02_Part_1-_Our_Patients_Revisited_A_21-16.pdf

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Caries Management by Risk
Assessment
(CAMBRA)
:
Week 6 – Part 1
Our Patients Revisited - A
High Caries Risk - Joe Cornish
55
year old male
Two new cavities since last
visit two years ago
Four new approximal
lesions by radiograph
Exposed root surfaces
Bacteria - likely high
Frequent snacker – truck
driver
No symptoms of dry mouth
No hyposalivatory meds
1X daily F toothpaste?
The Caries Balance-High Risk
Disease Indicators and
Pathological Factors
•
•
•
•
Two new cavities
Four new approximal lesions
Acid-producing bacteria
Frequent eating/drinking of
fermentable carbohydrates
•
55 year old = exposed roots
Protective Factors
•
Saliva flow and components
normal
•
Fluoride, 1X F toothpaste daily
No Caries
Caries
Featherstone, Community Dent Oral Epidem, 1999
“Caries
Management
by Risk Assessment”
Featherstone et al.
Jenson et al.
October, November
2007. On line, free
California Dental
Association Journal
based upon the
“Caries
Balance”
http://www.cdafoundation.org/journal
Caries Risk
Assessment Form
Featherstone
et
al, CDAJ, 2007
Circle
Yes’s
Visualize
the
Balance
Decide
on
caries risk level:
Low, Moderate,
High, Extreme
High Risk

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