Patterns of oral care in a Washington state dental service population

Service patterns associated with coronal caries in private general dental practice

“…Indeed, it has been reported that in the USA anticipated major declines in restorative procedures related to caries were not apparent. 30 Countries with less emphasis on independent private practice-based dental care delivery systems may be more likely to adopt minimum intervention if directed by management to do so. However, data on service patterns by level of carious lesion severity would be needed to assess this prediction.…”

Data Warehouses and Evidence-Based Dental Insurance Benefits

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Our group has used studies to understand provider behavior, 1-7 measure treatment outcomes, 8,9 measure cost impact of treatment changes, [11][12][13][14][15] and calculate the utility of risk assessment for disease management. 16 The data in our warehouse were validated using the patient chart as the gold standard for treatment actually rendered.…”

“…A random sample of data in the warehouse agreed with the patient record in greater than 95% of the cases across the major categories of service. 4 The organization of data in a consolidated fashion allows easy query of trends, patterns of care, and outcomes that require considerably more time and effort in traditional scientific research settings. Adherence to national and state patient privacy and security regulations ensure that these data are maintained in secure environments with only planned and permitted disclosures.…”

Design of the Prevention of Adult Caries Study (PACS): A randomized clinical trial assessing the effect of a chlorhexidine dental coating for the prevention of adult caries

“…Among Americans aged 45-64, root caries is more prevalent (at 35%) [6] than chronic joint symptoms (32%), hypertension (32%), arthritis (29%), symptoms of mental illness (14%), heart disease (13%), and diabetes (10%) [7]. Data from a largely employed population with dental insurance found that mean annual spending on adult dental care peaks between ages 55 and 64, at about $700 per capita, and that caries-related treatment accounts for about half of these expenditures [8]. …”