CAMBRA Quiz Flashcards
High risk indicators:
Visible cavitites and/or lesions, or radiographic penetration into dentin, ACTIVE proximal enamel lesions on X-ray, Active white spots on smooth surface, restorations in last 3 years
When is a patient low vs medium risk?
Low: no indicators and 1 risk factor, Moderate: no indicators and 2 risk factors
Fluoride protocol for high risk patient:
Fluoride varnish every 3 months and Rx toothpaste 2X/daily, include before bed
True or False? High risk patients are the only one that use Rx toothpaste.
T
True or False? Both Moderate and high risk patients are Rx fluoride rinse.
F. Moderate ONLY
Moderate risk patient protocol:
Fluoride varnish every 6 months, OTC toothpaste twice daily, OTC rinse 1-2 times/day at a separate time other than the brushing.
Low risk patient protocol:
OTC rinse 1-2 times/day
For which patients are OHI required?
Patients with visible plaque, patients who only brush once a day (or less)), or patients who don’t floss. They need to brush twice daily and need to be taught how to brush better.
Which patients need to be taught how to floss?
patients who are not flossing, they should be daily, so OHI are required
What to advise patients who are not regularly consuming fluoridated water:
drink or cook with fluoridated tap water
Protocol for patients with deep pits and fissures and a high risk:
If they have pit and fissures lesions they should all be sealed (and premolars with deep pits/ fissures)
Protocol for patients who take medications without any dry mouth symptoms:
should be told to watch for a feeling of dry mouth.
Protocol for patients who report dry mouth symptoms:
warn to avoid sugary drinks, candies or cough drops and drink fluoridated water instead. Non-alcohol rinses might also help.
Protocol for patients with restorations with overhangs, open margins, or open contacts:
Restorations should be recontoured, repaired or replaced, especially if the patient is at high or moderate risk
Protocol for patients with exposed roots:
need to be cleaned carefully by the patient. Fluoride varnish application can help (for moderate and high risk patients.
Protocol for patients with orthodontic appliances, removable partial dentures and fixed bridges:
Specific oral hygiene instructions should be given because they can accumulate plaque and food and are difficult to clean
Protocol for patients who have not seen a dentist in over 6 months or who only come when they have a problem:
should be counseled on the importance of regular “check-up”/recall visits
Protocol for patients who frequently snack (3+ times a day):
snack less, choose non-cariogenic foods, pH in the mouth can never balance
Protocol for patients who snack less than 3 times per day:
should be counseled to eat non-cariogenic snacks
Is constant sipping on a soda a high or low risk behavior?
high, even with 1 drink
Protocol for patients who drinks over 15 minutes:
should be counseled to reduce the amount, or the exposure time, or use sugar substitute.
True or False? OHI should be given to patients who brush twice daily.
T. Most patients do not effectively remove their plaque
What should all patients be told?
Spit and do not rinse.
When to Rx chlorhexidine rinse:
patients with a frequent dry mouth and patients with poor oral hygiene and gingival inflammation
True or False? Patients who use chlorhexidine should rinse in conjuction with tooth brushing.
F. Rinsing should happen at another time of day
When to Rx MI Paste:
patients with active class 5 white spot lesions and patients with active class 2 lesions in enamel
