Riesgo De Caries
Páginas: 2 (300 palabras)
Publicado: 27 de diciembre de 2012
AAPD Caries-Risk Assessment Tool (CAT)*
Caries-risk Indicators
Clinical conditions
Low Risk
No carious teeth in past 24 mos. No enamel demineralization No visible plaque; no gingivitisModerate Risk
Carious teeth in past 24 mos. 1 area of enamel demineralization Gingivitis
High Risk
Carious teeth in past 12 mos. More than 1 area enamel Demineralization (enamel caries “white-spotlesion”) Visible plaque on anterior (front) teeth Radiographic enamel caries High titers of mutans Streptococci Wearing dental or orthodontic appliances Enamel hypoplasia Suboptimal topical fluorideexposure Frequent (i.e., 3 or more) between meal exposures to simple sugars or foods strongly associated with caries.
Environmental characteristics
Optimal systemic and topical fluoride exposureConsumption of simple sugars or foods strongly associated with caries initiation primarily at meal times. High caregiver socioeconomic status
Suboptimal systemic fluoride exposure with optimal topicalexposure Occasional (i.e., 1-2) between-meal exposures to simple sugars or foods strongly associated with caries Midlevel caregiver socioeconomic status (i.e. eligible for school lunch program orSCHIP) Irregular use of dental services
Low-level caregiver socioeconomic status (i.e., eligible for Medicaid) No usual source of dental care Active caries present in the mother Children with specialhealth care needs Conditions impairing saliva composition / flow
Regular use of dental care in an established dental home General health conditions
Risk Category High Risk: The presence of asingle risk indicator in any area of the “high-risk” category is sufficient to classify a child as being at “high risk”. Moderate Risk: The presence of at least 1 “moderate risk” indicator and no “highrisk” indicators present results in a “moderate risk” classification. Low Risk: The child does not have “moderate risk” or “high risk” indicators.
*AAPD, Council on Clinical Affairs, www.aapd.org...
Caries-risk Indicators
Clinical conditions
Low Risk
No carious teeth in past 24 mos. No enamel demineralization No visible plaque; no gingivitisModerate Risk
Carious teeth in past 24 mos. 1 area of enamel demineralization Gingivitis
High Risk
Carious teeth in past 12 mos. More than 1 area enamel Demineralization (enamel caries “white-spotlesion”) Visible plaque on anterior (front) teeth Radiographic enamel caries High titers of mutans Streptococci Wearing dental or orthodontic appliances Enamel hypoplasia Suboptimal topical fluorideexposure Frequent (i.e., 3 or more) between meal exposures to simple sugars or foods strongly associated with caries.
Environmental characteristics
Optimal systemic and topical fluoride exposureConsumption of simple sugars or foods strongly associated with caries initiation primarily at meal times. High caregiver socioeconomic status
Suboptimal systemic fluoride exposure with optimal topicalexposure Occasional (i.e., 1-2) between-meal exposures to simple sugars or foods strongly associated with caries Midlevel caregiver socioeconomic status (i.e. eligible for school lunch program orSCHIP) Irregular use of dental services
Low-level caregiver socioeconomic status (i.e., eligible for Medicaid) No usual source of dental care Active caries present in the mother Children with specialhealth care needs Conditions impairing saliva composition / flow
Regular use of dental care in an established dental home General health conditions
Risk Category High Risk: The presence of asingle risk indicator in any area of the “high-risk” category is sufficient to classify a child as being at “high risk”. Moderate Risk: The presence of at least 1 “moderate risk” indicator and no “highrisk” indicators present results in a “moderate risk” classification. Low Risk: The child does not have “moderate risk” or “high risk” indicators.
*AAPD, Council on Clinical Affairs, www.aapd.org...
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