Abstract
Aim: In response to the introduction of an integrated dental education program at University of Malaya (UM) in 2011, a study was conducted to develop a caries risk assessment model (CRA) for use in non-surgical caries management for Year 3 and 4 students of the new integrated program.Methods: The CRA model was based on risk indicators used by dental students in the Preventive Dental Clinic (PDC). Patients aged 15 years and above who attended the PDC for the first time in year 2009 and 2010 were used as study sample. Four hundred and fourteen patient names were identified from the student PDC logbook. Of the 414, 359 dental records had complete data and included in the analysis. Data were analysed using SPSS version 17.0. Chi-square test was used for group comparison and associated factors for coronal caries were analysed using Multiple Logistic Regression (MLR). Results: The final model showed that adults, brushing teeth once daily, and not having dental prosthesis/appliance were 3.31 (CI=1.64-6.69), 2.53 (CI=1.19-5.40), and 2.25 (CI=1.25-4.10) more likely to develop coronal caries, respectively, than adolescents, brushing teeth at least twice a day, and having dental prosthesis/appliance. Conclusions: The results indicate that age group, toothbrushing frequency and dental prosthesis status are significant indicators for coronal caries among patients. Outcomes of the study contributed towards bridging the gap between cariology and preventive modules in the new integrated dental program.
Highlights
Dental caries management involves both surgical and nonsurgical intervention [1,2,3]
Evidence from literature suggests that caries risk assessment as a form of risk-based analysis is useful to formulate the right treatment plan, review visits and types of preventive care [2,3,4,5,6]
The Risk Assessment Form (RAF) was a clinical pathway framework designed by the University of Malaya (UM) dental faculty to help students in patient management
Summary
Dental caries management involves both surgical and nonsurgical intervention [1,2,3]. For non-surgical intervention, patient risk-based analysis has been considered as a practical approach for oral disease early prevention strategy [2, 4, 5]. Evidence from literature suggests that caries risk assessment as a form of risk-based analysis is useful to formulate the right treatment plan, review visits and types of preventive care [2,3,4,5,6]. It helps clinicians to promote successful treatment outcome and identify Original Article.
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