test 2, Cariology cambra, caries risk and management

Question 1

Whats the best predictor of caries risk?

Answer 1

current caries experience.

Question 2

how is the caries experience calculated?

Answer 2

1. count the number of lesions present

2. record the number of restorations of past 3 years

Question 3

what would be considered a high rate of activity?

Answer 3

yearly increment of 2+ lesions, also caries in areas of high salivary flow.

Question 4

what year did JADA publish the first outline of caries risk assesment?

Answer 4

1995

Question 5

whats the population approach in caries risk assesment?

Answer 5

indentification and quantification of risk factors that can significantly compromise the health of the population and intervention strategies that can help. ( fluoridation of water)

Question 6

Whats the individual approach in caries risk assesment?

Answer 6

includes the presence or absence of factors the carious process( medications, habits, lifestyle) and inserting these variables into statistical decision models to predict a personos risk of disease over some future period.

Question 7

What are the 2 objectives to this patient specific CRA?

Answer 7

1. Dentists can use it for decision making process

2. use it as educational opportunity for patients

Question 8

what does CAMBRA stand for

Answer 8

caries management by risk assesment ( started in 2002)

Question 9

in 2007 the CDA CRA ws created which inculded what 3 things?

Answer 9

disease indicators, risk factors, protective factors

Question 10

What are disease indicators of CDA CRA?

Answer 10

markers that are indicative of past caries, these are not causative factors
ex: visible cavities, radiograph penetration into dentin, interproximal enamel lesions, white spots, restorations placed whithin last 3 years

Question 11

what are disease risk factors of CDA CRA?

Answer 11

things that increase demineralization

ex: certain bacteria, snacking, drugs, ortho, salivary reduction, soda, medical problems ( GERD)

Question 12

what are disease protective factors of CDA CRA?

Answer 12

things that enhance remineralization

ex: salivary flow, fluoride, xylitol, proper OH, sealants, proper diet

Question 13

if a person has ___ or more disease indicators they are considered high risk.

Answer 13

1

Question 14

what makes someone considered “ extreme risk patient”

Answer 14

a high risk person with xerostomia or special needs issues.

Question 15

what makes someone considered “ low risk” for careis

Answer 15

little or no caries/restorations

Question 16

what makes someone a “moderate risk” patient for caries?

Answer 16

hard to diagnos because of variability. These Pts can are in the middle and can go either way. These Pt’s are important to educate them

Question 17

what is ICCMS?

Answer 17

international caries classification and management system- It was released in 2015 and is a universal system used to diagnose caries detection.