Caries risk/susceptibility assessment: its value in minimum intervention oral healthcare (original) (raw)
2017, British Dental Journal
Child: recent restorations Health visitor opinion of risk Parent/caregiver: low socioeconomic status and/or low health literacy Deprivation category Child: developmental problems Parental smoking Child: no dental home/episodic dental care Breastfeeding Risk factors (biological) (parent interview) Use of a dummy Child: frequent (> three times daily) between-meal snacks of sugars/cooked starch/sugared beverages d3mft >0-'any caries-risk' model Child: saliva-reducing factors (medications and medical) Health visitor opinion of risk Child: continually uses bottle-contains fluids other than water Parental smoking Child: sleeps with a bottle or nurses on demand Food or drink at night Non-biological protective factors (parent interview) d1mft-'high caries-risk' model Mother/caregiver: decay-free last three years Type of housing Child: dental home and regular dental care Use of a feeder cup Biological protective factors (parent interview) d3mft-'high caries-risk' model Child: lives in a fluoridated community or takes fluoride supplements by slowly dissolving or as chewable tablets Type of housing Child: fluoridated toothpaste (pea-size) daily Health visitor opinion of risk Mother/caregiver: xylitol chewing-gum/lozenges 2-4× daily Use of vitamins Risk indicators/factors (child clinical examination) AAPD CAT, 2015 (last revision) 22 0-3 years olds (for physicians and other non-dental health care providers): Obvious white spots, decalcifications, or obvious decay Biological factors Restorations in the last 2 years Mother/caregiver: active cavities Obvious plaque on teeth and/or gums bleed easily Parent/caregiver: low socioeconomic status Dental or orthodontic appliances (fixed or removable) Child: >3 between meal sugar-containing snacks or beverages per day Visually inadequate saliva flow (dry mouth) Child: put to bed with a bottle containing natural or added sugar ADA, 2011 20 0-6 years old Contributing conditions Child: special healthcare needs Child: fluoride exposure Child: recent immigrant Child: sugary foods and drinks Protective factors Child: eligible for Government programme Child: optimally-fluoridated drinking water or fluoride supplements Mother, caregiver and/or other siblings: caries experience Child: teeth brushed daily with fluoridated toothpaste Child: dental home Child: topical fluoride from health professional General health conditions Child: dental home/regular dental care Child: special healthcare needs Clinical findings Clinical conditions (child clinical examination) Child: white spot lesions or enamel defects Visual or radiographically evident restorations/cavitated lesions Child: visible cavities or fillings Non-cavitated (incipient) lesions Child: presence of plaque Teeth missing due to caries Visible plaque Dental/orthodontic appliances Saliva flow CRA: caries risk assessment; CAMBRA: caries management by risk assessment; ADA: American Dental Association; DCRAM: Dundee Caries Risk Assessment Model; AAPD: American Academy of Paediatric Dentistry; CAT: Caries-risk Assessment Tool.
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