A systematic review to inform the development of a Canadian caries risk assessment tool for use by primary healthcare providers
BackgroundCaries risk assessment (CRA) tools may assist in identifying children at risk of early childhood caries.AimTo complete a systematic review of CRA and develop a Canadian CRA tool for preschool children for use in non‐dental clinical settings.DesignSystematic searches of relevant databases w...
| Published in: | International Journal of Paediatric Dentistry |
|---|---|
| Main Authors: | , , , , , , , , |
| Format: | Article in Journal/Newspaper |
| Language: | unknown |
| Published: |
Wiley Periodicals, Inc.
2021
|
| Subjects: | |
| Online Access: | https://hdl.handle.net/2027.42/171003 https://doi.org/10.1111/ipd.12776 |
| _version_ | 1835013541897175040 |
|---|---|
| author | Schroth, Robert J. Rothney, Janet Sturym, Melina Dabiri, Darya Dabiri, Donya Dong, Cecilia C. Grant, Cameron G. Kennedy, Tara Sihra, Rena |
| author_facet | Schroth, Robert J. Rothney, Janet Sturym, Melina Dabiri, Darya Dabiri, Donya Dong, Cecilia C. Grant, Cameron G. Kennedy, Tara Sihra, Rena |
| author_sort | Schroth, Robert J. |
| collection | Unknown |
| container_issue | 6 |
| container_start_page | 767 |
| container_title | International Journal of Paediatric Dentistry |
| container_volume | 31 |
| description | BackgroundCaries risk assessment (CRA) tools may assist in identifying children at risk of early childhood caries.AimTo complete a systematic review of CRA and develop a Canadian CRA tool for preschool children for use in non‐dental clinical settings.DesignSystematic searches of relevant databases were conducted. Potential variables were based on strength of associations (odd ratios, relative risk, hazard ratios, etc), frequency of occurrence, and existing CRA tools. Quality of the evidence assessments were performed by at least two review teams through consensus following GRADE.ResultsOverall, 25 publications met the inclusion criteria, all prospective in design. Based on this review, variables to be considered when developing a new CRA tool for use with preschool children are as follows: age, socioeconomic status, family toothbrushing habits, fluoride exposure, infant feeding practices, dietary habits/behaviours, dental home, caries experience, visible plaque, and enamel defects. The environmental scan identified 22 CRA tools suggesting other additional variables to consider including in a CRA tool, including special healthcare needs, enamel defects, and dental attendance.ConclusionsThis review informed the development of a Canadian CRA tool for use by primary healthcare professionals, which may improve access to oral health assessments and increase interprofessional collaboration. Peer Reviewed http://deepblue.lib.umich.edu/bitstream/2027.42/171003/1/ipd12776_am.pdf http://deepblue.lib.umich.edu/bitstream/2027.42/171003/2/ipd12776.pdf |
| format | Article in Journal/Newspaper |
| genre | Circumpolar Health |
| genre_facet | Circumpolar Health |
| id | ftumdeepblue:oai:deepblue.lib.umich.edu:2027.42/171003 |
| institution | Open Polar |
| language | unknown |
| op_collection_id | ftumdeepblue |
| op_container_end_page | 791 |
| op_doi | https://doi.org/10.1111/ipd.1277610.1590/1807‐3107BOR‐2016.vol30.0059 |
| op_relation | https://hdl.handle.net/2027.42/171003 doi:10.1111/ipd.12776 International Journal of Paediatric Dentistry Savage MF, Lee JY, Kotch JB, Vann WF Jr. Early preventive dental visits: effects on subsequent utilization and costs. Pediatrics. 2004; 114 ( 4 ): e418 ‐ e423. Schroth RJ, Guenther K, Ndayisenga S, et al. Dentists’ perspectives on the Manitoba dental association’s free first visit program. J Can Dent Assoc. 2015; 81: f21. Schroth RJ, Boparai G, Boparai M, et al. Tracking early visits to the dentist: a look at the first 3 years of the Manitoba Dental Association’s free first visit program. J Can Dent Assoc. 