Cambra
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This document outlines the Caries Management by Risk Assessment (CAMBRA) protocol, which classifies patients into four caries risk levels - low, moderate, high, and extreme - based on criteria such as dental history, plaque levels, fluoride use, diet, medical conditions, and clinical/radiographic findings. For each risk level, it recommends treatment approaches including frequency of dental visits, fluoride applications and products, xylitol or calcium phosphate use, and salivary testing. The goal of CAMBRA is to implement personalized preventive strategies based on a patient's unique risk factors to prevent new cavities and slow the progression of existing ones.
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Materials used as sealants
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Diagnosis of Pit and Fissure caries
Procedure of application of sealants
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INTRODUCTION
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Developed primarily to survey and evaluate periodontal treatment needs rather than determining past and present periodontal status i.e. recession of the gingival margin and alveolar bone .
SCOPE AND PURPOSE
PROCEDURE
SEXTANT
INDEX TEETH
INSTRUMENTS USED
CPITN PROBE
Introduced by WHO in 1978.
Weight: 5gms
Working force: 20-25 gms.
Designed for 2 purposes :
1. Measurement of pocket depth
2. Detection of Sub-gingival calculus
PROBING PROCEDURE
EXAMINATION PROCEDURE
CALCULATION OF CPITN
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This index is modification of CPITN.
SUMMARY
CPITN is a screening procedure for identifying actual and potential problems posed by periodontal diseases both in the community and in the individual, introduced in 1982.
The CPITN records the common treatable conditions namely,
- periodontal pockets
- gingival inflammation
- dental calculus
- other plaque retentive factors
CPITN PROBE (introduced by WHO in 1978) is used to measure of pocket depth & detect sub-gingival calculus.
COMMUNITY PERIODONTAL INDEX (CPI) is the modification of CPITN which includes measurement of “loss of attachment”
Oral screen
The oral screen is a removable orthodontic appliance introduced in 1912 used to correct conditions like thumb sucking and mouth breathing. It works by concentrating pressure from the lips and cheeks on proclined front teeth near the incisal edges. It also prevents forces from the perioral muscles from acting on the back teeth, allowing for arch expansion. Variations include the vestibular screen, which extends into the vestibule without touching teeth, and the double oral screen for eliminating multiple issues. Small holes may be added initially if needed for breathing and gradually reduced in size.
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This presentation is all about the systemic administration of fluorides ,as it is an easier way for the administration of fluorides to prevent dental caries and tooth decay.the aim is to explain the advantages of systemic fluoride ,their present status in India and in other countries and to create awareness among population.Also raising an issue that how these methods of systemic fluoride administration can be improved so that there is better prevention of decay problems
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prevention of periodontal diseases
This document discusses the prevention of periodontal diseases. It states that prevention is better than cure and cheaper than treatment. It defines periodontal diseases as those affecting the tissues surrounding and supporting the teeth. The main causes are bacterial plaque, host response factors, and reduced tissue repair capacity. Prevention methods include mechanical plaque removal using various toothbrushing techniques, flossing, and oral irrigation. Chemical controls include antimicrobial mouthwashes containing chlorhexidine or essential oils. Professional treatment involves nonsurgical scaling and root planing to remove deposits, as well as antimicrobial therapy. The goal of polishing after treatment is to remove soft deposits with minimal trauma.
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SEXTANT
INDEX TEETH
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CPITN PROBE
Introduced by WHO in 1978.
Weight: 5gms
Working force: 20-25 gms.
Designed for 2 purposes :
1. Measurement of pocket depth
2. Detection of Sub-gingival calculus
PROBING PROCEDURE
EXAMINATION PROCEDURE
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- dental calculus
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This document provides an overview of restorative materials used in pediatric dentistry, including recent advancements. It discusses the need for restoration in deciduous teeth and the requirements of ideal restorative materials. The main materials covered are glass ionomer cement, composite resins, and amalgam. For glass ionomer cement, it describes the composition, setting reaction, properties, classifications, and recent modifications like resin-modified, nano, and compomer versions. Recent advancements discussed include alternatives to amalgam and improvements to composites and glass ionomer cement.
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This presentation is all about the systemic administration of fluorides ,as it is an easier way for the administration of fluorides to prevent dental caries and tooth decay.the aim is to explain the advantages of systemic fluoride ,their present status in India and in other countries and to create awareness among population.Also raising an issue that how these methods of systemic fluoride administration can be improved so that there is better prevention of decay problems
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13218609
- For a 4 year old child at low risk of caries, the guidelines recommend applying fluoride varnish to their teeth two times per year.
