Oral hygiene instruction and health risk assessment in dental practice.
Oral hygiene instruction and health risk assessment in dental practice.
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牙科实践中的口腔卫生指导和健康风险评估。
DOI：
10.1111/j.1752-7325.1989.tb02016.x
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发表时间：
1989
影响因子：
2.3
通讯作者：
Spadafora,A
中科院分区：
文献类型：
--
作者：
Milgrom,P;Weinstein,P;Melnick,S;Beach,B;Spadafora,A
我们研究了华盛顿州19个牙科诊所的109名患者的口腔卫生指导，以调查治疗师针对高疾病风险患者的努力程度。在指导和放松之前对患者进行检查。治疗师的指导被录音并分析其内容：治疗师的期望被评分。患者的初始菌斑水平与口腔卫生指导的过程/内容之间没有统计学显著相关性。平均而言，治疗师在每次预防治疗中花费9.4分钟讨论口腔卫生。治疗师被认为对那些他们对依从性有更高期望的患者更真诚，即，那些斑块较少和疾病风险较低的人。我们的结论是，牙科医生没有采用有效的风险评估策略，在选择最需要密集的指导工作的病人。
We studied oral hygiene instruction given to 109 patients in 19 Washington State dental practices to investigate the extent to which therapists targeted their efforts toward patients with high disease risk. Patients were examined prior to instruction and prophylaxes. Therapists' instructions were tape‐recorded and their content analyzed: therapists' expectations were scored. There were no statistically significant associations between patients' initial plaque levels and the process/content of the oral hygiene instructions delivered. On average, therapists spent 9.4 minutes of each prophylaxis session discussing oral hygiene. Therapists were judged more genuine with those patients for whom they had higher expectations of compliance, i.e., those with less plaque and low disease risk. We conclude that dental practitioners were not employing effective risk assessment strategies in selection of patients most in need of intensive instructional efforts.