Lecture 8- Pediatric caries assessment

Question 1

Which is more important adult CRA or child CRA?

Answer 1

child CRA

Question 2

What is the best indicator of risk

Answer 2

existing childhood caries or restorative

Question 3

Ohio pre-school oral health studies show that ..% of kids have caries. What percent are untreated caries?

Answer 3

38% have caries

28% untreated caries (but untreated is heavily skewed to underserved areas such as the kids we see in Head Start)

Question 4

(T/F) Children who had an early preventative visit more likely to use preventative services

Answer 4

True

Question 5

Who has lower dental costs: children with early dental visits or children with later dental visits

Answer 5

Children with early dental visits

Question 6

A child shows up with no plaque, only consumes sugar at meals, and does have caries.
According to AAPD, they are what risk level?

Answer 6

low risk (also assoc. with F intake)

Question 7

A child show up that has 1 or 2 sugar consumptions outside of meals but we are unsure about Fluoride intake.
According to AAPD, they are likely what risk level?

Answer 7

at risk (also assoc. bottle at meals and white spots but no overt caries)

Question 8

A child shows up and parents admit to not brushing (which is visible by amount of plaque) and kid constantly carries a sippy cup with juice.
According to AAPD, they are likely what risk level?

Answer 8

high risk (also assoc. with suboptimal F intake and overt caries)

Question 9

Historic factors for increased caries risk include? (4)

Answer 9

• low SES
• increased sugar exposure
• lower fluoride intake
• ethnicity

Question 10

Clinical factors for increased caries risk include? (4)

Answer 10

• plaque
• existing caries (best predictor)
• dentist instinct
• S. mutans