PERIODONTAL MANAGEMENT BY RISK ASSESSMENT: A PRAGMATIC APPROACH
PERIODONTAL MANAGEMENT BY RISK ASSESSMENT: A PRAGMATIC APPROACH
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DOI：
10.1016/j.jebdp.2016.01.020
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发表时间：
2016-06-01
影响因子：
3.6
通讯作者：
White, Joel M.
中科院分区：
文献类型：
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作者：
Mullins, Joanna M.;Even, Joshua B.;White, Joel M.
基于证据的牙周病风险评估和诊断系统已经开发出来，并与临床决策支持和管理计划相结合，以改善治疗和衡量患者的治疗结果。 背景 对于普遍接受的牙周风险评估、牙周诊断和治疗管理工具以及将其纳入牙科实践以改善患者护理，目前尚未达成一致。本文重点介绍了可在牙科环境中实施的实用牙周管理和风险评估计划的开发和使用。方法使用基于证据的最佳实践描述了威拉米特牙科集团开发牙周病风险评估、牙周诊断和治疗管理工具所采取的方法。为了实现标准化治疗干预的目标，同时保持个性化护理和改善沟通，该过程被描述为促进其融入其他牙科环境。结论可以利用当前的电子健康记录，通过使用风险评估和标准化指南来更有效地评估、诊断和治疗患者，以改善结果，从而加强以患者为中心的护理。牙科保健员和其他致力于预防牙周病的提供者可以成为创建和实施牙周风险评估和个性化治疗计划的主要驱动力。威拉米特牙科集团相信，这种基于证据的工具可以将牙科提升到新的诊断和治疗标准。
An evidence-based periodontal disease risk assessment and diagnosis system has been developed and combined with a clinical decision support and management program to improve treatment and measure patient outcomes.BackgroundThere is little agreement on a universally accepted periodontal risk assessment, periodontal diagnosis, and treatment management tool and their incorporation into dental practice to improve patient care. This article highlights the development and use of a practical periodontal management and risk assessment program that can be implemented in dental settings.MethodsThe approach taken by Willamette Dental Group to develop a periodontal disease risk assessment, periodontal diagnosis, and treatment management tool is described using evidence-based best practices. With goals of standardized treatment interventions while maintaining personalized care and improved communication, this process is described to facilitate its incorporation into other dental settings.ConclusionsCurrent electronic health records can be leveraged to enhance patient-centered care through the use of risk assessments and standardized guidelines to more effectively assess, diagnose, and treat patients to improve outcomes. Dental hygienists, and other committed providers, with their emphasis on prevention of periodontal disease can be principal drivers in creation and implementation of periodontal risk assessments and personalized treatment planning. Willamette Dental Group believes that such evidence-based tools can advance dentistry to new diagnostic and treatment standards.