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The relationship between claimed restorations and future restorations in children and adolescents: An observational follow-up study on risk categories for dental caries

Various models are available to assess caries risk in individuals. In general past caries experience is considered as the best single predictor for future caries development in populations. Likewise, recent restorations have been used to predict future restorations. We aimed to evaluate a classifica...

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Autores principales: Hummel, Riët, van der Sanden, Wil, Bruers, Josef, van der Heijden, Geert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589182/
https://www.ncbi.nlm.nih.gov/pubmed/34767565
http://dx.doi.org/10.1371/journal.pone.0259495
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author Hummel, Riët
van der Sanden, Wil
Bruers, Josef
van der Heijden, Geert
author_facet Hummel, Riët
van der Sanden, Wil
Bruers, Josef
van der Heijden, Geert
author_sort Hummel, Riët
collection PubMed
description Various models are available to assess caries risk in individuals. In general past caries experience is considered as the best single predictor for future caries development in populations. Likewise, recent restorations have been used to predict future restorations. We aimed to evaluate a classification model for risk categories for dental caries in children based on claims data from Dutch healthcare insurance company Zilveren Kruis. The baseline caries risk categories were derived from the number of claimed restorations in two baseline years (2010 through 2011). These categories were defined as low (no new restorations), moderate (1 new restoration), and high (2 or more new restorations). First, we analyzed the relationship between baseline caries risk categories and the number of new restorations during 3 years of follow-up (2012 through 2014). Secondly, we used negative binominal two-level analyses to determine the accuracy of our classification model in predicting new restorations during follow-up. Thirdly, we reclassified the participants after 3 years and determined the changes in the categorization. We included insurance claims data for the oral healthcare services in 28,305 children and adolescents from 334 dental practices for the period 2010–2014. At baseline, 68% of the participants were in risk category low, 13% in moderate and 19% in high. The mean number of new restorations during follow-up was 0.81 (SD 1.72) in baseline risk category low, 1.61 (SD 2.35) in moderate, and 2.65 (SD 3.32) in high. The accuracy of the multivariate model for predicting 0/>0 restorations was 50%. After 3 years, 60% of the study participants were in the same risk category, 20% were in a lower, and 21% in a higher risk category. Risk categories based on claimed restorations were related to the number of new restorations in groups. As such, they could support planning and evaluation of oral healthcare services.
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spelling pubmed-85891822021-11-13 The relationship between claimed restorations and future restorations in children and adolescents: An observational follow-up study on risk categories for dental caries Hummel, Riët van der Sanden, Wil Bruers, Josef van der Heijden, Geert PLoS One Research Article Various models are available to assess caries risk in individuals. In general past caries experience is considered as the best single predictor for future caries development in populations. Likewise, recent restorations have been used to predict future restorations. We aimed to evaluate a classification model for risk categories for dental caries in children based on claims data from Dutch healthcare insurance company Zilveren Kruis. The baseline caries risk categories were derived from the number of claimed restorations in two baseline years (2010 through 2011). These categories were defined as low (no new restorations), moderate (1 new restoration), and high (2 or more new restorations). First, we analyzed the relationship between baseline caries risk categories and the number of new restorations during 3 years of follow-up (2012 through 2014). Secondly, we used negative binominal two-level analyses to determine the accuracy of our classification model in predicting new restorations during follow-up. Thirdly, we reclassified the participants after 3 years and determined the changes in the categorization. We included insurance claims data for the oral healthcare services in 28,305 children and adolescents from 334 dental practices for the period 2010–2014. At baseline, 68% of the participants were in risk category low, 13% in moderate and 19% in high. The mean number of new restorations during follow-up was 0.81 (SD 1.72) in baseline risk category low, 1.61 (SD 2.35) in moderate, and 2.65 (SD 3.32) in high. The accuracy of the multivariate model for predicting 0/>0 restorations was 50%. After 3 years, 60% of the study participants were in the same risk category, 20% were in a lower, and 21% in a higher risk category. Risk categories based on claimed restorations were related to the number of new restorations in groups. As such, they could support planning and evaluation of oral healthcare services. Public Library of Science 2021-11-12 /pmc/articles/PMC8589182/ /pubmed/34767565 http://dx.doi.org/10.1371/journal.pone.0259495 Text en © 2021 Hummel et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Hummel, Riët
van der Sanden, Wil
Bruers, Josef
van der Heijden, Geert
The relationship between claimed restorations and future restorations in children and adolescents: An observational follow-up study on risk categories for dental caries
title The relationship between claimed restorations and future restorations in children and adolescents: An observational follow-up study on risk categories for dental caries
title_full The relationship between claimed restorations and future restorations in children and adolescents: An observational follow-up study on risk categories for dental caries
title_fullStr The relationship between claimed restorations and future restorations in children and adolescents: An observational follow-up study on risk categories for dental caries
title_full_unstemmed The relationship between claimed restorations and future restorations in children and adolescents: An observational follow-up study on risk categories for dental caries
title_short The relationship between claimed restorations and future restorations in children and adolescents: An observational follow-up study on risk categories for dental caries
title_sort relationship between claimed restorations and future restorations in children and adolescents: an observational follow-up study on risk categories for dental caries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589182/
https://www.ncbi.nlm.nih.gov/pubmed/34767565
http://dx.doi.org/10.1371/journal.pone.0259495
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