David Johnsen, Aditi Jain, Carlos Garaicoa-Pazmino, Justine Kolker, Megumi Williamson, Wei Shi
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引用次数: 0
Abstract
Objectives
Patient risk assessments for caries and periodontitis are hourly activities for dentists. The present study tested a caries and periodontitis risk assessment format based on managing the person using a critical thinking emulation model including levels of patient capacity and disease management. Additionally, we explored factors in student analysis contributing to the designation of higher/lower-risk determinants for caries and periodontitis.
Material and Methods
Third-year dental students assessed patient risk for recurring disease in periodontics and cariology exercises. The risk assessment thought process becomes the learning outcome, learning guide, and assessment instrument. Students demonstrated the risk assessment analysis with a patient using PowerPoint presentations.
Results
Students applied over 95% of procedural steps (e.g., exam, history) with a range of judgmental steps (65%–100%) in risk level, interprofessional practice, disease progression, compliance, among others. Designation of higher and lower-risk determinants for periodontitis risk assessment (n = 38), students identified differences in patient risk based on whether the patient had diabetes or smoked (p = 0.013 to < 0.001). For caries risk assessment (n = 40), students identified differences between lower- and higher-risk patients for patient compliance (p = 0.001), behavior control (p = 0.006), diet control (p < 0.001), and prognosis (p = 0.005).
Conclusions
The combined learning guide warrants further exploration in guiding dental students' risk analysis for periodontitis and caries by emulating the thinking process of a master clinician. Future work includes probing analysis with binary conclusions, interventions for high-risk people with recurring disease, and the association of treatment and health.
期刊介绍:
Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.