Dental Caries Management of a Patient with a High Caries Risk Based on the Caries Risk Assessment: a Case Peport

2016 ◽  
Vol 43 (3) ◽  
pp. 231-238 ◽  
Author(s):  
Dong-Hyun Lee ◽  
Sung-Ok Hong ◽  
Seok-Ryun Lee
Keyword(s):  
Risk Assessment ◽  
Dental Caries ◽  
Caries Risk ◽  
Caries Risk Assessment ◽  
High Caries Risk ◽  
Caries Management

scholarly journals Evidence-Based Caries Management for All Ages-Practical Guidelines

2021 ◽  
Vol 2 ◽  
Author(s):  
John D. B. Featherstone ◽  
Yasmi O. Crystal ◽  
Pamela Alston ◽  
Benjamin W. Chaffee ◽  
Sophie Doméjean ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Clinical Trials ◽  
Dental Caries ◽  
Clinical Outcomes ◽  
Assessment System ◽  
Risk Level ◽  
Caries Risk ◽  
Caries Risk Assessment ◽  
Management Procedures ◽  
Caries Management

Introduction: The purpose of the present paper is to provide step-by-step guidelines for dental healthcare providers to manage dental caries based upon caries risk assessment (CRA) for ages 0–6 years and 6 years through adult. The manuscript reviews and updates the CAMBRA (caries management by risk assessment) system which includes CRA and caries management recommendations that are guided by the assessed risk level.Caries Risk Assessment: CAMBRA CRA tools (CRAs) have been evaluated in several clinical outcomes studies and clinical trials. Updated CAMBRA CRAs for ages 0–6 years and 6 years through adult are provided. These CRAs have been refined by the addition of a quantitative method that will aid the health care provider in determining the caries risk of individuals.Caries Management Based Upon Risk Assessment: Guidelines for individualized patient care are provided based upon the caries risk status, results of clinical exams and responses of the patient to questions in the CRA. These guidelines are based upon successful outcomes documented in several clinical outcomes studies and clinical trials. The paper includes a review of successful caries management procedures for children and adults as previously published, with additional emphasis on correct use of silver diamine fluoride (SDF) for children. The caries management plan for each individual is based upon reducing the caries risk factors and enhancing the protective factors with the additional aid of behavior modification. Beneficially altering the caries balance is coupled with minimal intervention restorative dentistry, if appropriate. These methods are appropriate for the management of dental caries in all patients.

scholarly journals A Comparison of Four Caries Risk Assessment Methods

2021 ◽  
Vol 2 ◽  
Author(s):  
John D. B. Featherstone ◽  
Yasmi O. Crystal ◽  
Pamela Alston ◽  
Benjamin W. Chaffee ◽  
Sophie Doméjean ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Dental Caries ◽  
Pediatric Dentistry ◽  
Assessment Methods ◽  
Risk Level ◽  
Care Providers ◽  
Caries Risk ◽  
Caries Risk Assessment ◽  
Comparison Results ◽  
Caries Management

Introduction: Caries risk assessment (CRA) is essential as the basis for successful management of dental caries. Of the many published CRA tools, four well-known ones are CAMBRA, Cariogram, American Dental Association (ADA), and American Academy of Pediatric Dentistry (AAPD) CRAs. The predictive accuracy of CAMBRA and Cariogram CRA tools have been examined in clinical outcomes studies in thousands of patients and the tools are widely used all over the world. The purpose of the present paper is three-fold, namely (1) to briefly review, compare and contrast these four CRA methods, (2) to provide a concise method for CRA introducing a quantitative component to the CAMBRA forms (CAMBRA 123), and (3) to guide the choice of CRA methods that will support caries management decisions.Comparison of Caries Risk Assessment Methods: In the present evaluation, the above-mentioned four CRA methods for ages 0–6 years and 6 years-adult were compared using 26 hypothetical patients (13 per age group). Comparison results show that Cariogram and CAMBRA categorized patients into identical risk categories. Each of the ADA and AAPD tools gave different results than CAMBRA and Cariogram in several comparison examples. CAMBRA 123 gave the same caries risk level results as the Cariogram and the CAMBRA methods for all hypothetical patients for both age groups.Conclusions: Both the Cariogram and the CAMBRA CRA methods are equally useful for identifying the future risk of dental caries. CAMBRA 123 shows promise as an easy-to-use quantitative method for CRA in clinical practice. The health care providers will be the ones to decide which CRA method will allow them to establish individualized, successful caries management therapies and how to combine these for the best care of their patients.

