{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T18:36:44Z","timestamp":1763059004160},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T00:00:00Z","timestamp":1698624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This project examined patterns of adult patient management using a caries risk assessment (CRA) protocol at East Carolina University, School of Dental Medicine. Usage of the CRA protocol from 2014 to 2019 was assessed. Non\u2010operative anti\u2010caries treatments were measured against caries risk status (high, moderate, low, or none). Steps to improve the appropriate management of patients based on caries risk are presented to align with accreditation standards for predoctoral education programs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The CRA protocol is based on the Caries Management by Risk Assessment approach. Risk\u2010based patterns for two non\u2010operative interventions were examined: (1) prescriptions for 0.12% chlorhexidine gluconate (CHX) mouth rinse and (2) prescriptions for 5000 ppm fluoride toothpaste (PreviDent 5000 [PreviDent]). Statistical analyses included chi\u2010square tests and logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over the study period only 16.4% of adult patients had completed the CRA form. Among 29,411 patients from nine community sites, treatment rates for PreviDent were 18.7% among high\u2010risk patients, 11.6% for moderate\u2010risk adults, and 6.4% for low\u2010risk adults (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). Treatment rates for CHX were 23.0%, 22.6%, and 17.1%, respectively (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05). Patients without a CRA status were least likely to receive any anti\u2010caries treatments, indicating that CRA status affects clinical, non\u2010operative care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patterns for prescription of PreviDent and CHX are consistent with CRA status. Future efforts to improve usage of the CRA protocol using faculty calibration, tracking with quality improvement tools, and reassessment. Training in the community\u2010based educational setting is enhanced through data\u2010based tracking to assure evidence\u2010based decision making.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jdd.13404","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T06:35:06Z","timestamp":1698734106000},"page":"142-148","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Improving predoctoral education related to caries risk assessment in adults"],"prefix":"10.1002","volume":"88","author":[{"given":"Roopwant","family":"Kaur","sequence":"first","affiliation":[{"name":"Division of Operative Dentistry East Carolina University School of Dental Medicine  Greenville North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Cook","sequence":"additional","affiliation":[{"name":"East Carolina University School of Dental Medicine  Greenville North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard","family":"Camargo","sequence":"additional","affiliation":[{"name":"Office of Clinical Affairs East Carolina University School of Dental Medicine  Greenville North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark E.","family":"Moss","sequence":"additional","affiliation":[{"name":"Department of Foundational Sciences East Carolina University School of Dental Medicine  Greenville North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,30]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"ADA Science and Research Institute.Caries Risk Assessment and Management. Accessed May 19 2023.https:\/\/www.ada.org\/en\/member\u2010center\/oral\u2010health\u2010topics\/caries\u2010risk\u2010assessment\u2010and\u2010management"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100528.2011.00626.x"},{"issue":"1","key":"e_1_2_8_4_1","first-page":"49","article-title":"Caries risk assessment practices among Texas pediatric dentists","volume":"30","author":"Trueblood R","year":"2008","journal-title":"Pediatr Dent"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752\u20107325.2011.00278.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jdd.12762"},{"issue":"442","key":"e_1_2_8_7_1","first-page":"395","article-title":"Community\u2010based teaching: the challenges","volume":"49","author":"Murray E","year":"1999","journal-title":"Br J Gen Pract"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034519837252"},{"issue":"1","key":"e_1_2_8_9_1","first-page":"259","article-title":"The caries balance: the basis for caries management by risk assessment","volume":"2","author":"Featherstone JD","year":"2004","journal-title":"Oral Health Prev Dent"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12045"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010015\u20100097\u20104"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3290\/j.qi.a38353"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000337241"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.21815\/JDE.018.130"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2015.02.013"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517736500"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/froh.2021.657518"},{"issue":"3","key":"e_1_2_8_18_1","first-page":"193","article-title":"\u201cICDAS\u201d\u2014an international system for caries detection and assessment being developed to facilitate caries epidemiology, research and appropriate clinical management","volume":"21","author":"Pitts N","year":"2004","journal-title":"Community Dental Health"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12025"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jopr.13059"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2015.79.5.tb05913.x"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2013.77.11.tb05624.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517736500"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.21815\/JDE.017.013"}],"container-title":["Journal of Dental Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jdd.13404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T08:19:26Z","timestamp":1708330766000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jdd.13404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,30]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1002\/jdd.13404"],"URL":"https:\/\/doi.org\/10.1002\/jdd.13404","archive":["Portico"],"relation":{},"ISSN":["0022-0337","1930-7837"],"issn-type":[{"value":"0022-0337","type":"print"},{"value":"1930-7837","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,30]]},"assertion":[{"value":"2023-05-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}