{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T12:40:05Z","timestamp":1749472805252,"version":"3.41.0"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100027678","name":"CareQuest Institute for Oral Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100027678","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Dental decay is endemic in the United States, underscoring the need to measure the utilization of caries risk management tools to elucidate the effect of prevention interventions in reducing the dental decay rates of individuals. An academic institution partnered with a third\u2010party institute to call attention to the utilization and prevention measures associated with caries risk assessment (CRA) used with children 0\u201318\u2009years. This environmental scan examined claims across the United States to evaluate the proportion of dental examinations, CRAs, and caries prevention procedures within a calendar year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 12\u2010month deidentified participant list categorized by age, race, sex, state of residence, and treatment dates was provided from the third\u2010party database containing 14,625,751 Medicaid and commercial claims for dental examinations, CRAs, and caries prevention procedures performed in the calendar year 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The final data set (<jats:italic>N<\/jats:italic>\u2009=\u20099,351,848 patient examinations), 86.8% had a caries prevention procedure completed at the examination visit. Still, only 29.4% had a CRA Current Dental Terminology (CDT) coded on the same day of the dental examination. There were higher numbers of CRAs in the Medicaid payor group in states that require CRAs in conjunction with a dental examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The utilization of the ADA CRA CDT codes, designed to stratify patients into caries risk categories of low, moderate, or high, was relatively low compared to the examination and prevention procedure claims. Consistent utilization of these codes would allow for more effective monitoring of patient outcomes, supporting a data\u2010driven approach to assessing oral health over time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12666","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T20:54:33Z","timestamp":1741726473000},"page":"184-191","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding Utilization and Prevention Measures Associated With a Caries Risk Assessment in Oral Health Transformation"],"prefix":"10.1111","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2916-0056","authenticated-orcid":false,"given":"Melody","family":"McGee","sequence":"first","affiliation":[{"name":"School of Dental Hygiene Studies Pacific University  Hillsboro Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Brandon","sequence":"additional","affiliation":[{"name":"Consultant Pacific University  Hillsboro Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Walji","sequence":"additional","affiliation":[{"name":"Texas Center for Oral Healthcare Quality and Safety, Department of Clinical and Health Informatics University of Texas Health Science Center  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"White","sequence":"additional","affiliation":[{"name":"Department of Preventive and Restorative Dental Sciences UCSF School of Dentistry  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Moses","sequence":"additional","affiliation":[{"name":"School of Dental Hygiene Studies Pacific University  Hillsboro Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric P.","family":"Tranby","sequence":"additional","affiliation":[{"name":"CareQuest Institute for Oral Health  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa J.","family":"Heaton","sequence":"additional","affiliation":[{"name":"CareQuest Institute for Oral Health  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Simmons","sequence":"additional","affiliation":[{"name":"School of Dental Hygiene Studies Pacific University  Hillsboro Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Children's Oral Health \u201cCenters for Disease Control and Prevention \u201daccessed November 12 2023 https:\/\/www.cdc.gov\/oralhealth\/basics\/childrens\u2010oral\u2010health\/index.html."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(19)31146\u20108"},{"key":"e_1_2_7_4_1","unstructured":"Caries Risk Assessment \u201cAmerican Dental Association \u201daccessed November 12 2023 https:\/\/www.ada.org\/resources\/research\/science\u2010and\u2010research\u2010institute\/oral\u2010health\u2010topics\/caries\u2010risk\u2010assessment\u2010and\u2010management."},{"key":"e_1_2_7_5_1","unstructured":"American Academy of Pediatric Dentistry \u201cGuideline on Restorative Dentistry \u201d(2016) 38(6): 302\u2013317 https:\/\/www.aapd.org\/globalassets\/media\/policies_guidelines\/bp_restorativedent.pdf."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/19424396.2003.12224161"},{"volume-title":"CDT 2015: Dental Procedure Codes","year":"2015","author":"American Dental Association","key":"e_1_2_7_7_1"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12413"},{"key":"e_1_2_7_9_1","first-page":"301","volume-title":"The Reference Manual of Pediatric Dentistry","author":"Caries\u2010risk assessment and management for infants, children, and adolescents","year":"2023"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010015\u20100097\u20104"},{"key":"e_1_2_7_11_1","unstructured":"Preventive Care\/Periodicity Schedule \u201cAmerican Academy of Pediatrics \u201d(2023) https:\/\/www.aap.org\/en\/practice\u2010management\/care\u2010delivery\u2010approaches\/periodicity\u2010schedule\/."},{"key":"e_1_2_7_12_1","unstructured":"Centers for Disease Control and Prevention \u201cFast Facts of Common Eye Disorders \u201d(2023) https:\/\/www.cdc.gov\/visionhealth\/basics\/ced\/fastfacts.htm."},{"key":"e_1_2_7_13_1","unstructured":"Centers for Disease Control and Prevention. Data and Statistics About Hearing Loss in Children \u201cCenters for Disease Control and Prevention \u201daccessed November 12 2023 https:\/\/www.cdc.gov\/ncbddd\/hearingloss\/data.html#:~:text=Based%20on%20data%20collected%20by babies%20screened%20for%20hearing%20loss."},{"key":"e_1_2_7_14_1","unstructured":"\u201cOral Health in America: Advances and Challenges. National Institute of Dental and Craniofacial Research \u201d(2019) https:\/\/www.nidcr.nih.gov\/sites\/default\/files\/2019\u201008\/SurgeonGeneralsReport\u20102020_IADR_June%202019\u2010508.pdf."}],"container-title":["Journal of Public Health Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.12666","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T12:05:31Z","timestamp":1749470731000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jphd.12666"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,26]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1111\/jphd.12666"],"URL":"https:\/\/doi.org\/10.1111\/jphd.12666","archive":["Portico"],"relation":{},"ISSN":["0022-4006","1752-7325"],"issn-type":[{"type":"print","value":"0022-4006"},{"type":"electronic","value":"1752-7325"}],"subject":[],"published":{"date-parts":[[2025,2,26]]},"assertion":[{"value":"2024-04-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}