What you need to know about CAMBRA

Question 1

CAMBRA low Risk educational recommendations

Answer 1

+ reinforcement

Educate-PI with OHI as necessary

Question 2

Moderate Risk Level education recommendations

Answer 2

Explain the disease & the decay process

Identify contributing factors & address Explain non-surgical & surgical tx plan Educate- PI with OHI repeated

Question 3

High Risk educational recommendations

Answer 3

Explain the uncontrolled disease & decay

Identify contributing factors & address Modify non-surgical & surgical tx plan Educate-PI/OHI @ every apt

Question 4

Extreme risk level educational recommendations

Answer 4

Explain the uncontrolled disease & decay

Identify contributing factors & address Educate-PI/OHI & Modify Preventive Plan

Question 5

CAMBRA low risk level frequency of radiographs

Answer 5

Bitewing radiographs every 24-36 months

Question 6

CAMBRA moderate risk level frequency of radiographs

Answer 6

Bitewing radiographs every 18-24 months

Question 7

High risk level frequency of radiographs

Answer 7

Bitewing radiographs every 6-18 months or until no new cavitated lesions are evident

Question 8

Extreme risk level frequency of radiographs

Answer 8

Bitewing radiographs every 6 months or until no new cavitated lesions are evident

Question 9

Low risk level frequency of caries recall exam (FCRE)

Answer 9

Every 6-12 months Reevaluate caries risk

Question 10

evidence for chlorhexidine (CHX) against caries?

Answer 10

No but she says it works

Question 11

Moderate level FCRE

Answer 11

Every 4-6 months Reevaluate caries risk

Question 12

High level risk FCRE

Answer 12

Every 3-4 months Reevaluate caries risk Apply fluoride varnish

Question 13

Extreme risk level FCRE

Answer 13

Every 3 months Reevaluate caries risk Reapply fluoride varnish

Question 14

Do we do saliva tests here?

Answer 14

Not really

Question 15

Low risk Antimicrobial recommendation (AR)

Answer 15

per saliva test

Question 16

Moderate risk AR

Answer 16

Per saliva test.

Xylitol (6-10 grams/day) gums or candies. Two tabs of gum or two candies 4x/day.

Question 17

high risk AR

Answer 17

CHX 10ml for 1 minute daily for one week for one month. Xylitol (6-10 grams/day) gums or candies. Two tabs of gum or two candies 4x/day.

Question 18

Extreme risk AR

Answer 18

CHX in water base rinse 10ml for 1 minute daily for one week for one month. Xylitol (6-10 grams/day) gums or candies. Two tabs of gum or two candies 4x/day.

Question 19

Low risk F rec

Answer 19

NaF varnish if excessive root exposure & sensitivity

Question 20

Moderate Risk F rec

Answer 20

Baseline: 1-2 apps of NaF varnish Repeat: every 4-6 months

Question 21

High risk F Rec

Answer 21

Repeat: 1-3 apps of NaF varnish Repeat: every 3-4 months

Question 22

Extreme Risk level F Rec

Answer 22

Repeat: 1-3 apps of NaF varnish Repeat: every 3 months

Question 23

Low risk Dentrifice Rec

Answer 23

OTC fluoride toothpaste 2X daily

Question 24

Moderate risk Dentrifice

Answer 24

OTC fluoride toothpaste 2X daily .05% NaF rinse 2X daily

Question 25

High Risk Dentrifice

Answer 25

1.1% NaF toothpaste 2X daily Optional: .2% NaF rinse (1 bottle), then .05% NaF rinse 2X daily

Question 26

Extreme Risk Dentrifice

Answer 26

1.1% NaF toothpaste twice daily + 0.05% NaF rinse when mouth feels dry & after meals Possible at home gel tray applics

Question 27

pH control recommended for extreme risk

Answer 27

Acid-neutralizing rinses PRN: w/ dry mouth + after snacking + after breakfast + @ bedtime Baking soda gum as needed.