CAMBRA Quiz

Question 1

High risk indicators:

Answer 1

Visible cavitites and/or lesions, or radiographic penetration into dentin, ACTIVE proximal enamel lesions on X-ray, Active white spots on smooth surface, restorations in last 3 years

Question 2

When is a patient low vs medium risk?

Answer 2

Low: no indicators and 1 risk factor, Moderate: no indicators and 2 risk factors

Question 3

Fluoride protocol for high risk patient:

Answer 3

Fluoride varnish every 3 months and Rx toothpaste 2X/daily, include before bed

Question 4

True or False? High risk patients are the only one that use Rx toothpaste.

Answer 4

T

Question 5

True or False? Both Moderate and high risk patients are Rx fluoride rinse.

Answer 5

F. Moderate ONLY

Question 6

Moderate risk patient protocol:

Answer 6

Fluoride varnish every 6 months, OTC toothpaste twice daily, OTC rinse 1-2 times/day at a separate time other than the brushing.

Question 7

Low risk patient protocol:

Answer 7

OTC rinse 1-2 times/day

Question 8

For which patients are OHI required?

Answer 8

Patients with visible plaque, patients who only brush once a day (or less)), or patients who don’t floss. They need to brush twice daily and need to be taught how to brush better.

Question 9

Which patients need to be taught how to floss?

Answer 9

patients who are not flossing, they should be daily, so OHI are required

Question 10

What to advise patients who are not regularly consuming fluoridated water:

Answer 10

drink or cook with fluoridated tap water

Question 11

Protocol for patients with deep pits and fissures and a high risk:

Answer 11

If they have pit and fissures lesions they should all be sealed (and premolars with deep pits/ fissures)

Question 12

Protocol for patients who take medications without any dry mouth symptoms:

Answer 12

should be told to watch for a feeling of dry mouth.

Question 13

Protocol for patients who report dry mouth symptoms:

Answer 13

warn to avoid sugary drinks, candies or cough drops and drink fluoridated water instead. Non-alcohol rinses might also help.

Question 14

Protocol for patients with restorations with overhangs, open margins, or open contacts:

Answer 14

Restorations should be recontoured, repaired or replaced, especially if the patient is at high or moderate risk

Question 15

Protocol for patients with exposed roots:

Answer 15

need to be cleaned carefully by the patient. Fluoride varnish application can help (for moderate and high risk patients.

Question 16

Protocol for patients with orthodontic appliances, removable partial dentures and fixed bridges:

Answer 16

Specific oral hygiene instructions should be given because they can accumulate plaque and food and are difficult to clean

Question 17

Protocol for patients who have not seen a dentist in over 6 months or who only come when they have a problem:

Answer 17

should be counseled on the importance of regular “check-up”/recall visits

Question 18

Protocol for patients who frequently snack (3+ times a day):

Answer 18

snack less, choose non-cariogenic foods, pH in the mouth can never balance

Question 19

Protocol for patients who snack less than 3 times per day:

Answer 19

should be counseled to eat non-cariogenic snacks

Question 20

Is constant sipping on a soda a high or low risk behavior?

Answer 20

high, even with 1 drink

Question 21

Protocol for patients who drinks over 15 minutes:

Answer 21

should be counseled to reduce the amount, or the exposure time, or use sugar substitute.

Question 22

True or False? OHI should be given to patients who brush twice daily.

Answer 22

T. Most patients do not effectively remove their plaque

Question 23

What should all patients be told?

Answer 23

Spit and do not rinse.

Question 24

When to Rx chlorhexidine rinse:

Answer 24

patients with a frequent dry mouth and patients with poor oral hygiene and gingival inflammation

Question 25

True or False? Patients who use chlorhexidine should rinse in conjuction with tooth brushing.

Answer 25

F. Rinsing should happen at another time of day

Question 26

When to Rx MI Paste:

Answer 26

patients with active class 5 white spot lesions and patients with active class 2 lesions in enamel