scholarly journals Dental caries: Caries risk assessment tools

BDJ ◽  
2018 ◽  
Vol 224 (1) ◽  
pp. 2-2
Author(s):  
C. A. Yeung
Keyword(s):  
Risk Assessment ◽  
Dental Caries ◽  
Assessment Tools ◽  
Caries Risk ◽  
Caries Risk Assessment ◽  
Risk Assessment Tools

scholarly journals Salivary sIgA and PRAP-1 Protein in Relation to Dental Caries: A Comparative Study

2020 ◽  
Vol 11 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Aseel Al-ani ◽  
Douglas A. MacDonald ◽  
Maha Ahmad
Keyword(s):  
Dental Caries ◽  
Secretory Iga ◽  
Enzyme Linked Immunosorbent Assay ◽  
Caries Risk ◽  
Confounding Variables ◽  
High Caries Risk ◽  
Caries Management ◽  
Assessment Guidelines ◽  
Unstimulated Saliva ◽  
The Relationship

Aim: Certain individuals are more prone to dental caries than others are. Caries risk may be related in the secretion of certain defensive salivary proteins including secretory IgA (sIgA) and proline-rich acidic protein (PRAP-1). In this study, we investigated the relationship between PRAP-1 and sIgA leading to the susceptibility of development of dental caries in adults and explored the differences in the levels of sIgA and PRAP-1 between men and women. Materials and Methods: Unstimulated saliva samples were collected from 28 patients with high caries risk and 32 control subjects with low caries risk according to caries management by risk assessment guidelines. sIgA and PRAP-1 levels in clarified saliva samples were measured using the enzyme-linked immunosorbent assay. Results: According to our results, sIgA and PRAP-1 levels did not demonstrate statistically significant differences as a function of caries risk or gender, even when potential confounding variables such as age and numbers of teeth were taken into consideration. Estimates of effect size, however, revealed small- to medium-sized effects and suggest that significant results may have been found if larger sample sizes were used. Conclusion: The results of this study indicate that caries risk and salivary levels of sIgA and PRAP-1 do not appear to be significantly associated. Statistically significant findings could emerge if the sample size was larger.

scholarly journals Dental Caries Risk Assessment

2006 ◽  
Vol 171 (2) ◽  
pp. 153-156
Author(s):  
Peter S. Richardson
Keyword(s):  
Risk Assessment ◽  
Dental Caries ◽  
Caries Risk ◽  
Caries Risk Assessment

scholarly journals Algorithm for dental caries risk assessment

2017 ◽  
Vol 63 (2) ◽  
pp. 57-60
Author(s):  
Cristian Funieru ◽  
Keyword(s):  
Risk Assessment ◽  
Dental Caries ◽  
Large Scale ◽  
Meta Analysis ◽  
Caries Risk ◽  
Caries Risk Assessment ◽  
Patient Centered ◽  
Mathematical Algorithm ◽  
Online Databases ◽  
Starting Point

Introduction. Caries risk assessment in individual patients is mandatory as it becomes a starting point for developing patient-centered preventive strategies. Any method designed for caries risk assessment should be based on the risk and protection factors involved. Material and method. The first part of this study consists of a fundamental research based on a meta-analysis style study of a number of 128 articles present in the main online databases. The other part of the study is dedicated to the development of a mathematical algorithm of dental caries risk. Results. The caries risk is based on the algorithm presented in this study which takes into account 8 risk or protection factors, their frequency and coefficients being found in the main publications flow and assigned according to an evaluation scale. Conclusions. Although at first glance it seems to be a simple and easy to apply mathematical formula, this algorithm must be validated in a future and specially designed study before it could be used on a large scale.

