CAMBRA (end of cario intro lec)

Question 1

what indicates extremely high risk

Answer 1

inadequate flow of saliva by observation or measurement

Question 2

what indicates high caries risk (our form)

Answer 2

one or more disease indicators OR

three or more risk factors OR

high acidogenic bacterial load by measurement (ATP meter >1500)

ADA: if less than 6 yrs old- any of the following ; any lesion in past 3 years, multiple risk factors, low socioeconomic status, suboptimal fluoride exposure, xerostomia
if older than 6 years old- any of the following: 3 or more lesions in past 3 years, multiple risk factors, suboptimal fluoride exposure, xerostomia

Question 3

what indicates moderate caries risk (our form)

Answer 3

one or two risk factors in the absence of any disease indicators

ADA: no lesion in last 3 years but at least 1 risk factor for less than 6 yrs old
-1 or more lesion in past 3 years or at least 1 risk factor if older than 6 yrs

Question 4

what indicates low caries risk (our form)

Answer 4

no disease indicators and no risk factors

ADA: no incipient or cavitated primary or secondary lesions in past 3 years and no risk factors

Question 5

what are listed disease indicators on axium form

Answer 5

• cavities / into dentin ; radiograph
• approximal enamel lesions
• white spots on smooth surfaces
• restorations in last 3 years

Question 6

what are listed as disease risk factors on axium

Answer 6

-high acidogenic bacterial load (ATP meter above 1500)
-visible plaque (heavy)
-frequent snacks more than 3x a day
-deep pits and fissures
-recreational drug use
-exposed roots
-inadequate saliva flow by observation or measurement
-saliva reducing factors (medications /radiation etc)
orthodontic appliances?