2015; 81: f8. Canadian Dental Association. CDA Position on First Visit to the Dentist; 2012. American Academy of Pediatrics Section on Oral Health. Maintaining and improving the oral health of young children. Pediatrics. 2014; 134 ( 6 ): 1224 ‐ 1229. Lee JY, Bouwens TJ, Savage MF, Vann WF Jr. Examining the cost‐effectiveness of early dental visits. Pediatr Dent. 2006; 28 ( 2 ): 102 ‐ 105. Nowak AJ, Casamassimo PS, Scott J, Moulton R. Do early dental visits reduce treatment and treatment costs for children? Pediatr Dent. 2014; 36 ( 7 ): 489 ‐ 493. Nicolae A, Levin L, Wong PD, et al. Identification of early childhood caries in primary care settings. Paediatr Child Health. 2018; 23 ( 2 ): 111 ‐ 115. ElSalhy M, Gill M, Isaac DM, et al. Integrating preventive dental care into general Paediatric practice for Indigenous communities: paediatric residents’ perceptions. Int J Circumpolar Health. 2019; 78 ( 1 ): 1573162. Shrivastava R, Couturier Y, Kadoch N, et al. Patients’ perspectives on integrated oral healthcare in a northern Quebec Indigenous primary health care organisation: a qualitative study. BMJ Open. 2019; 9 ( 7 ): e030005. Pierce KM, Rozier RG, Vann WF Jr. Accuracy of pediatric primary care providers’ screening and referral for early childhood caries. Pediatrics. 2002; 109 ( 5 ): E82. Long CM, Quinonez RB, Rozier RG, Kranz AM, Lee JY. Barriers to pediatricians’ adherence to American Academy of Pediatrics oral health referral guidelines: North Carolina general dentists’ opinions. Pediatr Dent. 2014; 36 ( 4 ): 309 ‐ 315. Close K, Rozier RG, Zeldin LP, Gilbert AR. Barriers to the adoption and implementation of preventive dental services in primary medical care. Pediatrics. 2010; 125 ( 3 ): 509 ‐ 517. dela Cruz GG, Rozier RG, Slade G. Dental screening and referral of young children by pediatric primary care providers. Pediatrics. 2004; 114 ( 5 ): e642 ‐ e652. Pahel BT, Rozier RG, Stearns SC, Quinonez RB. Effectiveness of preventive dental treatments by physicians for young Medicaid enrollees. Pediatrics. 2011; 127 ( 3 ): e682 ‐ e689. Quinonez RB, Kranz AM, Lewis CW, et al. Oral health opinions and practices of pediatricians: updated results from a national survey. Acad Pediatr. 2014; 14 ( 6 ): 616 ‐ 623. Rozier RG, Slade GD, Zeldin LP, Wang H. Parents’ satisfaction with preventive dental care for young children provided by nondental primary care providers. Pediatr Dent. 2005; 27 ( 4 ): 313 ‐ 322. Rozier RG, Sutton BK, Bawden JW, et al. Prevention of early childhood caries in North Carolina medical practices: implications for research and practice. J Dent Educ. 2003; 67 ( 8 ): 876 ‐ 885. Bader JD, Rozier RG, Lohr KN, Frame PS. Physicians’ roles in preventing dental caries in preschool children: a summary of the evidence for the U.S. Preventive Services Task Force. Am J Prev Med. 2004; 26 ( 4 ): 315 ‐ 325. Douglass JM, Clark MB. Integrating oral health into overall health care to prevent early childhood caries: need, evidence, and solutions. Pediatr Dent. 2015; 37 ( 3 ): 266 ‐ 274. Holve S. An observational study of the association of fluoride varnish applied during well child visits and the prevention of early childhood caries in American Indian Children. Matern Child Health J. 2008; 12 ( S1 ): 64 ‐ 67. Meyer BD, Wang R, Steiner MJ, Preisser JS. The effect of physician oral health services on dental use and expenditures under general anesthesia. JDR Clin Trans Res. 2020; 5: 146 ‐ 155. Lewis C, Lynch H, Richardson L. Fluoride varnish use in primary care: what do providers think? Pediatrics. 2005; 115 ( 1 ): e69 ‐ e76. Bernstein RS, Johnston B, Mackay K, Sanders J. Implementation of a primary care physician‐led Cavity Clinic using silver diamine fluoride. J Public Health Dent. 2019; 79 ( 3 ): 193 ‐ 197. Lewis CW, Boulter S, Keels MA, et al. Oral health and pediatricians: results of a national survey. Acad Pediatr. 