´óÏóÊÓƵ

U.S. flag

SHARE:

FacebookXEmail AHRQPrint

Search All Research Studies

 

´óÏóÊÓƵResearch Studies Date

Topics

´óÏóÊÓƵResearch Studies

Sign up:

Research Studies is a compilation of published research articles funded by ´óÏóÊÓƵor authored by ´óÏóÊÓƵresearchers.

Results

1 to 6 of 6 Research Studies Displayed
Ramanathan S, Yan C, Suda KJ
Barriers and facilitators to guideline concordant dental antibiotic prescribing in the United States: a qualitative study of the National Dental PBRN.
This study investigates factors influencing antibiotic prescribing practices among dentists in the United States, aiming to identify barriers and facilitators to guideline-concordant prescribing. While previous research has described factors contributing to dental antibiotic overprescribing, it lacked a theoretical behavior change framework that could guide future intervention development. The research involved semi-structured interviews with dentists from the National Dental Practice Based Research Network, exploring patient and practice factors perceived to impact antibiotic prescribing decisions. The interview data were analyzed and organized using the COM-B model to inform prospective interventions. The study identified three broad targets to support appropriate dental antibiotic prescribing: increasing visibility and accessibility of guidelines, providing additional guidance on antibiotic prescribing in dental scenarios without clear guidelines, and education and communication skills-building focused on discussing appropriate antibiotic use with patients and physicians.
AHRQ-funded; HS025177.
Citation: Ramanathan S, Yan C, Suda KJ . Barriers and facilitators to guideline concordant dental antibiotic prescribing in the United States: a qualitative study of the National Dental PBRN. J Public Health Dent 2024 Jun; 84(2):163-74. doi: 10.1111/jphd.12611.
Keywords: Antibiotics, Dental and Oral Health, Antimicrobial Stewardship, Medication, Guidelines, Evidence-Based Practice
Harris S, Ching SJ, Agarwal R
´óÏóÊÓƵAuthor: Harris S
Screening and preventive interventions for oral health in children, adolescents, and adults.
This case study and quiz explores the U.S. Preventive Services Task Force (USPSTF) recommendations for oral health screenings in primary care settings. The case presents a scenario of a father and child who have lost dental insurance and experienced dietary changes, prompting the question of whether the primary care physician should screen them for oral health conditions. The USPSTF concludes there is insufficient evidence to recommend for or against oral health screening in asymptomatic adults and children over five in primary care, emphasizing the need for clinical judgment in such cases. The quiz further highlights that the USPSTF recommendations cover dental caries in children and adolescents (5-17 years old) and both dental caries and periodontal disease in adults (18+ years old). Additionally, tobacco use is identified as a risk factor for oral health conditions in adults.
AHRQ-authored.
Citation: Harris S, Ching SJ, Agarwal R . Screening and preventive interventions for oral health in children, adolescents, and adults. Am Fam Physician 2024 Mar; 109(3):261-62..
Keywords: U.S. Preventive Services Task Force (USPSTF), Children/Adolescents, Screening, Dental and Oral Health, Guidelines, Evidence-Based Practice
Chou R, Selph SS, Bougatsos C
Screening, referral, behavioral counseling, and preventive interventions for oral health in adults: a systematic review for the US Preventive Services Task Force.
The purpose of this study was to conduct a systematic evidence review on the effectiveness of primary care screening and prevention of dental caries and periodontal disease in adults to inform the US Preventive Services Task Force. The main outcomes were dental caries, periodontal disease, morbidity, quality of life, harms; and diagnostic test accuracy. Five randomized clinical trials, 5 nonrandomized trials, and 6 observational studies with a total 3,300 participants were included. There were no trials that evaluated primary care counseling or dental referral. There was very limited evidence on screening accuracy, silver diamine fluoride, xylitol; and harms were very limited, although serious harms were not reported. One small study (n = 86) found oral health examination by 2 primary care clinicians associated with low sensitivity and high specificity for periodontal disease and with variable sensitivity and high specificity for dental caries. Four studies (n = 965) found screening questionnaires associated with a pooled sensitivity of 0.72 and specificity of 0.74 for periodontal disease. For preventive interventions there were no studies that evaluated primary care counseling or dental referral, and evidence from 2 poor-quality trials (n = 178) of sealants, and 1 fair-quality and 4 poor-quality trials (n = 971) of topical fluorides, was found to be insufficient. Three fair-quality trials (n = 590) of persons with mean age 72 to 80 years found silver diamine fluoride solution associated with fewer new root caries lesions or fillings vs placebo (mean reduction, -0.33 to -1.3) and decreased likelihood of new root caries lesion (2 trials). There were no trials that evaluated primary care-administered preventive interventions.
