CAMBRA

DENTAL CARIES
RISK ASSESSMENT

Low RisK
Questions to ask yourself:
Have you not had any fillings over the past 3 years?
Are you cavity Free today?
Is your home water fluoridated?
Do you have frequent regular cleanings and check-ups?

Questions to ask me:

How much plaque was on my teeth?
Do I have any sealants or shallow pits in my teeth?

My Recommendations
2-3 years

Daily Use:

Professional

Fluoridated

Fluoride

Toothpaste

treatment

Electric toothbrush

Low Risk Costs

Sonicare electric toothbrush: 69.99 219.99
Colgate Total fluoride toothpaste: 3.47 7.75
3m espe varnish:
Office 50 per pkg: 193.60
Patient: 20-50 (insurance May cover fluoride, ask me if yours
does!)

Moderate Risk
Questions to ask yourself:
Am I frequently snacking in between meals?
Do I often have dry mouth throughout the day?
Do I wear a retainer at night? Or have a partial denture?

Questions to ask me:

Do I have a lot of plaque on my teeth?
Do I have exposed root surfaces? Or deep pits?

My Recommendations

18-24 months

Daily Use:

Professional Fluoride

Fluoride

treatment 2Xyear

Toothpaste
Xylitol Products

Daily Use:

Fluoride
Mouth Rinse

Electric Toothbrush

Moderate Risk Costs

Sonicare electric toothbrush: 69.99 219.99
Colgate Total fluoride toothpaste: 3.47 7.75
3m espe varnish:
Office 50 per pkg: 193.60
Patient: 20-50 (insurance May cover fluoride, ask me if yours
does!)

Act Mouth rinse: 3.56-11.60

Xylitol products:
Spry gum Containers of 100 pieces: 9.49
Spry mints containers of 240 pieces: 10.99

High Risk
Questions to ask yourself:
Have I had a filling or crown done in the past 3 years?
Do I have white spots on my teeth?

Questions to ask me:

Are there cavities on my x-rays?
Do any of my teeth look like they have cavities?
What are the white spots on my teeth?

My Recommendations
Electric toothbrush

6-12Months
Prescription Toothpaste
2Xdaily
P Professional
Prescription

Fluoride Varnish

Mouth rinse

1X every 4-6 months

Xylitol
Salivary
Testing*

Salivary Testing
Does it seem like every time you go to the dentist for your
check up, you leave with a list of fillings that need to be
done? Lets work together to figure out why this is happening.
Your mouth has many different kinds of bacteria. This
bacteria feeds off of the different types of foods you eat
and produces acid that will cause cavities. Now, if you are
constantly sipping on a mountain dew throughout the day, you
are not giving your mouth enough time to raise the ph. See
the lower the ph, the better it is for strep mutans (the cavity
causing bacteria) and it take about 2 hours for the ph to rise
to normal. So every time to sip on the drink, it continues to
become lower and lower.
This testing will allows us to know the level of strep mutans in
your mouth in only 15 minutes. If you are one whose diet is
very acidic, or you are one to who is constantly snacking
throughout the day, lets figure out why and see just how
many cavity causing bacteria are in your mouth today!

High risk cost

Sonicare electric toothbrush: 69.99 219.99
3m ESPE varnish
Office 50 per pkg: 193.60
Patient: 20(insurance May cover fluoride, ask me if yours
does!)

Xylitol products:
Spry gum Containers of 100 pieces: 9.49
Spry mints containers of 240 pieces: 10.99
Fluoridex Prescription toothpaste:
Office 10 tubes: 104.99
Patient: 12
Peridex prescription mouth rinse:
Office 16 oz bottle: 9.25
Patient: 10
Salivary Testing: Saliva-Check Mutans
Office 10 kits: 178.35
Patient: 20

extreme risk
Questions to ask yourself:
Am I constantly having dry mouth? Extreme dry mouth?
Have I had a filling or crown done in the past 3 years?
Do I have white spots on my teeth?

