title: Dentists' decisions to conduct caries risk assessment in a Dental Practice-Based Research Network.
abstract: OBJECTIVE
  (i) To quantify the importance that dentists place on caries risk factors when developing a caries treatment plan and (ii) to test the hypothesis that the ratings of importance for specific factors are significantly associated with whether or not the dentist performs caries risk assessment (CRA).
  
  
  METHODS
  This study used a cross-sectional study design consisting of a questionnaire survey. The study queried dentists who worked in outpatient dental practices who were affiliated with the Dental Practice-Based Research Network Japan (JDPBRN), which seeks to engage dentists in investigating research questions and sharing experiences and expertise (n = 282). Participants (n = 189) were asked to rate the importance of caries risk factors when developing a caries treatment plan in both adult and pediatric patients.
  
  
  RESULTS
  Oral hygiene status was rated as the most important risk factor when developing a treatment plan in both adult and pediatric patients, whereas the use of fluorides was rated as the least important. Results of multiple logistic regression analysis showed that the odds ratios for the decision to perform CRA in the adult patient for past caries experience and use of fluorides were 2.61 (95% confidence interval [CI]: 1.29-5.29) and 1.85 (95% CI: 1.12-3.04), respectively, whereas that for oral hygiene was 3.84 (95% CI: 1.15-12.79) and use of fluorides 1.79 (95% CI: 1.06-3.03) in the pediatric patient.
  
  
  CONCLUSIONS
  These results suggest that enhancing dentists' concept of the importance of current use of fluorides when developing a treatment plan may increase the percentage of dentists who conduct CRA in both adult and pediatric patients (clinicaltrials.gov registration number: NCT01680848).
authors.affiliation: Educational Cooperation Center, Kyushu Dental University, Kitakyushu, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Kakudate
authors.forename: Futoshi
authors.initials: F
authors.lastname: Sumida
authors.forename: Yuki
authors.initials: Y
authors.lastname: Matsumoto
authors.forename: Yoko
authors.initials: Y
authors.lastname: Yokoyama
authors.forename: Joseph L
authors.initials: JL
authors.lastname: Riley
authors.forename: Gregg H
authors.initials: GH
authors.lastname: Gilbert
authors.forename: Valeria V
authors.initials: VV
authors.lastname: Gordan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003731:Dental Caries / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D005260:Female; D006801:Humans; D007223:Infant; D007564:Japan; D008297:Male; D008875:Middle Aged; D019239:Practice Patterns, Dentists' / Q000706:statistics & numerical data*; D018570:Risk Assessment / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: clinical research; dental caries; dental practice-based research; dentist's practice pattern; evidence-based dentistry; risk assessments