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Record W4408084775 · doi:10.1186/s12903-025-05637-8

Utilization of caries risk assessment tools within the underserved population: a scoping review

2025· review· en· W4408084775 on OpenAlexaff
Minsuk Park, Foram Patel, Maria Jacinta Moraes Coelho Santos, Svetlana Tikhonova, Alexia Athanasakos, Abbas Jessani

Bibliographic record

VenueBMC Oral Health · 2025
Typereview
Languageen
FieldDentistry
TopicDental Health and Care Utilization
Canadian institutionsRichmond HospitalMcGill University Health CentreWestern University
Fundersnot available
KeywordsMedicineOral and maxillofacial surgeryRisk assessmentMEDLINEPopulation healthPopulationEnvironmental healthDentistry

Abstract

fetched live from OpenAlex

OBJECTIVES: Caries Risk Assessment (CRA) tools can be utilised to assess caries risk levels within underserved individuals to provide risk-based caries management. With no previous review mapping the evidence of CRA tools in underserved populations, a scoping review was conducted to provide a comprehensive view of the current literature and the utilisation of CRA tools in underserved populations. The main objectives of this review are as follows: (1) to comprehensively review CRA tools utilised, and (2) to highlight the important findings indicating the oral health status of underserved population subgroups. METHODS: A systematic search was performed using MEDLINE, EMBASE, Scopus, Google Scholar, and Dissertations & Theses Global (ProQuest). All relevant English-language papers published between January 2004 to June 2024 were identified. Retrieved references were imported and underwent 2-stage screening. The type of CRA tool was extracted as the primary outcome and oral health status of underserved subgroups were extracted as the secondary outcome. RESULTS: A total of 26 studies and nine different CRA tools were identified. Included studies examined caries risk in low-income families, people with disabilities, Indigenous peoples, refugees, veterans, and rural communities. Most studies indicated moderate to high caries risk and significant unmet oral health needs in underserved populations. CONCLUSIONS: The underserved populations experience elevated caries risk and poor oral health status that require the attention of policymakers and practitioners. Significant heterogeneity across the utilised CRA tools was identified. Future research focusing on developing a standardised and appropriately validated CRA tool that can be utilised is necessary.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.422
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.287
GPT teacher head0.513
Teacher spread0.225 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

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