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Flashcards in 1 risk assessment Deck (22)
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1

what factors are necessary for caries?

tooth
plaque
substrate

2

what factors contribute to the tooth health?

age
fluoride
morphology
nutrition
trace elements
carbonate level

3

what factors contribute to substrate?

oral clearance
oral hygiene
salivary stimulus
frequency of eating
carbohydrate

4

what factors contribute to plaque (flora)?

oral hygiene

5

what is a caries risk assessment?

the risk of the patient developing new/progressive disease in future

6

what are general caries risk factors?

social
general health

7

what are local caries risk factors?

oral hygiene
diet
fluoride experience
past caries experience
orthodontic tx

8

what is a caries risk assessment used for?

basis of case management and tx planning in short/long term

9

what are the 7 elements of caries risk?

clinical evidence
dietary habits
social history
fluoride use
plaque control
saliva
medical history

10

what clinical evidence contributes to caries risk?

caries experience
orthodontics
prosthetics

11

what kind of caries experience contribute to caries experience?

dmft ≥ 5
DMFT ≥ 5
caries in 6's at 6 years
3 year caries increment ≥ 3

12

what aspects of diet contribute to caries risk?

≥ 3 sugar intakes per day
high frequency of sugar
highly processed/refines carbs
natural sugars can cause harm

13

what are the 8 social history factors?

SIMD category
education
unemployment
work stressors
single parent families
violence
inequalities and access to healthcare
dependents

14

how does F- contribute to caries risk?

infrequent use of F- toothpaste
no F- in water supply

15

what does fluorine do in teeth?

incorporation into enamel crystal to form fluroapatite which is more caries resistant than hydroxyapatite
bacteriocidal
interferes with adhesion force of bacteria reducing ability to stick to surface of teeth

16

how does O.H contribute to caries development?

poor technique
irregular brushing
unassisted- can't brush well
access to toothbrush/paste
difficulty due to changes eg ortho

17

what is the role of saliva in caries development?

amount
flow
buffering capacity
pH
viscosity

18

what is the role of medication in caries development?

medication-induced xerostomia
mucosistitis
free sugars to taste
lactulose
frequency of sugar containing medicine
recreational drug use
social convention of giving sweets to ill kids

19

describe the caries experience of a high risk child

dmft/DMFT ≥ 5
≥ 10 initial lesions in primary dentition at first attendance
caries in 6's at 6 years
3 year caries increment ≥3

20

what social/behavioural factors increase risk of caries? (in children)

mothers caries rate
prolonged nursing habits
bottle at bedtime
cariogenic snacks
no toothbrushing
little fluoride exposure

21

what are the 8 elements of preventive programme?

radiographs
toothbrushing instruction
strength of F- in toothpaste
F- varnish
F- supplementation
diet advice
fissure sealants
sugar free medicine

22

describe a typical high caries adult

low level education
only attend when problem arises
social difficulties
sweet tooth w/ poor O.H
sugar containing meds
saliva affecting meds
root caires
secondary caries