AHRQ-funded; 75Q80120D00006.
Citation: Chou R, Selph SS, Bougatsos C . Screening, referral, behavioral counseling, and preventive interventions for oral health in adults: a systematic review for the US Preventive Services Task Force. JAMA 2023 Nov 14; 330(18):1780-90. doi: 10.1001/jama.2023.20685..
Keywords: U.S. Preventive Services Task Force (USPSTF), Screening, Dental and Oral Health, Prevention, Evidence-Based Practice, Guidelines
Chou R, Bougatsos C, Griffin J
Screening, referral, behavioral counseling, and preventive interventions for oral health in children and adolescents aged 5 to 17 years: a systematic review for the US Preventive Services Task Force.
The purpose of this study was to conduct a systematic evidence review on the effectiveness of primary care screening and prevention of dental caries in children and adolescents aged 5 to 17 years to inform the US Preventive Services Task Force. The main outcomes were dental caries, morbidity, functional status, quality of life, harms; and diagnostic test accuracy. Three systematic reviews with a total of 20,684 participants were included along with 19 randomized clinical trials, 3 nonrandomized trials, and 1 observational study with a total of 15,026 participants. When administered by dental professionals or in school settings, fluoride supplements compared with placebo or no intervention were associated with decreased change from baseline in the number of decayed, missing, or filled permanent teeth (DMFT index) or decayed or filled permanent teeth (DFT index) at 1.5 to 3 years (6 trials; n = 1395). Fluoride gels were associated with a DMFT- or DFT-prevented fraction of 0.18 at outcomes closest to 3 years (4 trials; n = 1525); fluoride varnish was associated with a DMFT- or DFT-prevented fraction of 0.44 at 1 to 4.5 years (5 trials; n = 3902); and resin-based sealants were associated with decreased risk of carious first molars at 48 to 54 months (4 trials; n = 440). There were no trials that evaluated primary care counseling or dental referral. There was very limited evidence on screening accuracy, silver diamine fluoride, xylitol; and harms were very limited, although serious harms were not reported.
AHRQ-funded; 75Q80120D00006.
Citation: Chou R, Bougatsos C, Griffin J . Screening, referral, behavioral counseling, and preventive interventions for oral health in children and adolescents aged 5 to 17 years: a systematic review for the US Preventive Services Task Force. JAMA 2023 Nov 7; 330(17):1674-86. doi: 10.1001/jama.2023.20435..
Keywords: Children/Adolescents, Dental and Oral Health, Screening, Prevention, Evidence-Based Practice, U.S. Preventive Services Task Force (USPSTF), Guidelines
Harris S, Farah W, Snitchler C. S, Farah W, Snitchler C
´óÏóÊÓƵAuthor: Harris S
Screening and interventions to prevent dental caries in children younger than five years.
This case study concerns Hispanic parents new to a practice who bring in their two children, two years of age and four months of age, for routine wellness visits. The parents have questions about dental care for their children. Three case study questions are provided along with answers. Bonus digital content provides an information sheet with a Clinical Summary of the USPSTF Recommendation.
AHRQ-authored.
Citation: Harris S, Farah W, Snitchler C. S, Farah W, Snitchler C . Screening and interventions to prevent dental caries in children younger than five years. Am Fam Physician 2022 Mar;105(3):299-300..
Keywords: Children/Adolescents, Dental and Oral Health, Screening, Guidelines, Evidence-Based Practice, Case Study
Chou R, Pappas M, Dana T
Screening and interventions to prevent dental caries in children younger than 5 years: updated evidence report and systematic review for the US Preventive Services Task Force.
The purpose of this evidence review was to update the 2014 review on dental caries screening and preventive interventions to inform the USPSTF. Findings showed no direct evidence on benefits and harms of primary care oral health screening or referral to dentist, while dietary fluoride supplementation and fluoride varnish were associated with improved caries outcomes in higher-risk children and settings.
AHRQ-funded; 290201500009I.
Citation: Chou R, Pappas M, Dana T . Screening and interventions to prevent dental caries in children younger than 5 years: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA 2021 Dec 7;326(21):2179-92. doi: 10.1001/jama.2021.15658..
Keywords: U.S. Preventive Services Task Force (USPSTF), Children/Adolescents, Dental and Oral Health, Screening, Evidence-Based Practice, Guidelines, Prevention

Related Content

Research Findings & Reports