Abstract
BackgroundThe World Health Organization has advocated for the integration of dental care into the primary healthcare (PHC) setting, including oral urgent treatment (OUT). However, the knowledge necessary for OUT implementation in this setting is still limited. Thus, this study aimed to describe the impact of the implementation of oral disease risk assessment tools for oral health management in PHC.MethodsThis was a cross-sectional study that included individuals served by a single public PHC unit, with integrated oral healthcare teams, located in the south region of the city of São Paulo, Brazil, between April of 2015 and March of 2017. Data were collected from dental records. Three co-primary endpoints: same day treatment offered, first future appointment scheduled fulfilled, and treatment plan completed were compared before and after the implementation of oral disease risk assessment for OUT.ResultsA total of 1214 individuals that sought OUT, 599 before and 615 after the implementation of oral disease risk assessment for OUT were included in the study. All three co-primary endpoints had significant changes after the implementation of oral disease risk assessment for OUT. Individuals were significantly more likely to be offered same day treatment after (39.9%; 95% CI:36.0–43.9%) than before (9.4%; 95% CI: 7.2–12.0%), to fulfill their first future appointment scheduled after (34.9%; 95% CI:31.1–38.8%) than before (20.7%; 95% CI: 17.5–24.2%), and to have their treatment plan completed after (14.3%; 95% CI:11.6–17.4%) than before (10.0%; 95% CI: 7.7–12.7%) the intervention.ConclusionsThis study provided evidence of the positive impact oral disease risk assessment tools could have in the organization of OUT in PHC settings.
Highlights
The World Health Organization has advocated for the integration of dental care into the primary healthcare (PHC) setting, including oral urgent treatment (OUT)
16.5% of OUT visits were registered before and 20.8% of OUT visits were registered after the implementation of oral disease risk assessment, a statistically significant difference (p < 0.001)
Most individuals seeking OUT presented a high dental caries risk during both study periods, this risk was significantly smaller after (93.8%; 95% confidence interval (CI): 91.6– 95.6%) the implementation of oral disease risk assessment than before (99.5%; 95% CI: 98.5–99.9%)
Summary
The World Health Organization has advocated for the integration of dental care into the primary healthcare (PHC) setting, including oral urgent treatment (OUT). This study aimed to describe the impact of the implementation of oral disease risk assessment tools for oral health management in PHC. The World Health Organization (WHO) has advocated for the integration of dental care into primary healthcare (PHC), enabling health promotion, prevention and favoring health equity. This approach encompasses different domains such as risk assessment, oral health evaluation, preventive interventions, communication, education, as well as interprofessional collaborative practices [7]. The use of oral disease risk assessment tools could help healthcare professionals to predict periodontitis progression and tooth loss in various populations [10, 11]
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