E1 Huang Flashcards
(40 cards)
What are the criteria (4) for high risk CAMBRA?
- Visible cavities
- Caries restored in the last 3 years
- Interproximal carious lesions/radiolucecy
- White spots on enamel surfaces
What are the additional factors for high risk CAMBRA?
Bacterial test for MS and LB.
Observations tell us nothing about the cause of disease
What are the criteria for moderate risk CAMBRA?
- MS and LB is medium or high by culture
- Visible heavy plaque
- Frequent snacks
- Deep pits and fissures
- Recreational drug use
- Low salivary flow (less than .5ml/min)
- Saliva reducing factors (meds, radtherapy, systemic diseases (Sjogren’s sydrome))
- Exposed tooth roots
- Ortho appliances present
Is a bacterial test required for moderate risk CAMBRA?
No, it is optional
What are the criteria for low risk CAMBRA?
- Fluoridatation
- Fluoride toothpaste 1-2x daily
- Fluoride mouthrinse daily (.05% NaF)
- 5000 ppm F toothpaste
- Fluoride varnish in last 6 months
- Office fluoride topical in last 6 months
- CHX used one week each off last 6 months
- Xylitol 4x daily last 6 months
- MI paste last 6 months
- Adequate saliva flow (greater than 1ml/min)
What is the effect of diet?
Frequent snacks increase time in demineralization phase
What does dietary survey measure?
Liquid
Solid or sticky
Slowly dissolving
Calculate dietary risk
What is the normal simulated salivary flow?
1.0 to 3.0 mL/min or more
What rate of salivary flow is considered high risk?
Less than .7 mL/min
What is the effect of fluoride in plaque?
Inhibits bacterial glycolysis
What is highly correlated with MS bacterial levels?
ATP acitivity
What do the CariScreen numbers mean?
0-1500=low risk
1501-9999=high risk
How much CHX to use for how long?
10mL and swish for 1 minute daily for 7 days and then discontinue
What is the difference b/w DMFT and dmft?
Capital letters are for permanent teeth. Lower case for primary teeth. Decayed Missing Filled Teeth
What does the development of caries require?
- Susceptible tooth
- Time
- Pathogenic bacteria
- Substrate
Are antimicrobials indicated for low and moderate risk CAMBRA? High and Extreme?
No.
Yes.
Is the bacterial test indicated for low or moderate risk CAMBRA?
May be done as reference for new patient. Or for moderate risk if high bacterial challenge is suspected.
What is the difference for fluoride recommendation b/w low and medium risk CAMBRA?
OTC fluoride twice daily for both, however, for moderate also add fluoride rinse (.05% NaF) daily
What is the difference for fluoride recommendation b/w high and extreme risk CAMBRA?
Fluoride varnish for both. Extreme = fluoride trays for at home application with Prevident 5000 gel daily 5 minutes
What is the recommended frequency of xrays for low and moderate CAMBRA? High? Extreme?
BWs every 18-24 months.
High = BWs 6-12 months
Extreme = BWs every 6 months
What is the recommended frequency of Periodic Oral Exams (POE) for low and moderate CAMBRA? High? Extreme?
Every 12 mths.
High = 6-12 mths and apply fluoride varnish
Extreme = 3-6 mths and apply fluoride varnish
What is the recommended frequency of Xylitol/Baking soda for low and moderate CAMBRA? High? Extreme?
Low = none Moderate = 2 sticks 2x daily High = 2 sticks 4x daily Extreme = Baking soda 2 tsp. in 8oz 4-6x daily AND Xylitol 4x daily
What is the recommendation regarding sealants for low and moderate CAMBRA? High? Extreme?
Low = none
Moderate to Extreme = Sealants for deep pits and fissures
DMF indices, what do most studies measure?
D2-D4 caries
