J D Bader

..Although a number of treatments are currently in use for caries prevention in adults, evidence for their efficacy and effectiveness is limited...

....

..Future research must address these problems as well as expand the range of assessments to include primary teeth and root surfaces...

..Risk-based prevention is a means of ensuring that patients receive preventive treatment appropriate for their risk of disease. While straightforward, its application in private practice has not been examined...

..Identifying posterior teeth that are at heightened risk of developing cusp fracture is an inexact science. Risk indicators based on controlled observations are not available, and dentists' assessments vary...

..Almost 20% of children aged 2 to 5 years have untreated dental caries. Physician interventions to prevent and manage dental caries in preschool children could help address this common problem...

..The authors describe the steps taken in systematic reviews and perform a literature survey to identify published systematic reviews of topics relevant to clinical dentistry...

..Although several evaluations of its diagnostic performance have appeared in the literature, the range of reported performances is extensive...

..This study examined the predictive validity of a simple subjective method promoted to dentists for assessing their patients' caries risk...

..The Alaska Dental Health Aide Therapist program has matured to the point that therapists have been in practice for up to four years...

..To examine the relative contribution of current caries activity, past caries experience, and dentists' subjective assessment of caries risk classifications...

..The emergence of the concept of evidence-based dentistry--and its fundamental construct, the systematic review--marks what can be considered a fundamental shift in how the dental knowledge base has grown and developed over time...

..Xylitol, an over-the-counter sweetener, has shown some potential as a caries preventive agent, but the evidence for its effectiveness is not yet conclusive and is based largely on studies in child populations...

....

..This project sought to develop and evaluate measures for effectiveness of care and use of services that could be calculated using a plan's administrative data...

..The uses for outcomes information are discussed and suggestions are offered for improving dentistry's knowledge of outcomes through the cooperative involvement of dental research, dental education, and dental practice...

..Attention to these considerations in the planning phases of a dental RCT can help ensure that the trial is clinically relevant while also maximizing the likelihood that its implementation will be successful...

..Therefore, we evaluated the use of a set of proxy clinical performance measures calculated from data obtained through chart audits...

..The risk classification protocols had been in use in a group practice for more than a year, and the reason-for-treatment protocol had been introduced six months previously...

..Such models could be useful in personnel planning, in assessing the effects of dental treatment programs, and in furthering understanding of dentists' decision-making processes...

..These results suggest that the placing of crowns to prevent fracture merits a careful determination of effectiveness and appropriateness...

..001)...

..Thus, F increments may substantially overestimate caries incidence...

..This study sought to determine the effects of variation in both dentists' decisions to treat and choice of treatment on the costs of care...

..Although complete cusp fracture is acknowledged to occur frequently, incidence rates have been reported rarely. This study determined incidence rates for complete coronal cusp fracture per person and per tooth type...

..Failure to replace a missing posterior tooth is assumed to result in host of adverse consequences, which include shifting of teeth and loss of alveolar bone support...

..However, there is poor agreement among dentists as to when restoration placement is necessary because of the inability to make objective measurements of restoration size...

....

..Among regular utilizers, the effects of receipt of dental care may be more determinative than level of patient knowledge...

....

..These findings suggest that movement of teeth adjacent to a posterior BES after the first two years is usually gradual and minor within the time frame of this study...

..In general, DPBRN dentists were more likely to underestimate than overestimate the depth of caries lesions, and the extent of underestimation was greater for enamel than for dentin lesions...

..EBD provides an approach to oral health care that follows a process of systematically collecting and analyzing scientific evidence to answer a specific clinical question...

..The impact of this approach to providing care is traced for quality of care and professionalism. Policy implications are drawn and the impact of evidence-based dentistry for dental education and research are discussed...

..The results suggest that non-carious cervical lesions do have a multifactorial etiology, and that multiple causal mechanisms may operate in the initiation and progression of individual lesions...

..The available evidence suggests that sealing both enamel caries and suspected occlusal dentinal caries is the most effective management approach if subsequent maintenance of the sealed surfaces can be assured...

..To identify risk indicators that are associated with root caries incidence in published predictive risk models...

..CONCLUSION: Clinical depression may have a negative effect on periodontal treatment outcome in this group model HMO population...

..Although patients' knowledge was not perfect, it included few misperceptions that could threaten oral health. Additional education was most needed with respect to the significance of bleeding gums...

..Longer-term survival is less well-described; according to the literature, survival at 15-20 years ranges from 50-80%. These findings should help dentists and their patients to make informed treatment decisions regarding crowns...

..To examine retrospectively the caries-related restorative experience of at-risk individuals who received fluoride-based preventive interventions to determine if the intervention resulted in fewer caries-related procedures...

..The Assess-Advise-Decide Approach, described in this article, better enables patients to determine which course of action is in line with their preferences and values...

....

..Little research has been done on methods to prevent tooth decay in adults. This study would test how well a lozenge to be taken several times a day works to prevent tooth decay in adults who are prone to tooth decay. ..