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Oral Microbio > Pediatric Caries Risk Assessment > Flashcards

Pediatric Caries Risk Assessment Flashcards

1
Q

Why bother with a Caries Risk Assessment?

A

Required for OSU Clinical services
Third parties request it
May have a role in litigation
Will likely influence care in the future

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2
Q

Why are pediatric caries risk assessments different than that of adults?

A

Carbohydrate and exposure and oral hygiene do not have the same impact in adults as children
Rate of caries advancement is different
Exposure to fluoride and immunity factors may affect risk production

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3
Q

What help lower caries risk today?

A

Fluorides
Radiographs
Sealants
Management of occlusal surfaces

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4
Q

How many pre-school kids in Ohio have “caries experience”

A

38%

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5
Q

How many pre-school kids in Ohio have untreated caries?

A

28%

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6
Q

How many kids in Ohio have “baby bottle caries”?

A

12%

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7
Q

How many “Head Start” kids with “caries experience” have untreated caries?

A

73%

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8
Q

What are the results of children who have early preventive dental services?

A

More likely to use preventative services subsequently
Have fewer dental related costs than those starting later
Have fewer caries-related treatments

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9
Q

T/F - Intensifying prevention provides additional benefit

A

False

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10
Q

What are characteristics of the ideal caries risk assessment tool?

A 
Quickly and easily applied
Be non-invasive
Be reproducible
Have validity
Be inexpensive
Relate to treatment
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11
Q

According to the AAPD what are the factors for ‘low risk’?

A 
No plaque
Sugar only at meals
No bottle use
Optimal F intake
No caries
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12
Q

According to the AAPD, what are the factors for ‘at risk’?

A 
Plaque, but brushing
Two sugar exposures outside meals
Bottle with meals only
Fluoride intake unsure
White spots only
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13
Q

According to the AAPD, what are the factors for ‘high risk’?

A 
Plaque and not brushing
3 or more sugar exposures outside meals
Bottle at lib or at night
Sub-optimal F intake
Overt caries or restorations
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14
Q

Is there any evidence to support the claim to treat based on caries risk?

A

No - it’s used as a tool to help us teach patients

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15
Q

T/F - a caries risk test meets all requirements for individual patient use

A

False

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16
Q

T/F - caries assessment tools can be age and culture-specific

A

True

17
Q

T/F - benefits of caries risk assessments are not individual, but population-based

A

True

18
Q

T/F - simple tools do not have a role in practice

A

False

19
Q

What historical markers are clinically relevant to determine caries risk?

A

Low socio-economic status
Sugar exposures
Fluoride status
Ethnicity

20
Q

What clinical markers can be useful in determining caries risk?

A

Plaque on teeth
Existing caries
Dentist’s instinct
Strep mutans

21
Q

Why is low socio-economic status associated with dental caries?

A

Poor children have more caries
Some risk at individual level, but not clinically useful
Probably a surrogate measure for other factors

22
Q

What is the factor of Fluoride exposure based on?

A

On a population basis, fluoride exposure is a good risk factor, but is weak based on individual basis

23
Q

T/F - Fluoride exposure plus oral hygiene is stronger risk factor than fluoride alone

A

True

24
Q

Does race or ethnicity really matter in caries risk?

A

Numerous national and international studies attribute increased risk of caries to minority and immigrant populations
Individual application has not been shown to be useful in patient care
May be a surrogate for other measures (dietary, financial, accessibility to care, etc)

25
Q

What population has the highest caries risk in the US?

A

Native American populations
Had lowest rate before westernized diet appeared
This demonstrates the complexity of CRA because risk is so great and no preventive techniques can drop caries rate to 0

26
Q

What is plaque on teeth a signal of?

A

It’s a measure of tooth cleaning
Gingival health may be a surrogate measure
Probably reflects an overall attention to oral/general health

27
Q

T/F - ECC predicts future caries in spite of prevention

A

True

28
Q

White spot lesions

A

Will turn carious
Good reason for intensive prevention
In a caries-active child, it’s a good reason to treat the tooth
Good use for F varnish

Oral Microbio (11 decks)

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