Caries Management by Risk Assessment (CAMBRA): Implementation in Your Practice Week 4

John D.B. Featherstone Distinguished Professor and Dean

School of Dentistry University of California San Francisco

Disclaimer
This course is designed for educational purposes only. It is not intended as medical advice or medical services. The information provided in this course should not be used for diagnosing or treating a health problem or a disease, nor does it qualify you as a health care provider. It is not a substitute for professional care. If you have or suspect you may have a health problem, you should consult your health care provider.
Product information is illustrative, not an endorsement

University of California San Francisco

Learning Objectives 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

Questions from Week 3

What

do we say when our patients ask about fluoride toothpaste? There are so many mouthrinses out there. How does one choose what to use? How can we be sure that a fluoride product will work effectively? What about fluoride varnish?

Learning Objectives 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

The Caries Balance

Pathological Factors
Acid-producing bacteria Frequent eating/drinking of fermentable carbohydrates Sub-normal saliva flow and function

Protective Factors
Saliva flow and components
Fluoride, Calcium, Phosphate: remineralization Antibacterials:chlorhexidine, xylitol, new?

Caries

No Caries

Featherstone, Community Dent Oral Epidem, 1999