原创力文档pediatricians’ assessments of caries risk and need for a dental evaluation in preschool aged children儿科医生的龋齿的风险评估和需要一个牙科评估岁学龄前儿童.pdfVIP
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pediatricians’ assessments of caries risk and need for a dental evaluation in preschool aged children儿科医生的龋齿的风险评估和需要一个牙科评估岁学龄前儿童
Long et al. BMC Pediatrics 2012, 12:49
/1471-2431/12/49
RESEARCH ARTICLE Open Access
Pediatricians’ assessments of caries risk and need
for a dental evaluation in preschool aged children
1 1* 2 3 3,4 1
C Marshall Long , Rocio B Quinonez , Heather A Beil , Kelly Close , Larry P Myers , William F Vann Jr
and R Gary Rozier5
Abstract
Background: Risk-based prioritization of dental referrals during well-child visits might improve dental access for
infants and toddlers. This study identifies pediatrician-assessed risk factors for early childhood caries (ECC) and their
association with the need for a dentist’s evaluation.
Methods: A priority oral health risk assessment and referral tool (PORRT) for children 36 months was developed
collaboratively by physicians and dentists and used by 10 pediatricians during well-child visits. PORRT documented
behavioral, clinical, and child health risks for ECC. Pediatricians also assessed overall ECC risk on an 11-point scale and
determined the need for a dental evaluation. Logistic regression models calculated the odds for evaluation need for
each risk factor and according to a 3-level risk classification.
Results: In total 1,288 PORRT forms were completed; 6.8% of children were identified as needing a dentist evaluation.
Behavioral risk factors were prevalent but not strong predictors of the need for an evaluation. The child’s overall caries risk
was the strongest predictor of the need for an evaluation. Cavitated (OR = 17.5; 95% CI = 8.08, 37.97) and non-cavitated
(OR = 6.9; 95% CI = 4.47, 10.82) lesions were the strongest predictors when the caries risk scale was excluded from the
analysis. Few patients (6.3%) were classified a
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