An Emulation Model Combining Caries and Periodontitis Risk Assessment With Student Performance Report: An Exploratory Project

ABSTRACT Objectives Patient risk assessments for caries and periodontitis are hourly activities for dentists. The present study tested a caries and periodontitis risk assessment format based on managing the person using a critical thinking emulation model including levels of patient capacity and dis...

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Main Authors: David Johnsen, Aditi Jain, Carlos Garaicoa‐Pazmino, Justine Kolker, Megumi Williamson, Wei Shi
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:Clinical and Experimental Dental Research
Subjects:
Online Access:https://doi.org/10.1002/cre2.70135
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author David Johnsen
Aditi Jain
Carlos Garaicoa‐Pazmino
Justine Kolker
Megumi Williamson
Wei Shi
author_facet David Johnsen
Aditi Jain
Carlos Garaicoa‐Pazmino
Justine Kolker
Megumi Williamson
Wei Shi
author_sort David Johnsen
collection DOAJ
description ABSTRACT Objectives Patient risk assessments for caries and periodontitis are hourly activities for dentists. The present study tested a caries and periodontitis risk assessment format based on managing the person using a critical thinking emulation model including levels of patient capacity and disease management. Additionally, we explored factors in student analysis contributing to the designation of higher/lower‐risk determinants for caries and periodontitis. Material and Methods Third‐year dental students assessed patient risk for recurring disease in periodontics and cariology exercises. The risk assessment thought process becomes the learning outcome, learning guide, and assessment instrument. Students demonstrated the risk assessment analysis with a patient using PowerPoint presentations. Results Students applied over 95% of procedural steps (e.g., exam, history) with a range of judgmental steps (65%–100%) in risk level, interprofessional practice, disease progression, compliance, among others. Designation of higher and lower‐risk determinants for periodontitis risk assessment (n = 38), students identified differences in patient risk based on whether the patient had diabetes or smoked (p = 0.013 to < 0.001). For caries risk assessment (n = 40), students identified differences between lower‐ and higher‐risk patients for patient compliance (p = 0.001), behavior control (p = 0.006), diet control (p < 0.001), and prognosis (p = 0.005). Conclusions The combined learning guide warrants further exploration in guiding dental students' risk analysis for periodontitis and caries by emulating the thinking process of a master clinician. Future work includes probing analysis with binary conclusions, interventions for high‐risk people with recurring disease, and the association of treatment and health.
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spelling doaj-art-140c1f90d7674f8e81124909d6a1d97d2025-08-20T03:36:45ZengWileyClinical and Experimental Dental Research2057-43472025-06-01113n/an/a10.1002/cre2.70135An Emulation Model Combining Caries and Periodontitis Risk Assessment With Student Performance Report: An Exploratory ProjectDavid Johnsen0Aditi Jain1Carlos Garaicoa‐Pazmino2Justine Kolker3Megumi Williamson4Wei Shi5Department of Pediatric Dentistry University of Iowa College of Dentistry and Dental Clinics Iowa City Iowa USADepartment of Operative Dentistry University of Iowa College of Dentistry and Dental Clinics Iowa City Iowa USADepartment of Periodontics University of Iowa College of Dentistry and Dental Clinics Iowa City Iowa USADepartment of Operative Dentistry University of Iowa College of Dentistry and Dental Clinics Iowa City Iowa USADepartment of Periodontics East Carolina University School of Dental Medicine Greenville North Carolina USAIowa Oral Health Research Institute University of Iowa Iowa City Iowa USAABSTRACT Objectives Patient risk assessments for caries and periodontitis are hourly activities for dentists. The present study tested a caries and periodontitis risk assessment format based on managing the person using a critical thinking emulation model including levels of patient capacity and disease management. Additionally, we explored factors in student analysis contributing to the designation of higher/lower‐risk determinants for caries and periodontitis. Material and Methods Third‐year dental students assessed patient risk for recurring disease in periodontics and cariology exercises. The risk assessment thought process becomes the learning outcome, learning guide, and assessment instrument. Students demonstrated the risk assessment analysis with a patient using PowerPoint presentations. Results Students applied over 95% of procedural steps (e.g., exam, history) with a range of judgmental steps (65%–100%) in risk level, interprofessional practice, disease progression, compliance, among others. Designation of higher and lower‐risk determinants for periodontitis risk assessment (n = 38), students identified differences in patient risk based on whether the patient had diabetes or smoked (p = 0.013 to < 0.001). For caries risk assessment (n = 40), students identified differences between lower‐ and higher‐risk patients for patient compliance (p = 0.001), behavior control (p = 0.006), diet control (p < 0.001), and prognosis (p = 0.005). Conclusions The combined learning guide warrants further exploration in guiding dental students' risk analysis for periodontitis and caries by emulating the thinking process of a master clinician. Future work includes probing analysis with binary conclusions, interventions for high‐risk people with recurring disease, and the association of treatment and health.https://doi.org/10.1002/cre2.70135critical thinkingdental caries, periodontitisrisk assessment
spellingShingle David Johnsen
Aditi Jain
Carlos Garaicoa‐Pazmino
Justine Kolker
Megumi Williamson
Wei Shi
An Emulation Model Combining Caries and Periodontitis Risk Assessment With Student Performance Report: An Exploratory Project
Clinical and Experimental Dental Research
critical thinking
dental caries, periodontitis
risk assessment
title An Emulation Model Combining Caries and Periodontitis Risk Assessment With Student Performance Report: An Exploratory Project
title_full An Emulation Model Combining Caries and Periodontitis Risk Assessment With Student Performance Report: An Exploratory Project
title_fullStr An Emulation Model Combining Caries and Periodontitis Risk Assessment With Student Performance Report: An Exploratory Project
title_full_unstemmed An Emulation Model Combining Caries and Periodontitis Risk Assessment With Student Performance Report: An Exploratory Project
title_short An Emulation Model Combining Caries and Periodontitis Risk Assessment With Student Performance Report: An Exploratory Project
title_sort emulation model combining caries and periodontitis risk assessment with student performance report an exploratory project
topic critical thinking
dental caries, periodontitis
risk assessment
url https://doi.org/10.1002/cre2.70135
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