2009; 9 ( 6 ): 457 ‐ 461. Herndon JB, Tomar SL, Catalanotto FA, Vogel WB, Shenkman EA. The effect of Medicaid primary care provider reimbursement on access to early childhood caries preventive services. Health Serv Res. 2015; 50: 136 ‐ 160. Clark MB, Douglass AB, Maier R, et al. Smiles for Life: A National Oral Health Curriculum. Society of Teachers of Family Medicine 2010; 2019. www.smilesforlifeoralhealth.org. Accessed August 23, 2019 Irvine J, Holve S, Krol D, Schroth RJ. Policy statement ‐ Early childhood caries in indigenous communities. Paediatr Child Health. 2011; 16 ( 6 ): 351 ‐ 357. American Academy of Pediatrics, Committee on Native American Child Health, Canadian Paediatric Society, First Nations, Inuit and Métis Committee. Early childhood caries in indigenous communities. Pediatrics. 2011; 127 ( 6 ): 1190 ‐ 1198. Yokomichi H, Tanaka T, Suzuki K, Akiyama T, Yamagata Z. Macrosomic neonates carry increased risk of dental caries in early childhood: findings from a cohort study, the Okinawa Child Health Study. Japan. PLoS.One. 2015; 10 ( 7 ): e0133872. Dye BA, Tan S, Smith V, et al. Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat 11. 2007; 11 ( 248 ): 1 ‐ 92. El Tantawi M, Folayan MO, Mehaina M, et al. Prevalence and data availability of early childhood caries in 193 United Nations Countries, 2007–2017. Am J Public Health. 2018; 108 ( 8 ): 1066 ‐ 1072. Tinanoff N, Baez RJ, Diaz Guillory C, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: global perspective. Int J Paediatr Dent. 2019; 29 ( 3 ): 238 ‐ 248. Schroth RJ, Smith W. A review of repeat general anesthesia for pediatric dental surgery in Alberta, Canada. Pediatr Dent. 2007; 29 ( 6 ): 480 ‐ 487. Canadian Institute for Health Information. Treatment of Preventable Dental Cavities in Preschoolers: A Focus on Day Surgery Under General Anesthesia. Ottawa: Canadian Institute for Health Information; 2013: 1 – 34. Schroth RJ, Pang JL, Levi JA, Martens PJ, Brownell MD. Trends in pediatric dental surgery for severe early childhood caries in Manitoba, Canada. J Can Dent Assoc. 2014; 80: e65. Fontana M, Young DA, Wolff MS. Evidence‐based caries, risk assessment, and treatment. Dent Clin North Am. 2009; 53 ( 1 ): 149 ‐ 161. Berg JH, Slayton RL. Early Childhood Oral Health. Ames, IA: Wiley‐Blackwell; 2009. American Academy of Pediatric Dentistry. Guideline on caries‐risk assessment and management for infants, children, and adolescents. Pediatr Dent. 2013; 35 ( 5 ): E157. Canadian Dental Association. CDA Position on Early Childhood Caries. Ottawa: Canadian Dental Association; 2010. Twetman S, Fontana M, Featherstone JD. Risk assessment–can we achieve consensus? Community Dent Oral Epidemiol. 2013; 41 ( 1 ): e64 ‐ e70. Gao X, Di Wu I, Lo ECM, et al. Validity of caries risk assessment programmes in preschool children. J Dent. 2013; 41 ( 9 ): 787 ‐ 795. Slayton RL. Clinical decision‐making for caries management in children: an update. Pediatr Dent. 2015; 37 ( 2 ): 106 ‐ 110. Mejàre I, Axelsson S, Dahlén G, et al. Caries risk assessment. A systematic review. Acta Odontol Scand. 2014; 72 ( 2 ): 81 ‐ 91. Tellez M, Gomez J, Pretty I, Ellwood R, Ismail A. Evidence on existing caries risk assessment systems: are they predictive of future caries? Community Dent Oral Epidemiol. 2013; 41 ( 1 ): 67 ‐ 78. Zero D, Fontana M, Lennon ÁM. Clinical applications and outcomes of using indicators of risk in caries management. J Dent Educ. 2001; 65 ( 10 ): 1126 ‐ 1132. Guyatt GH, Oxman AD, Schünemann HJ, Tugwell P, Knottnerus A. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. J Clin Epidemiol. 2011; 64 ( 4 ): 380 ‐ 382. |
| op_rights | IndexNoFollow |
| publishDate | 2021 |
| publisher | Wiley Periodicals, Inc. |
| record_format | openpolar |
