Paediatricians' and Primary Care Physicians' Ability to Assess Caries Risk in Singaporean Children Aged 2 Years and Below.

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry Pub Date : 2025-05-25 DOI:10.1111/ipd.13323

Yuqin Liew, Shijia Hu, Chin-Ying S Hsu, Tammy S H Lim, David H Y Tan, Tze Lee Tan, Yu Fan Sim, Catherine H L Hong

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引用次数: 0

Abstract

Background: It is desirable for doctors to conduct caries risk assessment (CRA) and evaluate the child's need for dental referral as medical visits in the first year of life surpass dental visits.

Aim: This study aimed to evaluate physicians' proficiencies in performing CRA and risk-based dental referrals.

Design: The study involved a self-administered questionnaire that elicited participants' demographics and perceptions regarding oral health-related activities as well as responses to questions pertaining to CRA and referral recommendations via four clinical vignettes (vignettes 1 and 3: low caries risk, vignettes 2 and 4: moderate/high caries risk) of children aged ≤ 2 years.

Results: Participants performed better at CRA than for referral recommendation (p < 0.001). Including a clinical photograph (vignettes 3 and 4) did not improve the accuracy of CRA responses and instead significantly reduced the correct CRA responses for vignette 3 (before: 90.5%, after: 81.7%, p = 0.033). Though for vignette 3, there was an increase in participants making the recommendation to refer for dental evaluation (before: 34%, after: 86%) after being shown the clinical photograph.

Conclusion: Doctors were proficient at determining caries risk but less sure when deciding if a dental referral was required.

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儿科医生和初级保健医生评估新加坡2岁及以下儿童龋齿风险的能力。

背景：由于儿童在出生后第一年的就诊次数超过了牙科就诊次数，因此医生需要进行龋齿风险评估（CRA）并评估儿童是否需要牙科转诊。目的：本研究旨在评估医师执行CRA和基于风险的牙科转诊的熟练程度。设计：本研究采用一份自我管理的问卷，通过四个临床小章节（小章节1和3：低龋风险，小章节2和4：中/高龋风险）对年龄≤2岁的儿童进行问卷调查，了解参与者的人口统计信息和对口腔健康相关活动的看法，以及对CRA和转诊建议相关问题的回答。结果：参与者在CRA上的表现优于转诊推荐(p结论：医生在确定龋齿风险方面精通，但在决定是否需要牙科转诊时不太确定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.