CRA

Question 1

What factors put patients ages 0-5yo at HIGH risk for caries?

Answer 1

::Risk factors [social, behavioral, medical]::
- Mother/caregiver has active caries
- Parent/caregiver has life-time of poverty, low health literacy
- Child has frequent exposure (>3x/day) between-meal sugar-containing snacks or beverages per day
- Child uses bottle or nonspill cup containing natural or added sugar frequently, between meals and/or at bedtime

::Risk factors [clinical]::
- Child has visible plaque on teeth
- Child presents with dental enamel defects

::Disease indicators::
- Child has non-cavitated (incipient/white spot) caries lesions
- Child has visible caries lesions
- Child has recent restorations or missing teeth due to caries

No protective factors

Question 2

What factors put patients ages 0-5yo at MODERATE risk for caries?

Answer 2

::Risk factors [social, behavioral, medical]::
- Child is a recent immigrant
- Child has special health care needs

No protective factors

Question 3

What factors put patients ages 0-5yo at LOW risk for caries?

Answer 3

::Protective factors::
- Child receives optimally-fluoridated drinking water or fluoride supplements
- Child has teeth brushed daily with fluoridated toothpaste
- Child receives topical fluoride from health professional
- Child has dental home/regular dental care

No risk factors

Question 4

What factors put patients ages ≥6yo at HIGH risk for caries?

Answer 4

::Risk factors [social, behavioral, medical]::
- Patient has life-time of poverty, low health literacy
- Patient has frequent exposure (>3x/day) between-meal sugar-containing snacks or beverages per day

::Risk factors [clinical]::
- Patient has low salivary flow
- Patient has visible plaque on teeth
- Patient presents with dental enamel defects

::Disease indicators::
- Patient has interproximal caries lesion(s)
- Patient has new noncavitated (white spot) caries lesions
- Patient has new cavitated caries lesions or lesions into dentin radiographically
- Patient has restorations that were placed in the last 3 years (new patient) or in the last 12mo (patient of record)

No protective factors

Question 5

What factors put patients ages ≥6yo at MODERATE risk for caries?

Answer 5

::Risk factors [social, behavioral, medical]::
- Child is a recent immigrant
- Patient uses hyposalivatory medication(s)
- Patient has special health care needs

::Risk factors [clinical]::
- Patient wears an intraoral appliance
- Patient has defective restorations

No protective factors

Question 6

What factors put patients ages ≥6yo at LOW risk for caries?

Answer 6

::Protective factors::
- Patient receives optimally-fluoridated drinking water
- Patient has teeth brushed daily with fluoridated toothpaste
- Patient receives topical fluoride from health professional
- Patient has dental home/regular dental care

No risk factors

Question 7

CRA mnemonic

Answer 7

West Virginia High Schoolers Have Decayed, Missing, Filled (tooth) Surfaces
- White spot lesions
- Visible plaque/caries
- Hygiene
- Diet
-SES
- Home
- Diet
- Meds
- Fluoride
- Special healthcare needs