries risk assessment (CRA) tools is essential for evaluating prevention strategies.

Purpose of the Study:

  • To examine the utilization of caries risk assessment (CRA) and caries prevention procedures among children aged 0-18 years.
  • To analyze the proportion of dental examinations, CRAs, and prevention procedures within a calendar year.
  • To identify factors influencing CRA utilization, such as payor type and state mandates.

Main Methods:

  • An environmental scan of 14,625,751 deidentified dental claims from a third-party database for the calendar year 2022.
  • Analysis of claims data including age, race, sex, state of residence, and treatment dates.
  • Evaluation of the co-occurrence of dental examinations, CRA (Current Dental Terminology - CDT codes), and caries prevention procedures.

Main Results:

  • Out of 9,351,848 patient examinations, 86.8% included a caries prevention procedure.
  • Only 29.4% of dental examinations had a CRA coded on the same day.
  • Higher CRA utilization was observed in the Medicaid payor group in states with mandatory CRA reporting.

Conclusions:

  • The utilization of ADA CRA CDT codes for stratifying caries risk is relatively low compared to dental examinations and prevention procedures.
  • Consistent use of CRA codes is necessary for effective patient outcome monitoring.
  • A data-driven approach to assessing oral health over time can be supported by improved CRA code utilization.