| spelling | ftumdeepblue:oai:deepblue.lib.umich.edu:2027.42/171003 2025-06-15T14:25:20+00:00 A systematic review to inform the development of a Canadian caries risk assessment tool for use by primary healthcare providers Schroth, Robert J. Rothney, Janet Sturym, Melina Dabiri, Darya Dabiri, Donya Dong, Cecilia C. Grant, Cameron G. Kennedy, Tara Sihra, Rena 2021-11 application/pdf https://hdl.handle.net/2027.42/171003 https://doi.org/10.1111/ipd.12776 unknown Wiley Periodicals, Inc. Canadian Institute for Health Information https://hdl.handle.net/2027.42/171003 doi:10.1111/ipd.12776 International Journal of Paediatric Dentistry Savage MF, Lee JY, Kotch JB, Vann WF Jr. Early preventive dental visits: effects on subsequent utilization and costs. Pediatrics. 2004; 114 ( 4 ): e418 ‐ e423. Schroth RJ, Guenther K, Ndayisenga S, et al. Dentists’ perspectives on the Manitoba dental association’s free first visit program. J Can Dent Assoc. 2015; 81: f21. Schroth RJ, Boparai G, Boparai M, et al. Tracking early visits to the dentist: a look at the first 3 years of the Manitoba Dental Association’s free first visit program. J Can Dent Assoc. 2015; 81: f8. Canadian Dental Association. CDA Position on First Visit to the Dentist; 2012. American Academy of Pediatrics Section on Oral Health. Maintaining and improving the oral health of young children. Pediatrics. 2014; 134 ( 6 ): 1224 ‐ 1229. Lee JY, Bouwens TJ, Savage MF, Vann WF Jr. Examining the cost‐effectiveness of early dental visits. Pediatr Dent. 2006; 28 ( 2 ): 102 ‐ 105. Nowak AJ, Casamassimo PS, Scott J, Moulton R. Do early dental visits reduce treatment and treatment costs for children? Pediatr Dent. 2014; 36 ( 7 ): 489 ‐ 493. Nicolae A, Levin L, Wong PD, et al. Identification of early childhood caries in primary care settings. Paediatr Child Health. 2018; 23 ( 2 ): 111 ‐ 115. ElSalhy M, Gill M, Isaac DM, et al. Integrating preventive dental care into general Paediatric practice for Indigenous communities: paediatric residents’ perceptions. Int J Circumpolar Health. 2019; 78 ( 1 ): 1573162. Shrivastava R, Couturier Y, Kadoch N, et al. Patients’ perspectives on integrated oral healthcare in a northern Quebec Indigenous primary health care organisation: a qualitative study. BMJ Open. 2019; 9 ( 7 ): e030005. Pierce KM, Rozier RG, Vann WF Jr. Accuracy of pediatric primary care providers’ screening and referral for early childhood caries. Pediatrics. 2002; 109 ( 5 ): E82. Long CM, Quinonez RB, Rozier RG, Kranz AM, Lee JY. Barriers to pediatricians’ adherence to American Academy of Pediatrics oral health referral guidelines: North Carolina general dentists’ opinions. Pediatr Dent. 2014; 36 ( 4 ): 309 ‐ 315. Close K, Rozier RG, Zeldin LP, Gilbert AR. Barriers to the adoption and implementation of preventive dental services in primary medical care. Pediatrics. 2010; 125 ( 3 ): 509 ‐ 517. dela Cruz GG, Rozier RG, Slade G. Dental screening and referral of young children by pediatric primary care providers. Pediatrics. 2004; 114 ( 5 ): e642 ‐ e652. Pahel BT, Rozier RG, Stearns SC, Quinonez RB. Effectiveness of preventive dental treatments by physicians for young Medicaid enrollees. Pediatrics. 2011; 127 ( 3 ): e682 ‐ e689. Quinonez RB, Kranz AM, Lewis CW, et al. Oral health opinions and practices of pediatricians: updated results from a national survey. Acad Pediatr. 2014; 14 ( 6 ): 616 ‐ 623. Rozier RG, Slade GD, Zeldin LP, Wang H. Parents’ satisfaction with preventive dental care for young children provided by nondental primary care providers. Pediatr Dent. 2005; 27 ( 4 ): 313 ‐ 322. Rozier RG, Sutton BK, Bawden JW, et al. Prevention of early childhood caries in North Carolina medical practices: implications for research and practice. J Dent Educ. 2003; 67 ( 8 ): 876 ‐ 885. Bader JD, Rozier RG, Lohr KN, Frame PS. Physicians’ roles in preventing dental caries in preschool children: a summary of the evidence for the U.S. Preventive Services Task Force. Am J Prev Med. 2004; 26 ( 4 ): 315 ‐ 325. Douglass JM, Clark MB. Integrating oral health into overall health care to prevent early childhood caries: need, evidence, and solutions. Pediatr Dent. 2015; 37 ( 3 ): 266 ‐ 274. Holve S. An observational study of the association of fluoride varnish applied during well child visits and the prevention of early childhood caries in American Indian Children. Matern Child Health J. 2008; 12 ( S1 ): 64 ‐ 67. Meyer BD, Wang R, Steiner MJ, Preisser JS. The effect of physician oral health services on dental use and expenditures under general anesthesia. JDR Clin Trans Res. 2020; 5: 146 ‐ 155. Lewis C, Lynch H, Richardson L. Fluoride varnish use in primary care: what do providers think? Pediatrics. 