CARIES RISK ASSESSMENT

ORAL RISK ASSESSMENT

Identifies patients who are at risk of developing oral diseases such as : Periodontal disease

• Caries

• Nutrition•

Oral Cancer

• Sleep Apnea

• Assessing a patient's risk can have a significant impact on clinical decisions, interventions, and prognosis

NON-MODIFIABLE RISK FACTORS

Age, sex, race, genetics, previous history of disease

CARIES RISK ASSESSMENT CRA

• How we determine what risk is the patient risk

• Provides EVB recommendations based on specific patient data

• If your office is not using one - you develop one!

• Will educate patients on what it means to receive evidence-based

recommendations instead of just a product they saw on a social media site

• *TikTok is not EVB!

CRAto complete use:

MOTIVATIONAL INTERVIEWING open-ended questions

Patient-level interventions - to re-establish mineralization balance

• Diet counseling (reduce sugar; simple carb consumption)

• Oral hygiene instruction & reinforcement (interdental cleaning, brushing with fluoridated toothpaste

Lesion-level interventions

• (non-restorative / non-surgical)

• (minimally invasive vs. invasive)

• Risk reduction vs."assessment schedule"

Screenings

CRA

• OCRA

• PRA

• NRA

• STOP-BANG

• DHCP

how often caries risk assessment

once per year

HOW?

• Clinical assessment+

• Patient questionnaire+

• Image assessment

CAR recommendations

establish a Recall schedule•

Home care:

TB• Interdental cleaning: how?

Floss, water flosser etc

• Physiotherapy Aids

• Referrals CRA

NRA and OCRA

1. Assess risk

2. Determine EVB recommendations

3. Prioritize recommendations