Oral Risk Assesment Flashcards
Oral health in the news
•IADR/AADR publish article on the global economic impact of dental diseases
•
- Direct treatment: US$298 billion yearly (___% of global health expenditure).
- Indirect costs US$144 billion yearly, corresponding to economic___s within the range of the 10 most frequent global causes of death
•
•IADR/AADR publish article on the global economic impact of dental diseases
•
- Direct treatment: US$298 billion yearly (4.6% of global health expenditure).
- Indirect costs US$144 billion yearly, corresponding to economic losses within the range of the 10 most frequent global causes of death
•
Oral health in the news
- “A new study has confirmed that regular smokers have a significantly ____ risk of tooth loss.”
- “Male smokers are up to ___ times more likely to lose their teeth than ___ ___, whereas female smokers were found to be ___ times more likely.”
•“A new study has confirmed that regular smokers have a significantly increased risk of tooth loss.”
•
•
•“Male smokers are up to 3.6 times more likely to lose their teeth than non-smokers, whereas female smokers were found to be 2.5 times more likely.”
•
•T. Dietrich, C. Walter, K. Oluwagbemigun, M. Bergmann, T. Pischon, N. Pischon, H. Boeing. Smoking, Smoking Cessation, and Risk of Tooth Loss: The EPIC-Potsdam Study. Journal of Dental Research, 2015
What is oral health risk assessment?
- Based on the principle that everyone has___ ____ to disease
- With a proper risk assessment we can ___ the ___ plan towards individual needs of the patient
- Information is collected with a __ with formulated, validated ___-based questions
- Example: an individual that had a ___ ___ in the __ ___is considered to be more susceptible to caries than an individual who never had a lesion
•
•
•Based on the principle that everyone has different susceptibility to disease
•
•With a proper risk assessment we can tailor the treatment plan towards individual needs of the patient
•
•Information is collected with a form with formulated, validated evidence-based questions
•
•Example: an individual that had a carious lesion in the past year is considered to be more susceptible to caries than an individual who never had a lesion
•
•
Dental treatment customized based on the
patient’s risk levels for:
- ____
- ___ ___
- __ __
Dental treatment customized based on the
patient’s risk levels for:
- caries
- periodontal disease
- oral cancer
Why is it important?
•Without risk assessment, treatment plan is based on the ___/___ and not patient’s ___ to disease
•
•
•
•
•Without risk assessment, treatment plan is based on the lesion/disease and not patient’s risk to disease
•
•
•
•
Oral Health Risk Assessment
- Early___ and ___
- Treatment based on ___, early intervention, and ___ therapy
- Long-term ____ of teeth
___ economic burden
•Improved __ ___
•
•Early diagnosis and intervention
•
- Treatment based on prevention, early intervention, and targeted therapy
- Long-term retention of teeth
•
•Lower economic burden
•
•Improved oral health
•
Individual susceptibilit to disease
Let’s take a look at this diagram that summarizes the complex and multifactorial caries process. A disease that is really dynamic: you have a combination of factors and the population is susceptible to this disease throughout their lives.
Individual susceptibility
to disease
Let’s take a look at this diagram that summarizes the complex and multifactorial caries process. A disease that is really dynamic: you have a combination of factors and the population is susceptible to this disease throughout their lives.
__ __
__
__ __
(CAMBRA)
•Introduced in ___
•
•___ ___ Association Journals
•
•Applying ___ principles to __ practice
They published their CAMBRA in California Dental Association Journals
Caries Management
by
Risk Assessment
(CAMBRA)
•Introduced in 2003
•
•California Dental Association Journals
•
•Applying scientific principles to daily practice
They published their CAMBRA in California Dental Association Journals
Patient’s caries risk level will determine:
•___ ___
•
•__ __
•
__ _
Patient’s caries risk level will determine:
•Treatment plan
•
•Caries Prevention
•
•Caries Management
Caries Disease Process
Caries is an infectious, progressive disease starting with incipient changes in the ___crystals in the mouth, to a visible __ __ lesion, ___ involvement and finally ___.
- Sound tooth surface
- White spot lesion: This is where we want to intervene
- Lesion further developed. Lesion with a soft floor
- Tooth restored but demineralization continues and lesion is surrounding the restoration. Also called secondary caries.
- Demineralization progresses and undermines the tooth
- Tooth has fractured
Caries is an infectious, progressive disease starting with incipient changes in the apatite crystals in the mouth, to a visible white spot lesion, dentin involvement and finally cavitation.
- Sound tooth surface
- White spot lesion: This is where we want to intervene
- Lesion further developed. Lesion with a soft floor
- Tooth restored but demineralization continues and lesion is surrounding the restoration. Also called secondary caries.
- Demineralization progresses and undermines the tooth
- Tooth has fractured
Documentation of risk assessment
- ___ ___•
- ___ ___
•
•___
•
Empowering ___s to be ___s in oral health!
•Risk assessment
•
•Disease management
•
•Outcomes
•
Empowering patients to be partners
in oral health!
Conservative Caries Management
___ caries ___
- •Assessment of individual’s risk of caries ___
- Use ___ to enhance remineralization and/or reduce the bacterial challenge by the use of ____ therapy•
- Use __ ___e restorative procedures to ___ tooth structure.
Conservative Caries Management
•Early caries detection
•
•Assessment of individual’s risk of caries progression
•
•Use fluoride to enhance remineralization and/or reduce the bacterial challenge by the use of antibacterial therapy
•
•Use minimally invasive restorative procedures to conserve tooth structure.
Non-cavitated lesions
- Opportunity for r____
- Explorer should be used ____
- Nomenclature: avoid the term “___”
Explorer should be used carefully.
Non-cavitated lesions
•Opportunity for remineralization
•
- Explorer should be used carefully
- Nomenclature: avoid the term “watch”
Explorer should be used carefully.
Incipient decay - ____
- “ A caries lesion with a surface that has___t its original ___r/integrity, within an ___l lesion, and/or a very small c___ with no detectable ___ at the base”
- Possible to___ with ___ ___t or f___
- Will also benefit of ___n strategies
Incipient decay - microcavitation
•“ A caries lesion with a surface that has lost its original contour/integrity, within an enamel lesion, and/or a very small cavity with no detectable dentine at the base”
•
•Possible to restore with fissure sealant or flowable
•
•Will also benefit of remineralization strategies
Extensive decay
•Patient a ___h risk of caries
•
•Important to achieve __ ___
•
Extensive decay
•Patient at high risk of caries
•
•Important to achieve disease control
•
