Preferences for caries prevention agents in adult patients: findings from the dental practice-based research network

被引:25
作者
Riley, Joseph L., III [2 ]
Gordan, Valeria V. [1 ]
Rindal, D. Brad [3 ]
Fellows, Jeffrey L. [4 ]
Ajmo, Craig T.
Amundson, Craig [5 ]
Anderson, Gerald A.
Gilbert, Gregg H. [6 ]
机构
[1] Univ Florida, Coll Dent, Dept Operat Dent, Gainesville, FL 32610 USA
[2] Univ Florida, Coll Dent, Dept Community Dent & Behav Sci, Gainesville, FL USA
[3] HealthPartners, Minneapolis, MN USA
[4] Kaiser Permanente NW, Ctr Hlth Res, Portland, OR USA
[5] HealthPartners Cent Minnesota Clin, St Cloud, MN USA
[6] Univ Alabama Birmingham, Sch Dent, Dept Gen Dent Sci, Birmingham, AL 35294 USA
关键词
caries; chlorhexidine; dentists; fluoride; prevention; sealants; GENERAL DENTISTS; SEALANTS; PATTERNS; FLUORIDE; SERVICES; XYLITOL;
D O I
10.1111/j.1600-0528.2010.00547.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objectives: To identify factors that are significantly associated with dentists' use of specific caries preventive agents in adult patients, and whether dentists who use one preventive agent are also more likely to use certain others. Methods: Data were collected from 564 practitioners in The Dental Practice-Based Research Network, a multi-region consortium of participating practices and dental organizations. Results: In-office topical fluoride was the method most frequently used. Regarding at-home preventive agents, there was little difference in preference between nonprescription fluoride, prescription fluoride, or chlorhexidine rinse. Dentists who most frequently used caries prevention were also those who regularly perform caries risk assessment and individualize caries prevention at the patient level. Higher percentages of patients with dental insurance were significantly associated with more use of in-office prevention modalities. Female dentists and dentists with more-recent training were more likely to recommend preventive agents that are applied by the patient. Dentists who reported more-conservative decisions in clinical treatment scenarios were also more likely to use caries preventive agents. Groups of dentist who shared a common preference for certain preventive agents were identified. One group used preventive agents selectively, whereas the other groups predominately used either in-office or at-home fluorides. Conclusions: Caries prevention is commonly used with adult patients. However, these results suggest that only a subset of dentists base preventive treatments on caries risk at the individual patient level.
引用
收藏
页码:360 / 370
页数:11
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