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AU 15- Oral Micro > Pediatric Caries Risk Assessment > Flashcards

Pediatric Caries Risk Assessment Flashcards

1
Q

What are the three pillars of clinical decision making?

A
  1. Evidence
  2. Clinical Expertise
  3. Patient Needs and Preferences
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2
Q

Why bother with caries risk assessment?

A
  • third party requests

- role in litigation

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3
Q

Risk predictors for kids that differ from adults: _______exposure and _____do not have same impact, _______ of caries is different, and ______ may affect risk prediction.

A

carbohydrate and oral hygiene
rapidity of advancement
fluoride

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4
Q

What are four preventative/risk management strategies used today?

A
  1. fluoride
  2. radiographs
  3. sealants
  4. Management of occlusal surfaces (dif. from sealing?)
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5
Q

Do not seal a tooth if it cannot be ____, if the proximal restoration involves _______ surfaces, or if the _______ of the tooth is short.

A

isolated
pit and fissure
life expectancy

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6
Q

A tooth should be sealed if the caries are in the ______ or the surface is questionable.

A

enamel

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7
Q

If the caries are in the dentin, what should be done?

A

restore

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8
Q

True or False: Children who had an early dental visit had fewer dentally related costs than those starting later.

A

True

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9
Q

What percentage of children with “caries experience” in the Head Start program had untreated caries?

A

73%

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10
Q

What percentage of pre-school children in Ohio had caries experience?

A

38%

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11
Q

According to current AAP Policies, every child should receive oral health risk assessment by ______ of age.

A

6 months

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12
Q

True or False: According to studies, intensifying prevention provides additional benefit in controlling dental caries.

A

False: high risk preventative protocol compared to counseling + 1 fluoride varnish = no difference in risk between groups

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13
Q

______ or _____ are the best indicators of risk. By early adulthood, CRA is probably not useful.

A

existing dental caries

restorations

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14
Q

Pediatric CRA places children in one of ____ categories based on yes/no responses to various factors.

A

two (high risk or low risk)

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15
Q

Primary Risk Factors (according to AAPD) place children as low risk, at risk, or high risk. Where would this child’s risk be?
“Plaque but brushing, two sugar exposures, bottle at meals, unsure of fluoride intake, white spots”

A

at risk

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16
Q

“Plaque/not brushing, 3 or more sugar exposures outside meal time, bottle at night, sub-optimal fluoride, overt caries.” This child is?

A

High risk

17
Q

Is there solid evidence to support the practice of treating patients based solely on CRA?

A

NO!!!!!

18
Q

What tools are clinically useful in caries management?

A

Historical and Clinical

19
Q

What does “historical analysis” entail?

A

low SES, sugar exposures, fluoride status, ethnicity

20
Q

What does “clinical analysis” entail?

A

plaque on teeth, existing caries, dentist instict, strep mutans

21
Q

Caries assessment tools may be ____ and ____ specific.

A

age

culture

22
Q

True or False: Poor children tend to have more caries but there is no way to quantify SES for individual use.

A

True

23
Q

What is the sugar exposure threshold for “High Risk?”

A

3 or more per day

24
Q

What is the pH “red zone?”

A

less than 5.5

25
Q

True or False: Studies attribute increased risk of caries to minority populations and immigrants.

A

True

26
Q

True or False: Cultural differences are relevant in individual patient care.

A

False

27
Q

True or False: On an individual basis, fluoride exposure is a good risk consideration.

A

False: only good on a population basis, individual basis is weak

28
Q

What is the “Halo Effect” that complicates use of fluoride as a risk factor?

A

observer’s overall impression of a person, company, brand, or product influences the observer’s feelings and thoughts about that entity’s character or properties

29
Q

Which population has the highest risk of caries in the U.S?

A

Native Americans

30
Q

True or False: The dentist’s “feeling” about future caries proved to be a good predictor.

A

True

31
Q

ECC predicts future caries often in spite of _____.

A

prevention

32
Q

_____ ECC predicts _____ ECC.

A

anterior predicts posterior

33
Q

Potential risks for pediatric oral health include _____smoke and ____ poisoning.

A

passive smoke

lead poisoning

34
Q

True or False: Strep mutans testing studies are inconclusive because many are complicated by too many categories.

A

True

35
Q

_____ and ____ risk factors have a role in direct patient care by serving as a rationale to allocate time and resources deferentially in a practice.

A

historical and clinical

36
Q

True or False: The most beneficial use of current risk prediction is for the caries-free population

A

True: not for the caries-active population

AU 15- Oral Micro (11 decks)

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