Pediatricians' assessments of caries risk and need for a dental evaluation in preschool aged children.

BMC Pediatrics
C Marshall LongR Gary Rozier

Abstract

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. 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. 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...Continue Reading

References

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Citations

Dec 3, 2014·Academic Pediatrics·Rocio B QuinonezMartha Ann Keels
Oct 19, 2013·American Journal of Public Health·Heather BeilJessica Y Lee
Dec 24, 2015·BMC Oral Health·Christopher Bismarck EkeChika Nwanma Onwuasigwe
Jun 5, 2013·Australian Dental Journal·K B Hallett
May 8, 2014·Maternal and Child Health Journal·Ashley M KranzJessica Y Lee
May 17, 2014·American Journal of Public Health·Ashley M KranzJessica Y Lee
Dec 26, 2017·JDR Clinical and Translational Research·S ParkD L Chi
Aug 23, 2019·JDR Clinical and Translational Research·B D MeyerJ S Preisser
Jul 23, 2018·Maternal and Child Health Journal·Ashley M KranzBradley D Stein
May 19, 2020·Community Dentistry and Oral Epidemiology·Suchithra Muraleedhar SeethaBindu R Nayar
Jul 28, 2020·BMC Oral Health·Virginia Dickson-SwiftStacey Bracksley-O'Grady
Apr 2, 2019·JDR Clinical and Translational Research·Y ZhuR G Rozier
Feb 7, 2018·European Journal of Pediatrics·Adamos HadjipanayisRita Cauwels

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Software Mentioned

Priority Oral Risk Assessment and Referral Tool ( PORRT )
SAS
PORRT

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