2005; 115 ( 1 ): e69 ‐ e76. Bernstein RS, Johnston B, Mackay K, Sanders J. Implementation of a primary care physician‐led Cavity Clinic using silver diamine fluoride. J Public Health Dent. 2019; 79 ( 3 ): 193 ‐ 197. Lewis CW, Boulter S, Keels MA, et al. Oral health and pediatricians: results of a national survey. Acad Pediatr. 2009; 9 ( 6 ): 457 ‐ 461. Herndon JB, Tomar SL, Catalanotto FA, Vogel WB, Shenkman EA. The effect of Medicaid primary care provider reimbursement on access to early childhood caries preventive services. Health Serv Res. 2015; 50: 136 ‐ 160. Clark MB, Douglass AB, Maier R, et al. Smiles for Life: A National Oral Health Curriculum. Society of Teachers of Family Medicine 2010; 2019. www.smilesforlifeoralhealth.org. Accessed August 23, 2019 Irvine J, Holve S, Krol D, Schroth RJ. Policy statement ‐ Early childhood caries in indigenous communities. Paediatr Child Health. 2011; 16 ( 6 ): 351 ‐ 357. American Academy of Pediatrics, Committee on Native American Child Health, Canadian Paediatric Society, First Nations, Inuit and Métis Committee. Early childhood caries in indigenous communities. Pediatrics. 2011; 127 ( 6 ): 1190 ‐ 1198. Yokomichi H, Tanaka T, Suzuki K, Akiyama T, Yamagata Z. Macrosomic neonates carry increased risk of dental caries in early childhood: findings from a cohort study, the Okinawa Child Health Study. Japan. PLoS.One. 2015; 10 ( 7 ): e0133872. Dye BA, Tan S, Smith V, et al. Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat 11. 2007; 11 ( 248 ): 1 ‐ 92. El Tantawi M, Folayan MO, Mehaina M, et al. Prevalence and data availability of early childhood caries in 193 United Nations Countries, 2007–2017. Am J Public Health. 2018; 108 ( 8 ): 1066 ‐ 1072. Tinanoff N, Baez RJ, Diaz Guillory C, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: global perspective. Int J Paediatr Dent. 2019; 29 ( 3 ): 238 ‐ 248. Schroth RJ, Smith W. A review of repeat general anesthesia for pediatric dental surgery in Alberta, Canada. Pediatr Dent. 2007; 29 ( 6 ): 480 ‐ 487. Canadian Institute for Health Information. Treatment of Preventable Dental Cavities in Preschoolers: A Focus on Day Surgery Under General Anesthesia. Ottawa: Canadian Institute for Health Information; 2013: 1 – 34. Schroth RJ, Pang JL, Levi JA, Martens PJ, Brownell MD. Trends in pediatric dental surgery for severe early childhood caries in Manitoba, Canada. J Can Dent Assoc. 2014; 80: e65. Fontana M, Young DA, Wolff MS. Evidence‐based caries, risk assessment, and treatment. Dent Clin North Am. 2009; 53 ( 1 ): 149 ‐ 161. Berg JH, Slayton RL. Early Childhood Oral Health. Ames, IA: Wiley‐Blackwell; 2009. American Academy of Pediatric Dentistry. Guideline on caries‐risk assessment and management for infants, children, and adolescents. Pediatr Dent. 2013; 35 ( 5 ): E157. Canadian Dental Association. CDA Position on Early Childhood Caries. Ottawa: Canadian Dental Association; 2010. Twetman S, Fontana M, Featherstone JD. Risk assessment–can we achieve consensus? Community Dent Oral Epidemiol. 2013; 41 ( 1 ): e64 ‐ e70. Gao X, Di Wu I, Lo ECM, et al. Validity of caries risk assessment programmes in preschool children. J Dent. 2013; 41 ( 9 ): 787 ‐ 795. Slayton RL. Clinical decision‐making for caries management in children: an update. Pediatr Dent. 2015; 37 ( 2 ): 106 ‐ 110. Mejàre I, Axelsson S, Dahlén G, et al. Caries risk assessment. A systematic review. Acta Odontol Scand. 2014; 72 ( 2 ): 81 ‐ 91. Tellez M, Gomez J, Pretty I, Ellwood R, Ismail A. Evidence on existing caries risk assessment systems: are they predictive of future caries? Community Dent Oral Epidemiol. 