Questions and Answers
Which of the following are caries risk assessment systems? (Select all that apply)
What does ADA Caries Risk Assessment include?
Contributing factors, general health conditions, clinical conditions, and risk levels (low, moderate, high).
What is the AAPD Cat used for?
It is for infants, children, and adolescents and does not assess adults.
What does the AAPD Caries Risk Management Protocol include?
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What is a cariogram?
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What are the factors included in a cariogram?
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Why was CAMBRA developed?
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What are the assessment forms for CAMBRA?
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What categories are included for 7-adult in CAMBRA?
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CAMBRA is based on?
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What does the protocols of CAMBRA include?
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What is the International Caries Classification and Management System (ICCMS)?
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The protocols for ICCMS vary by risk level and include which of the following?
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What is the planning care for patients with low caries risk?
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What is the planning care for patients with moderate caries risk?
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What is the planning care for patients with high and extreme caries risk?
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How to continue care after assessment?
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What is the recommended frequency of X-rays for extreme high-risk caries?
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What is the recommended frequency of X-rays for high-risk caries?
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What is the recommended frequency of X-rays for moderate risk caries?
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What is the recommended frequency of X-rays for low risk caries?
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Study Notes
Caries Risk Assessment Systems
- Caries Risk Assessment (CRA) includes the ADA Caries Risk Assessment, AAPD Caries Risk Assessment Tool (CAT), Cariogram, and Caries Management by Risk Assessment (CAMBRA).
ADA Caries Risk Assessment
- Evaluates factors such as fluoride exposure, sugary food/drink consumption, family caries history, and dental visitation frequency.
- Takes into account general health conditions and clinical variables.
- Classifies risk levels into low, moderate, and high.
AAPD Caries Risk Assessment Tool (CAT)
- Designed exclusively for infants, children, and adolescents.
- Assesses biological factors like sugary snacks intake, special healthcare needs, recent immigration, low socioeconomic status, and caregiver's active caries.
- Protective factors include fluoride exposure, daily brushing, topical fluoride, and regular dental care.
- Clinical findings focus on decayed or missing teeth, white spot lesions, and plaque presence.
- Risk levels categorized as low, moderate, and high.
AAPD Caries Risk Management Protocol
- Structured using evidence-based literature and expert panel insights.
- Takes into account risk levels and the level of cooperation from patients and parents.
- Tailored to the child's age, including diagnostics, interventions, and restorations.
Cariogram
- Provides a visual representation showing the relationship between caries and various etiological factors.
- Predicts future caries risk based on multiple variables.
Factors in a Cariogram
- Considers bacteria levels, dietary habits, susceptibility factors (fluoride exposure, saliva secretion), and past caries experiences.
- Displays risk in a pie chart format indicating the percentage chance of avoiding new caries.
CAMBRA Development
- Developed post two conferences in California starting in 2003, with large-scale pilot tests leading to modifications in assessment forms in 2007.
CAMBRA Assessment Forms
- Separate forms for ages 0-6 and for ages 7 to adult.
Risk Categories for Ages 7-Adult
- Includes disease indicators, risk factors, protective factors, and classifies risk levels as low, moderate, high, or extreme.
CAMBRA Foundation
- Based on assessing risk level and clinical judgment.
CAMBRA Protocols
- Comprises diagnostics, intervention, and restorative measures.
- Compliant patients show a significant reduction in caries.
International Caries Classification and Management System (ICCMS)
- Developed from extensive literature analysis and global expert consensus.
- Acts as a systematic guide for clinicians to devise management plans based on caries risk.
ICCMS Protocols by Risk Level
- Varies based on risk level and includes diagnostics, interventions, and restorations.
Care Planning for Low Caries Risk
- Focuses on primary prevention and positive feedback/education to sustain oral health.
- Encourages reviewing habits that contributed to low risk and recommends continued care.
Care Planning for Moderate Caries Risk
- Addresses factors that heighten caries risk; supports current protective factors.
- Emphasizes motivational interviewing for behavior change, dietary improvements, and enhancing daily biofilm removal.
- Recommends dietary additions like xylitol products and caries preventive foods.
Care Planning for High and Extreme Caries Risk
- Advocates improved biofilm removal and dietary counseling.
- Recommends xylitol product use and antimicrobial therapy.
- Initial fluoride varnish applications suggested, followed by applications every 3-4 months.
Continued Care Assessment
- Involves biofilm control assessment, caries risk reassessment, clinical detection for demineralization, and compliance evaluation.
- Incorporates radiographs based on risk level and adjustments to the caries management protocol.
X-ray Frequency Based on Caries Risk
- Extreme high risk: Every 6 months
- High risk: Once a year
- Moderate risk: Every 18 months
- Low risk: Every 2-3 years
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Description
Explore the essential methods for evaluating caries risk using ADA and AAPD tools. This quiz will cover key factors influencing caries risk, including health conditions, dietary habits, and dental care practices. Learn how these systems classify risk levels to inform better oral health decisions.
