CARIES RISK ASSASMENT

What
• Biologicak factors that contribute to the
level of risk for the oatien having new
caries lesions in the future or having the
existing lesions progress

is it?
• Screen out low risk ( to allow safe
recommendation of long recal intervals)

GOAL • Identify high risk patient before they

become caries-active
• Monitor changes in disease status
incaries active patiens
Caries risk assasment for adult
LOW RISK
Clinical/oral evidance
• Very few restoration
• No new carious lesion
• Sealent in pit and fissure
• No ortho
• No prothesis
• Exposed root surface w/
fluoride application
regularly
• Nol extraction for caries
• Sound anterior caries
HIGH RISK
Clinical/oral evidance
• Previous caries
• New lesions
• Unsealed deep pit and
fissure
• Fixed ortho
• Prothesis
• Exposed root surface
• Premature extraction of
teeth
• Multiple restoration
• Caries in anterior teeth
Caries risk assasment for adult
Low risk High risk
Dietary habit Dietary habit
• infrrequent • Frequent
sugar intake sugar intake
• Rare in • Frequent
between snack between
meals snack meal
• Use xylitol
gum
Caries risk assasment for adult
LOW RISK HIGH RISK
Social history Social history
• Dentaly aware • Low knowledge of
• Regular dental disease
appointment w/ • Iirregulary dental
dentist visit
• High dental • Low dental
aspiration aspiration
• Low caries sibling • High dental sibling
good oral care by • General poor care
family in family
Caries risk assasment for adult
Low risk High risk
Plaque control Plaque control
• Frequent • Irreguler brushing
effective cleaning • Ineffective
• Using dental floss cleaning
• No handicap • Handicap
• Low biofilm score • High biofilm score
• No ortho or • Ortho or
prothesis care prothesis care
Caries risk assasment for adult
Low risk High risk
Saliva Saliva
• Flow rate • Low flow
normal rate
• High • Low
bufferung buffering
capacity capacity
Caries risk assasment for adult
Low risk High risk
Use of fluoride Use of fluoride
• Use of fluoride • No fluoride
supplement supplement
• Drinking water • Non fluoride
fluorided drinking water
• Fluoride tooth • Use of non
paste used fluoridated tooth
• Use of paste
moutwash
Risk Factor of Periodontal Disease

Sociodemografic
• Age, gander, SES,education, ethnicity/race

Hereditary/ Acquired condition

• DM,CVS, Obesity, HIV, Osteoporosis

Behavioral factor
• Tobacco use, Patient complience (OH practice and dental visit)

Microbial risk factor

• Specific bacteria in subgingival, pathogenic potential biofilm, total microbial burden

Physiological factor and cognitive factor

• Stress, bruxism

Host defenses
• Gen

Local risk factor

• Faulty dental restoration, untreatred dental disease, crowding, furcation
Epidemiological risk factor
THANK YOU