scholarly journals Caries Risk Assessment: Cariogram-An Insight

2019 ◽  
Vol 3 (5) ◽  
pp. 167-175
Author(s):  
Mohit Bansal ◽  
Ruhee Sangha ◽  
Simran Bahra ◽  
Navdeep Kaur Walia
Keyword(s):  
Public Health ◽  
Risk Assessment ◽  
Dental Caries ◽  
Health Problem ◽  
Public Health Problem ◽  
Caries Risk ◽  
Caries Risk Assessment ◽  
Number Of Factors

Dental caries is a public health problem. A new interactive graphical computorised system was introducted which is belived to record the caries risk assessment in less time depending of number of factors. This paper focus on the different sectors used in cariogram and its importance in reducing the caries risk.

scholarly journals Randomized clinical trial to evaluate two methods of caries risk assessment in schoolchildren: the CARDEC-PEL 04 study protocol

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aryane Marques Menegaz ◽  
Thays Torres do Vale Oliveira ◽  
Mariana Minatel Braga ◽  
Daniela Prócida Raggio ◽  
Maximiliano Sergio Cenci ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Clinical Trial ◽  
Dental Caries ◽  
Randomized Clinical Trial ◽  
Negative Binomial ◽  
Essential Element ◽  
Caries Experience ◽  
Caries Risk ◽  
Caries Risk Assessment ◽  
Multivariate Method

Abstract Background Caries risk assessment is an essential element for managing and preventing dental caries in children. Individual caries risk assessment can be conducted to evaluate the presence or absence of single factors, or using multivariate models, a combination of factors. The subject has been extensively studied, but no previous research has compared whether a more elaborate and individualized method of caries risk benefits the patient than more straightforward strategies. Thus, this protocol evaluates the efficacy of two risk assessment methods for caries control in children, a simplified method based on caries experience evaluation and a multivariate method described in the literature. Methods This is a randomized, double-blind, controlled, parallel-treatment trial protocol. Two groups will be tested for two forms of caries risk assessment: an individualized and detailed multivariate method based on the guidelines of the Caries Care International 4D and another simplified process, based only on caries experience in primary and/or permanent dentition, considering the presence of decayed, missing and filled teeth using the DMFT/dmft index. Participants will be children aged 8 to 11 years, followed up at 12 and 24 months. The primary outcome will be a composite outcome representing the number of tooth surfaces requiring operative intervention (account variable). In addition, the Shapiro–Wilk normality test and Student's t-test will be performed. A multivariate analysis using negative binomial regression will compare groups in the intention-to-treat population, considering a two-tailed significance level of 5%. Discussion This is the first randomized clinical trial aiming to compare dental caries-related treatment and follow-up based on a detailed, multivariate and individualized assessment of caries risk in school-age children to a simpler risk assessment strategy based on caries experience. This study will define whether there are essential benefits to the patient that justify the choice of one method over the other. Trial registration Clinicaltrials.gov registration: NCT03969628. Registered on May 31th, 2019.

Dental Caries Risk Assessment- A review

2013 ◽  
Vol 4 (3) ◽  
pp. 275
Author(s):  
Jayaprakash K ◽  
Neha Gupta ◽  
Thanuja R ◽  
Suchi Khurana
Keyword(s):  
Risk Assessment ◽  
Dental Caries ◽  
Caries Risk ◽  
Caries Risk Assessment

Saliva and Dental Caries Risk Assessment

1993 ◽  
Vol 694 (1 Saliva as a D) ◽  
pp. 302-304 ◽  
Author(s):  
S. A. MUNDORFF ◽  
R. J. BILLINGS ◽  
D. H. LEVERETT ◽  
J. D. B. FEATHERSTONE ◽  
L. M. GWINNER ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Dental Caries ◽  
Caries Risk ◽  
Caries Risk Assessment
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