Peds Caries Risk Assessment Flashcards
why do caries risk assessment
required for clinical services, may be used in litigation and may determine standard of care in future
what are the three pillars of decision we use to combine and make a diagnosis
clinical evidence
clinical expertise
patients needs and preferences
how are children and adults different pertaining to caries
children and adults impacted differently by carb exposure and hygiene
advancement of caries different
exposure to F and immunity factors may affect risk prediction
what are the risk assessments used today
F, Radiographs, sealants, occlusal surface management
future applications for risk assessment
diet analysis, antimicrobial use, recall intervals, choice of restorative material
percentage of ohio pre school children with caries
38%
28% untreated
12% baby bottle decay
Head start= 73% untreated caries
what are the risk groups for caries in peds
CSHCN, maternal high caries, plaque, nocturnal breast or bottle, late order birth, low SES
when should EVERY child receive a oral health risk assessment by
BY 6 MONTHS!!
children identified as at risk should see a dentist by when
6 and 2 months
does intensifying prevention provide additional benefits?
NO!!
what happens with age
caries increase with age
what is the best indicator of risk
existing dental caries and or restorations and new caries
what should the ideal risk assessment tool include
easy and quick, non invasive, reproducible,
have validity, inexpensive, related to treatment
what are the primary risk factors of AAPD
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
what do studies tell us about caries risk assessments
no one test meets all needs, benefit may be population based, high risk = results may be disappointing
