09_Part_8-_Conclusions_13-57.pdf

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Caries Management by Risk
Assessment
(CAMBRA)
:
Week 6 – Part 8
Conclusions
Caries Management Step by Step
Dental/medical
Clinical
history
exam
Detect caries lesions early enough to
reverse or prevent progression
Assess caries risk
Treatment plan including chemical therapy
Use fluoride and/or antibacterial therapy
based on observations
Use minimally invasive restorative
procedures to conserve tooth structure
Recall and review
Caries Management Step by Step
Patient
motivation and compliance
Key to success
Patients do not do what the doctor says
They need to “buy into it”
Refer to Peltier et al, CDA Journal,
November 2007, homework assignment
Caries Management Step by Step
Patient
written instructions to take home
Second key to success
Combine with motivational interviewing
Letters standardized for low, moderate,
high and extreme risk
Refer to Jenson et al, CDA Journal,
October 2007, previous homework
assignment
Conservative Caries
Management by the Dentist
caries lesions early enough to
reverse or prevent progression
Assess caries risk
Use fluoride and/or antibacterial
therapy based on observations
Use minimally invasive restorative
procedures to conserve tooth
structure
Detect

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