- For a 4 year old child at high risk of caries, the guidelines recommend applying fluoride varnish to their teeth two or more times per year.
- Topical fluoride in the form of varnish or gel is supported by the strongest evidence for caries prevention in primary teeth. Application frequency depends on the child's caries risk level.
Bleaching-teeth//nubia galeano
Vital bleaching involves using hydrogen peroxide or carbamide peroxide gels to lighten tooth color. There are three main methods: in-office bleaching uses high concentration peroxide gels applied by a dentist; at-home bleaching involves patients wearing custom trays with lower concentration peroxide gels overnight; over-the-counter methods have the lowest concentration gels. In-office bleaching generally provides the fastest results but is more expensive, while at-home bleaching takes weeks but has lower costs and side effects. Potential side effects include temporary tooth sensitivity. Proper patient education on the limitations and maintaining results is important to manage expectations.
Dental cries
The document discusses factors that influence dental caries, including the dental plaque biofilm, substrates like sugar exposure frequency, host factors like tooth structure and saliva, and time. It notes that the major bacteria involved are mutans streptococci like Streptococcus mutans and S. sobrinus. It also discusses caries detection methods, the caries process, preventing dental caries through approaches like improving plaque removal and diet, applying fluoride treatments and fissure sealants, and increasing recall frequencies for patients with caries activity. Early childhood caries has etiological factors like long periods of cariogenic substrate exposure, low salivary flow at night, parental caries history, and social stress.
Plaque control
This document discusses plaque control and various plaque control measures. It begins by explaining that plaque control involves regular removal of plaque to prevent periodontal diseases. Mechanical methods like toothbrushing and interdental cleaning are important, as well as chemical agents like chlorhexidine and essential oils. Different toothbrushing techniques and powered toothbrushes are described. The document also discusses dentifrices, interdental aids, and concludes that proper oral hygiene through plaque control is critical for preventing periodontal disease.
Dental Extrusion.pptx
This case report describes the management of dental extrusion injuries in a 9-year-old female patient. Four teeth (31, 41, 42, 11, 21) were severely extruded or avulsed following a bicycle accident. The extruded teeth had fully formed roots and closed apices. The teeth were repositioned and splinted. Two avulsed teeth received endodontic treatment after replantation. The patient was followed clinically and radiographically for 18 months. Three of the extruded teeth responded to sensitivity tests after 12 months, while one tooth remained unresponsive but asymptomatic. The case demonstrates that pulps of traumatized teeth with closed apices may remain vital and monitoring is important to avoid unnecessary
Caries risk assessment
This document discusses caries risk assessment in dentistry. It defines risk assessment as using factors to determine a patient's likelihood of developing dental diseases. Caries risk assessment can help predict who will develop caries, increase examination suspicion for high-risk patients, identify patients early in the disease process, and determine who will benefit from prevention. The treatment plan and decisions should be based on a careful caries diagnosis, risk assessment, and classification of the patient's treatment needs. Caries risk assessment tests saliva and plaque for bacteria levels, pH, and defense factors to predict future caries development and inform prevention.
Plaque control
This document discusses methods for plaque control and oral hygiene instruction. It describes techniques for mechanical plaque removal including toothbrushing and flossing, as well as chemical plaque control using mouthwashes. Toothbrushing techniques like the Bass and Stillman methods are outlined. The goals of polishing teeth are discussed along with contraindications. Recommendations are provided for motivating and educating patients on proper plaque control methods.
Ecc re (2)
This document discusses the prevention and management of early childhood caries. It covers caries risk assessment, various fluoride therapies, the effects of antimicrobials like chlorhexidine and xylitol on oral bacteria, and the classification and treatment of early childhood caries in four stages from initial to traumatic lesions. Treatment involves conservative measures in early stages and more invasive restorative treatments or extractions in later stages, along with preventive strategies and follow-up care.