2013; 41 ( 1 ): 67 ‐ 78. Zero D, Fontana M, Lennon ÁM. Clinical applications and outcomes of using indicators of risk in caries management. J Dent Educ. 2001; 65 ( 10 ): 1126 ‐ 1132. Guyatt GH, Oxman AD, Schünemann HJ, Tugwell P, Knottnerus A. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. J Clin Epidemiol. 2011; 64 ( 4 ): 380 ‐ 382. IndexNoFollow community paediatric dentistry preschool children screening tool caries risk assessment Dentistry Pediatrics Health Sciences Article 2021 ftumdeepblue https://doi.org/10.1111/ipd.1277610.1590/1807‐3107BOR‐2016.vol30.0059 2025-06-04T05:59:18Z BackgroundCaries risk assessment (CRA) tools may assist in identifying children at risk of early childhood caries.AimTo complete a systematic review of CRA and develop a Canadian CRA tool for preschool children for use in non‐dental clinical settings.DesignSystematic searches of relevant databases were conducted. Potential variables were based on strength of associations (odd ratios, relative risk, hazard ratios, etc), frequency of occurrence, and existing CRA tools. Quality of the evidence assessments were performed by at least two review teams through consensus following GRADE.ResultsOverall, 25 publications met the inclusion criteria, all prospective in design. Based on this review, variables to be considered when developing a new CRA tool for use with preschool children are as follows: age, socioeconomic status, family toothbrushing habits, fluoride exposure, infant feeding practices, dietary habits/behaviours, dental home, caries experience, visible plaque, and enamel defects. The environmental scan identified 22 CRA tools suggesting other additional variables to consider including in a CRA tool, including special healthcare needs, enamel defects, and dental attendance.ConclusionsThis review informed the development of a Canadian CRA tool for use by primary healthcare professionals, which may improve access to oral health assessments and increase interprofessional collaboration. Peer Reviewed http://deepblue.lib.umich.edu/bitstream/2027.42/171003/1/ipd12776_am.pdf http://deepblue.lib.umich.edu/bitstream/2027.42/171003/2/ipd12776.pdf Article in Journal/Newspaper Circumpolar Health Unknown International Journal of Paediatric Dentistry 31 6 767 791 |
| spellingShingle | community paediatric dentistry preschool children screening tool caries risk assessment Dentistry Pediatrics Health Sciences Schroth, Robert J. Rothney, Janet Sturym, Melina Dabiri, Darya Dabiri, Donya Dong, Cecilia C. Grant, Cameron G. Kennedy, Tara Sihra, Rena A systematic review to inform the development of a Canadian caries risk assessment tool for use by primary healthcare providers |
| title | A systematic review to inform the development of a Canadian caries risk assessment tool for use by primary healthcare providers |
| title_full | A systematic review to inform the development of a Canadian caries risk assessment tool for use by primary healthcare providers |
| title_fullStr | A systematic review to inform the development of a Canadian caries risk assessment tool for use by primary healthcare providers |
| title_full_unstemmed | A systematic review to inform the development of a Canadian caries risk assessment tool for use by primary healthcare providers |
| title_short | A systematic review to inform the development of a Canadian caries risk assessment tool for use by primary healthcare providers |
| title_sort | systematic review to inform the development of a canadian caries risk assessment tool for use by primary healthcare providers |
| topic | community paediatric dentistry preschool children screening tool caries risk assessment Dentistry Pediatrics Health Sciences |
| topic_facet | community paediatric dentistry preschool children screening tool caries risk assessment Dentistry Pediatrics Health Sciences |
| url | https://hdl.handle.net/2027.42/171003 https://doi.org/10.1111/ipd.12776 |