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Au 15- Early Clinic > CAMBRA > Flashcards

CAMBRA Flashcards

1
Q

Preparing for a CRA appointment: prepare the cubicle, seat patient but do not allow them to do what?

A

DO NOT have them rinse with mouthwash

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2
Q

What does a Cari-Meter measure?

A

bacteria biofilm load

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3
Q

What is a the range for biofilm load?

A

0000-9999

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4
Q

A biofilm reading above _______ indicates that the patient is at risk.

A

1500

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5
Q

Values for UNSTIMULATED pH:
highly acidic ________
Mod. acidic _________
Healthy pH _________

A

5.0 - 5.9 (high)
6.0 - 6.6 (mod)
greater than 6.7 (healthy)

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6
Q

Values for STIMULATED pH:
highly acidic _________
mod. acidic __________
healthy pH __________

A

5.0 - 5.9 (high)
6.0 - 6.6 (mod)
greater than 6.7 (healthy)

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7
Q

How much saliva is collected during the Saliva Test?

A

0 - 20 mL

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8
Q

Saliva amounts (mL):
very low ______
low ________
Normal ________

A

less than 3.5 mL
between 3.5 and 5.0 mL
5.0 mL and above

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9
Q

Buffering capacity ranges from ____ to _____.

A

0 to 12

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10
Q

Buffering capacity values:
_______ is very low
_______ is low
_______ is normal/high

A

0 - 5
6 - 9
10 - 12

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11
Q

What are the 5 high risk disease indicators?

A
  • Frequent or prolonged between meal exposure to sugary or starchy foods/drinks
  • visibly cavitated lesion or radiographic penetration into dentin
  • 3 or more cavitated or non-cavitated carious lesions in the last 24 months
  • teeth missing due to caries in the last 24 months
  • severe dry mouth (xerostomia)
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12
Q

Disease indicators score ______ points.

A

10

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13
Q

What are the risk levels and associated scores?

A

Low Risk: score of 0
Moderate Risk: score of 1-9 (no disease indicators)
High Risk: score of 10 or more

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14
Q

How many disease indicators does it take to reach high risk?

A

1

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15
Q

Risk factors score _____ points.

A

1

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16
Q

How many risk factors does it take to reach moderate risk?

A

1

17
Q

How many risk factors can a patient have before reaching high risk?

A

up to 9 is moderate

above 9 is high risk

18
Q

What is the bitewing recommendation for low risk patients?

A

every 24-36 months

19
Q

What is the bitewing recommendation for moderate risk patients?

A

every 6-18 months

20
Q

What is the bitewing recommendation for high risk patients?

A

every 6-18 months

21
Q

What is “caries”? (the two key points)

A
  1. Caries is a BACTERIAL infection caused by acidogenic bacteria in tooth biofilm
  2. Caries is a multifactorial PROCESS of tooth demineralization and remineralization which, until cavitation, is reversible
22
Q

The FDI supports the principles of _____ _______ dentistry in the management of dental caries.

A

minimal intervention

23
Q

What are the five FDI basic Cambra Principles?

A
  1. Modification of the oral flora to favor health
  2. Patient education and informed participation
  3. Remineralization of non-cavitated lesions of enamel and dentin/cementum
  4. Minimal operative intervention of cavitated lesions and defective restorations
  5. Repair of defective restorations
24
Q

What is modification of the oral flora?

A

primary focus should be on control of the infection, plaque control, and reduced carbohydrate intake

25
Q

What is patient education?

A

the etiology of dental caries should be explained to the patient, together with the means of prevention through dietary and oral hygiene measures

26
Q

______ plays a critical role in the demin/remin cycle

A

Saliva

27
Q

True or False: there is strong evidence that “white spot” lesions of enamel and non-cavitated lesions of dentin can be arrested or reversed.

A

True

28
Q

What tooth factor determines the success of a restoration?

A

the remaining tooth structure (aka: use minimal operative intervention)

29
Q

True or False: Removal of restorations results in an inevitable increase in cavity size as a consequence of removal of sound tooth structure.

A

True

30
Q

_______ of defective restorations should be considered as an alternative to replacement in some circumstances.

A

Repair

31
Q

How much sugar do americans eat per day?

A

22.7 tsp

32
Q

How many bacteria have been identified as potentially carcinogenic?

A

50

33
Q

The new theory of microbial communities insists that there is a tremendous number of diverse bacteria that function as a ________.

A

superorganism

34
Q

The _______ generated from sugar metabolism, not the sugar availability, is what changes microbial homeostasis in dental plaque.

A

low pH

35
Q

Under physiological conditions, saliva and oral fluids are _______ with respect to hydroxyapatite and fluorapatitie.

A

supersaturated

36
Q

True or False: if the oral fluids were unsaturated with respect to apatite, the dental hard tissues would dissolve without other reason.

A

True

37
Q

Transformation kinetics is a rate law that is a function of the pH at a constant _______.

A

Temperature

38
Q

Below pH _______ the HA favors demin.

A

5.5

Au 15- Early Clinic (9 decks)

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