Caries Risk Assessment (paediatrics) Flashcards
What are the 7 main risk factors for caries
- clinical evidence
- dietary habits
- social history
- use of fluoride
- plaque control
- saliva
- medical history
What can clinical evidence be split into
- caries experience
- orthodontics
- prosthetics
What do we look at specifically when looking at dietary habits
- frequency of sugar
What are we looking at when looking at social history
- SIMD category
- Single parent families
- Inequalities
What are we looking at specifically in a medical history that would help us determine risk
- medically compromised
- physical disability
- xerostomia
- long term poly pharmacy
When looking at clinical evidence and specifically at caries experience, what would point to a patient being higher risk
- A dmft/DMFT equal to/greater than5 is high risk
- Caries in 6’s at 6 years is high risk
- 3 year caries increment being equal to/higher than 3 is high risk
When looking at clinical evidence and specifically at orthodontics, what would point to a patient being higher risk
Fixed appliance therapy
When looking at clinical evidence and specifically at prosthetics, what would point to a patient being higher risk
fixed/removable appliances
What frequency of sugar would point to a patient being higher risk
3 or more sugar intakes
When looking at fluoride use, what would make a patient at higher risk of caries
infrequent use of fluoride toothpaste
What are 8 elements of the preventive programme
- Radiographs
- Toothbrushing instruction
- Strength of fluoride in toothpaste
- Fluoride varnish
- Fluoride supplementation
- Diet advice
- Fissure sealants
- Sugar free medicine
How often should low risk patients get radiographs
every 12-18 months
bitewings
How often should high risk patients get radiographs taken
every 6 months
bitewings
