Caries Risk Assessment PPT

1. Caries Risk Assessment
Muhammad Amber Fareed
BDS (Lahore), MSc (London), PhD (Birmingham),
FRACDS (Sydney), FDSRCPS (Glasgow), DipMedEdu (Cardiff)
Professor of Restorative Dentistry
College of Dentistry, Gulf Medical University
Ajman, United Arab Emirates

2. Reference Reading
Prof. MA Fareed PhD 2

3. Reference Reading
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4. Content and Learning Outcomes
Content:
• Diagnosis of the patient to detect his caries risk status
• ADA Caries Risk Assessment Forms
• Customize management of the patient based on his caries risk level
Learning Outcome
• Identify the caries risk status of each patient based on specific criteria.
• Formulate caries management protocol each patient individually according
to his caries risk status
Prof. MA Fareed PhD 4

5. Caries Risk Assessment – Introduction
• Dental clinicians treat the entire patient and not just individual teeth
and caries lesions
• It is very important to detect caries lesions to provide prevention and
treatment (restoration), clinical examination process for diagnosis and
detection of caries lesions is important
• Caries detection and caries diagnosis are not exclusively a tooth-
centered process
• Management of the caries is the ability to individualize caries
diagnosis and treatment or for each patient
Prof. MA Fareed PhD 5

6. Caries Risk Assessment – Importance
• Formulate a caries risk assessment profile based on individual
patient’s current risk factors risk indicator
• Caries risk assessment is necessary to identify interventions to lower
the patient’s caries risk and activity
• High-risk categories à caries lesions over the last 2 to 3 years
• Caries management by risk assessment (CAMBRA) à provides
individualized evaluation of a patient’s pathologic factors and
protective factors and risk for developing future disease
• International Caries Classification and Management System (ICCMS)
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7. Caries Risk Assessment – Variable Factors
• Social, Economic, and education Status
• Diet Analysis
• Salivary Analysis
• Dental Clinical Analysis (Dental Exam)
• Bacterial Biofilm Analysis
• Caries risk assessments for adults and adolescents older than 6 years
• Caries risk assessments for children under 6 years of age
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8. Caries risk assessment form
Initial caries diagnosis process
Three sections
1. Contributing Conditions
Fluoride, surgary diet, dental visits
2. General Health Conditions
Sepcial care, chemo/radiotherapy, eating
disorders, salivary flow, medications,
3. Clinical Conditions
Caries, restorations, extraction, plaque,
open contact, ortho, xerostomia
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10. ADA Risk Assessment Form (Age > 6)
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11. ADA Risk Assessment Form (Age > 6)
Low risk ≤ 3, Medium Risk 4-8, High Risk ≥ 9
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12. Low risk ≤ 3, Medium Risk 4-8, High Risk ≥ 9
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13. Caries Risk Assessment - Sequence
• Interview (dental and medical history) of the patient
• Clinical examination for diagnosis and detection of caries lesions
• Caries risk assessment identifies the risk (causative, susceptibility)
• Risk factors can be modified and can predict the caries outcome
• Without caries risk/susceptibility, caries management at the
individual patient level will never be successful in the long term
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14. High risk-Low risk
• Caries risk include age,
gender, fluoride
exposure, home care,
smoking habits, alcohol
intake, medications,
dietary habits, economic
and educational status,
and general health.
• Increased smoking,
alcohol consumption, use
of medications, and
sucrose intake result in
increased risk for caries
development
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16. Caries Risk Assessment – Conclusions
• Risk assessment helps to identify the etiologic causes of the disease
for a specific patient at a specific point in time
• Useful in the prevention of caries lesions
• Help to determine treatment protocols for patient follow-up visits
• Selection of restorative material used and cavity preparation design
• Useful as a baseline for future reassessments of caries management
• Uncovering risk factors that are present before disease manifestation
• Prevention and management of caries because of the multifactorial
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17. Thank you!
Prof. MA Fareed PhD 17