Questions to ask me:

Are there cavities on my x-rays?
Do any of my teeth look like they have cavities?
What are the white spots on my teeth?

My Recommendations

6 months

Professional
Fluoride Varnish
1X every 3 months

Prescription
Prescription

Mouthrinse

Toothpaste
2X daily
Mi Paste
1X daily
Electric
Toothbrush
Xylitol
Salivary
Testing*

Extreme Risk Costs

Sonicare electric toothbrush: 69.99 219.99
3m ESPE Varnish:
Office 50 per pkg: 193.60
Patient: 20 (insurance May cover fluoride, ask me if yours does!)
Xylitol products:
Spry gum Containers of 100 pieces: 9.49
Spry mints containers of 240 pieces: 10.99
Fluoridex Prescription toothpaste:
Office 10 tubes: 104.99
Patient: 12
Peridex prescription mouth rinse:
Office16 oz bottle: 9.25
Patient: 10
Salivary Testing:
Office 10 kits: 178.35
Patient: 20
Mi Paste:
Office 10 tubes: 140.65
Patient: 15

Instructions and locations of

each product
Product
3m ESPE Varnish

Location
Dental office

Act mouth rinse

Grocery stores

Colgate total toothpaste

Grocery stores

Fluoride

Dental office

Peridex

Dental office

Mi paste

Dental office

Spry gum

Health food
stores
Health food
stores
Grocery
stores/online

Spry mints
Sonicare

*salivary testing
Saliva-check mutans

Dental office

Instructions
Do not brush/floss, drink alcohol/hot
drinks, or eat sticky/crunchy food for
4-6 hours
Use 2X a day. Swish for 30 seconds
each after brushing.
Use morning and night.
Brush for 2 minutes.
Use as your normal toothpaste or
switch morning and night. Dont rinse
off or eat/drink for 15 minutes.
Rinse 2X a day. Swish for 30
seconds. only use for 10 days since
chlorhexidine can cause staining
Place paste in a custom fitting tray
and leave for 3 minutes
undisturbed. Spit but do not rinse!
Chew it. You need at least 5
exposures throughout the day
Eat it. you need at least 5
exposures throughout the day
Use light, gentle pressure! 45
degree angle towards the gums.
Brush for 2 minutes!

Chew the wax. Professional will

add the rest into a container.
15 minutes later, a faint red
line means there are >500,000
cfu/mL of Strep mutans. No red
line means there are < 500,000

Resources:
Caries Risk Assessment. (n.d.). Retrieved February 12, 2016, from http://www.ada.org/~/media/ADA/Science
and Research/Files/topic_caries_over6.ashx
Featherston, J. D., Domejean-orliaguet, S., Jenson, L., Wolf, M., & Young, D. A. (2007, October). Caries Risk
Assessment. Retrieved February 12, 2016, from http://www.pgaton.com/wpcontent/uploads/2012/12/Caries-Risk-Assessment-in-Practice-for-Age-6-Through-Adult-oct-2007.pdf
Guo, L., & Shi, W. (n.d.). Salivary Biomarkers for Caries Risk Assessment. Retrieved February 12, 2016, from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3825179/
Monitor & identify the main caries causing bacteria with Saliva-Check Mutans in 15 minutes! (n.d.). Retrieved
February 12, 2016, from http://www.gcamerica.com/products/preventive/SALIVACHECK_MUTANS/Brochure.pdf

Criteria:
Low risk:
No dental caries within last 3 years. Minimal or no plaque. Shallow pits and
fissures. Sealants. Fluoridated community or use of fluoride products.
Moderate risk:
Heavy biofilm. Frequent snacking. Deep pits and fissures. Exposed roots.
Mild xerostomia. Ortho. Drug use.
High risk:
Visible cavities, both clinical and radiographically. White spot lesions of
demineralization. Previous restorations within 3 years.
Extreme risk:
Severe salivary gland hypofunction=severe xerostomia. Plus any of the
high risk criteria.