#8 Pediatric Caries Risk Assessment Flashcards
Why should we do caries risk assessments?
- Required for clinical services we currently provide.
- 3rd party requests
- May have role in litigation
- Will influence care in the future.
Ideal decisions are made at the intersection of what 3 pillars of dentistry?
- Evidence
- Clinical expertise
- Patients needs and preferences
Are risk predictors the same for adults and children?
Nope
What are 4 risk assessments used today?
- Fluorides
- Radiographs
- Sealants
- Management of occlusal surfaces
When should you NOT seal a tooth?
- If tooth cannot be isolated
- proximal restoration involves pit and fissure surfaces
- Life expectancy of tooth is already short.
- Tooth is not at risk
_____ of Ohio preschool children have untreated caries
28% *38% have caries experience.
Every child should receive oral health care risk assessment by ________ age.
6 months of age.
Children who have early preventive visits are more likely to use preventive services in the future and have fewer dental related costs than those starting later….
wow….Ya think????
Study: 1500 12yr-olds, half get high risk preventive treatment (lots of fluoride) and the other half only get counseling and 1 fluoride treatment a year…RESULTS?
No difference in new cares between the 2 groups = Intensifying prevention provide no additional benefit.
When does the usefulness in Caries Risk assessment taper off?
Without changes in health and habits, CRA is probably not useful by early adulthood.
*Existing dental caries or restorations are the best indicator of risk (as well as new caries)
Describe the Ideal CRA tool…
- Quickly and easily applied
- non-envasive
- reproducible
- Have validity
- inexpensive
- relate to treatment
What are the main 2 CRA tools?
- CAMBRA
- SIGN criteria
What makes a child 0-3 yrs old “high risk” for caries?
Biological factors:
- Mother has active caries
- Mother is low income
- Child has more than 3 meal sugar containing beverages/snacks a day.
- Goes to bed with sugar beverage
- Child is an immigrant
Clinical factors:
- Has white spot lesions
- Visible cavitation or filings
- Child has plaque.
What makes a 0-3 yr old “low risk”?
- Fluoridated drinking water
- brushes teeth daily w/ F toothpaste
- Receives topical F tx
- Has regular dental care.
Primary risk factors - “Low risk” = ?
- No plaque
- sugar only at meals
- No Bottle use
- Optimal F intake
- No caries
