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Caries Management by Risk Assessment (CAMBRA)

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Week 1:
  • Understand what dental caries is
  • Understand the concept of the caries balance
  • Know the three principal pathological factors of caries formation
  • Understand that multiple bacterial species are responsible for dental caries
  • Understand the role of frequent ingestion of fermentable carbohydrates in dental caries
  • Recognize hyposalivation, how this occurs, and its importance in caries progression
Week 2:
  • Refine the concept of the caries balance 
  • Know and understand the multiple caries protective components in saliva
  • Understand demineralization and the role of fluoride
  • Understand remineralization and the role of fluoride 
Week 3:
  • Understand remineralization and the role of fluoride 
  • Understand how fluoride interacts with cariogenic bacteria 
  • Know the three main mechanisms of action of fluoride 
  • Know about fluoride toothpastes and fluoride mouthrinses
Week 4:
  • Know about fluoride products for the dental office and for home use by prescription 
  • Know why high concentration fluoride products are used for high caries risk individuals 
  • Know the antibacterial products currently available for caries control 
  • Understand the root caries process including similarities and differences with coronal caries
Week 5: 
  • Understand the distinction among disease indicators, pathological (biological risk) factors, and protective factors
  • Know that the CAMBRA risk assessment method is validated in clinical use in thousands of patients for 6 years through adult
  • Know the bacterial assessment methods
  • Understand the sequence for the entire CAMBRA method 
Week 6:
  • Know how to assess caries risk for an individual as low, moderate, high, or extreme 
  • Know the currently recommended chemical therapy for patients at low, moderate, high, or extreme risk 
  • To study numerous examples of risk assessment and therapy and how to build this into the treatment plan 
  • Understand the differences between risk assessment for young children, older children, and adults