Dental Varnish
This document discusses dental varnishes. It begins by defining dental varnishes as thin liquid coatings applied to teeth that harden into protective films. It notes they are usually water- or solvent-based for easy application. The document outlines the main requirements for varnishes and their purposes, including protecting teeth from decay by releasing fluoride or antimicrobials, whitening teeth, and desensitizing sensitive areas. It describes different types of varnishes and application techniques. Key varnishes discussed include fluoride varnishes like Duraphat and Carex as well as desensitizing and antimicrobial options. The document reviews advantages of fluoride varnishes and concludes by summarizing a clinical study on treating sensitivity
Dental varnish
This document discusses dental varnishes. It begins by defining dental varnishes as thin liquid coatings applied to teeth that harden into protective films. It notes they are usually water- or solvent-based for easy application. The document outlines the main requirements for varnishes and their purposes, including protecting teeth from caries by releasing fluoride or antimicrobials, whitening teeth, and desensitizing sensitive teeth. It describes different types of varnishes and how they are cured. The rest of the document provides details on fluoride varnishes, including historical information, indications for use, popular brands, application techniques, advantages over other fluorides, and results from a clinical study on treating sensitive teeth.
Detection, diagnosis and prevention of dental caries
The document discusses the diagnosis and prevention of dental caries. It covers the development and features of caries, methods for detection including examination, radiographs, and devices. It also discusses caries risk in patients, the role of plaque, diet, and fluoride in prevention. Specific fluoride modalities like toothpaste, mouthwashes, and professionally applied treatments are outlined. The use of pit and fissure sealants for caries prevention in teeth pits and grooves is also summarized, along with patient selection and the application method.
CARIES_RISK_ASSESSMENT_and_MANAGEMENT (1).pptx
This document discusses caries risk assessment and management. It defines risk assessment as procedures used to quantify a person's disease susceptibility and allow preventive measures. Caries risk is determined by factors like diet, fluoride exposure, oral flora, and social factors. Children should receive oral health risk assessments starting at 6 months of age. Risk levels are low, moderate, and high based on environmental, clinical, and other factors. Management protocols vary according to risk level and may include recall intervals, radiographs, preventive treatments, education, and restorative care. The goal is early identification and customized prevention strategies to maintain oral health.
Similar to Cambra (20)
Preventive dentistry- Operative assignment- Group number 6
Preventive dentistry- Operative assignment- Group number 6
Detection, diagnosis and prevention of dental caries
Detection, diagnosis and prevention of dental caries
Cambra
- 1. Caries Management by Risk Assessment (CAMBRA) Jaclyn J. A29 1
- 2. Criteria-Low Risk • no dental caries within last 3 years or today • Minimal or no visible plaque • Sealants or shallow pits & fissures • Usually has regular dental care • Often lives in a fluoridated environment or uses one or more fluoride containing products. 2 Low Risk
- 3. 3 • Fluoridated toothpaste twice daily • OPTIONAL professional fluoride applications • BWX every 2-3 years Low Risk: Treatment
- 4. Criteria-Moderate Risk • visible HEAVY plaque on teeth • Frequent snacking • > 3x daily between meals • Deep pits & Fissures • Exposed Roots • Mild to moderate xerostomia • From meds, radiation, systemic • Orthodontic appliances • Recreational drug use 4 Moderate Risk
- 5. Moderate Risk: Treatment 5 • Dental Office Fluoride Varnish: • Initial 1-2 applications • Additional applications at maintenance appointments • Fluoride toothpaste twice daily • 0.05% NaF mouth rinses • Xylitol (6-10g/day) of gum or candies • Optional calcium phosphate paste • If excessive root exposure • dentinal sensitivity • Salivary tests are OPTIONAL. • BWX: 18-24 Months
- 6. Criteria-High Risk • Visible cavities • Radiographic caries • Radiographic penetration of the dentin • advanced or severe lesion from any position of the tooth (occlusal or interproximal) • Radiographic interproximal enamel lesions (moderate) • White spots lesions on smooth surfaces • Restorations in the last 3 years 6 High Risk
- 7. High Risk: Treatment 7 • Prescription 1.1% NaF toothpaste twice daily • Also apply at night, expectorate after 1 min, don’t rinse, go to bed. • Fluoride varnish applications at 3-month intervals • Salivary tests recommended • BWX: 6-18 Months
- 8. Criteria-EXTREME Risk Severe salivary gland hypofunction (salivary rate less than 0.5 ml per minute) • Visible cavities • Radiographic lesions • Radiographic penetration of the dentin (advanced or severe lesion) from any position of the tooth (occlusal or interproximal) • Radiographic interproximal enamel lesions (moderate) • White spots on smooth surfaces • Restorations in the last 3 years 8 Extreme Risk
- 9. Extreme Risk: Treatment 9 • Prescription 1.1% NaF toothpaste twice daily • Fluoride varnish applications at 3-month intervals • Bacterial and salivary tests recommended • Baking soda rinses, 0.5% NaF rinses, • BWX Every 6 Months
- 10. CAMBRA – Therapeutic Product Guide 10