Peds Caries Risk Assessment Flashcards

1
Q

why do caries risk assessment

A

required for clinical services, may be used in litigation and may determine standard of care in future

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2
Q

what are the three pillars of decision we use to combine and make a diagnosis

A

clinical evidence
clinical expertise
patients needs and preferences

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3
Q

how are children and adults different pertaining to caries

A

children and adults impacted differently by carb exposure and hygiene
advancement of caries different
exposure to F and immunity factors may affect risk prediction

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4
Q

what are the risk assessments used today

A

F, Radiographs, sealants, occlusal surface management

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5
Q

future applications for risk assessment

A

diet analysis, antimicrobial use, recall intervals, choice of restorative material

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6
Q

percentage of ohio pre school children with caries

A

38%
28% untreated
12% baby bottle decay
Head start= 73% untreated caries

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7
Q

what are the risk groups for caries in peds

A

CSHCN, maternal high caries, plaque, nocturnal breast or bottle, late order birth, low SES

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8
Q

when should EVERY child receive a oral health risk assessment by

A

BY 6 MONTHS!!

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9
Q

children identified as at risk should see a dentist by when

A

6 and 2 months

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10
Q

does intensifying prevention provide additional benefits?

A

NO!!

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11
Q

what happens with age

A

caries increase with age

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12
Q

what is the best indicator of risk

A

existing dental caries and or restorations and new caries

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13
Q

what should the ideal risk assessment tool include

A

easy and quick, non invasive, reproducible,

have validity, inexpensive, related to treatment

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14
Q

what are the primary risk factors of AAPD

A

low risk: no plaque sugar only at meals F intake, no bottle use, no caries
at risk: plaque but brushes, 2 sugar exposures, bottle at meals, F unsure, white spots only
HIGH risk: plaque no brushing, 3 or more sugar exposures outside meals, bottle at lib, sub optimal F, caries or restorations

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15
Q

what do studies tell us about caries risk assessments

A

no one test meets all needs, benefit may be population based, high risk = results may be disappointing

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16
Q

is there an evidence to support treatment of a patient based on carries risk assessment?

17
Q

Historical tools used in clinic?

A

low SES, sugar exposures, F status, ethnicity

18
Q

Clinical tools used in clinic?

A

plaque presence, existing caries, dentist’s instinct, S mutans

19
Q

Socioeconomic status has an impact on caries rates?

A

most likely

poor children have more caries

20
Q

is exposure to sugar a caries predictor?

21
Q

how many sugar exposures put a child in the high risk category

A

3 sugar exposures= high risk

22
Q

is F exposure a good or bad risk factor on a population basis?

A

F exposure = good factor on population basis
F exposure= weak for individual basis
complicated by halo effect

23
Q

F as a predictor is good/ not good for primary teeth and caries

A

NOT good for primary teeth

24
Q

primary teeth require F and what as a risk factor

A

F + oral hygeine

25
are minorities and immigrant population more at risk for caries?
YES at least studies show they are
26
who has highest caries rate in the US
native americans used to be lowest until westernized diet appeared included familial transmission and elements of microflora
27
does frequency of brushing teeth affect caries rate
yes the more a child brushes the less caries he/she has
28
what does plaque on teeth measure
plaque presence or absence measures tooth cleaning
29
Does ECC predict future dental caries?
YES often in spite of prevention
30
anterior ECC predicts what
posterior ECC
31
will white spot lesions turn carious?
YES!!
32
white spots in a caries free child says what?
START a intensive prevention program!
33
in a caries active child white spots mean what
treat the tooth!
34
white spot lesions are a good reason to use what
F varnish
35
what is the most beneficial use of carries risk assessment?
CRA most beneficial for caries free population