Outcomes associated with dentists' risk assessment

D. Brad Rindal, William A. Rush, Nancy A. Perrin, Gerardo Maupomé, James D. Bader

Research output: Contribution to journalArticlepeer-review


Objective: To examine retrospectively the caries-related restorative experience of at-risk individuals who received fluoride-based preventive interventions to determine if the intervention resulted in fewer caries-related procedures. Methods: Administrative data from two dental health plans were used to determine the relationship between caries risk assessment (CRA) scores, preventive treatment and caries-related treatment procedures. We identified 45 693 adults who were consecutively enrolled for at least 1 year before and 2.5 years after the CRA. Variables representing the number of teeth with any caries-related treatment procedure and receipt of preventive treatment were created. Results: The outcome variable of interest was having at least one tooth with a caries-related procedure in the 2-year follow-up period. In plan A, the recommendation for home-use fluoride was not significantly related to cariesrelated treatment procedures in the follow-up period for individuals at low, moderate or high risk (P > 0.300). In plan B, application of in-office fluoride was associated with having at least one tooth with a caries-related treatment procedure in the follow-up period (P < 0.001). Conclusions: We found incomplete compliance with guidelines for recommendation or administration of preventive treatment for patients at elevated risk for caries. We were also unable to identify any significant reductions in caries-related procedures for individuals receiving a fluoride intervention, compared with those who did not, when stratified by risk level.

Original languageEnglish (US)
Pages (from-to)381-386
Number of pages6
JournalCommunity Dentistry and Oral Epidemiology
Issue number5
StatePublished - Oct 1 2006
Externally publishedYes


  • Caries risk assessment
  • Dental caries
  • Dental caries incidence
  • Dentist practice patterns

ASJC Scopus subject areas

  • Dentistry(all)
  • Public Health, Environmental and Occupational Health


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