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🏠7. CRACAMBRA

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Question Bank

1
What does CRA stand for in the context of caries risk assessment?
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Caries Risk Assessment

2
What does CAMBRA stand for in the context of caries management by risk assessment?
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Caries Management by Risk Assessment

3
What are the key steps in applying caries risk assessment and management?
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1. Identify caries risk factors, 2. Implement preventive measures, 3. Monitor and adjust treatment plan

4
What is the acronym CRA?
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Caries Risk Assessment

5
What does CRA assess?
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It assesses the risk of dental caries in a patient.

6
What is the goal of CAMBRA?
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To bring the caries balance to the side of remineralization by promoting protective factors.

7
What are the pathological factors of caries according to the slide?
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Acid-producing bacteria, frequent eating/drinking of fermentable carbohydrates, and sub-normal saliva flow and function.

8
What is the purpose of the Caries Risk Assessment Form?
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To evaluate the risk of dental caries in patients over the age of 6.

9
When is the Caries Risk Assessment Form completed?
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At the comprehensive oral exam and updated at every subsequent recall exam.

10
What are the three levels of caries risk determined by the form?
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Low, Moderate, and High.

11
What does 'Fluoride Exposure' include?
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Through drinking water, supplements, professional applications, toothpaste

12
What are the three categories of 'Sugary Foods or Drinks'?
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Juice, carbonated or non-carbonated soft drinks, energy drinks, medicinal syrups

13
What does 'Caries Experience of Mother, Caregiver and/or other Siblings' refer to?
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For patients ages 6-14

14
What does 'Special Health Care Needs' refer to in the context of this slide?
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Developmental, physical, medical, or mental disabilities that prevent or limit performance of adequate oral health care by themselves or caregivers.

15
Which conditions are marked with a 'Yes' in the 'over age 14' column?
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Chemo/Radiation Therapy, Eating Disorders, Medications that Reduce Salivary Flow, Drug/Alcohol Abuse.

16
What does 'Cavitated or Non-Cavitated' refer to in the context of dental conditions?
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Incipient carious lesions or restorations that are either visible or radiographically evident.

17
What is the significance of 'Visible Plaque' in the clinical conditions checklist?
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It indicates the presence of visible plaque, which is a key factor in oral hygiene and dental health.

18
What does 'Exposed Root Surfaces Present' mean in the clinical conditions?
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It refers to the condition where the roots of the teeth are not covered by the gums, which can lead to sensitivity and other dental issues.

19
What are the oral manifestations of dry mouth (xerostomia)?
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Sticky, dry feeling in mouth and/or throat, burning or itchy feeling in mouth and/or throat, trouble chewing, swallowing, tasting or speaking, sores on oral mucosa, recurrent oral and pharyngeal infections, bad breath, sticky or stringy saliva, cracked lips, dry, rough, red, 'hairy' or deeply fissured tongue

20
What is the term for a condition characterized by a lack of saliva production?
Show answer
Dry mouth (xerostomia)

21
What is the normal unstimulated salivary secretion rate?
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0.3ml/min

22
What does the patient do during the unstimulated salivary flow test?
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Sits without speaking, chewing, or swallowing

23
How long after the unstimulated salivary flow test is the saliva collected and measured?
Show answer
10 minutes

24
What is the normal stimulated salivary secretion rate?
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1-2ml/min

25
What does the patient do during the stimulated salivary flow test?
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Chews wax, sugar-free gum, or sucks on a lozenge

26
How long after the stimulated salivary flow test is the saliva collected and measured?
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5 minutes

27
What does the final section of the assessment summarize?
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The patient's caries risk based on the answers to the previous section's questions.

28
What are the patient instructions important for?
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To summarize the patient's caries risk based on the answers to the previous section's questions.

29
What does CAMBRA stand for?
Show answer
Caries Management by Risk Assessment

30
What is the purpose of CAMBRA in dental care?
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To manage caries by assessing and addressing individual patient risks

31
What is the purpose of determining recall frequency in a caries prevention plan?
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To schedule regular dental check-ups and radiographs for monitoring and early detection of dental caries.

32
What are CAMBRA products and what is their role in caries prevention?
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CAMBRA products are specific dental products used in the caries management by risk assessment approach, which include fluoride varnishes and other remineralization agents.

33
What is the frequency of radiographs for patients at low risk?
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Every 24-36 months

34
What is the frequency of caries recall exams for patients at moderate risk?
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Every 4-6 months

35
What is the frequency of radiographs for patients at high risk?
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Every 6-18 months or until no cavitated lesions are evident

36
What is the purpose of prescription writing?
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Prescription writing is the process of documenting a patient's medical history, diagnosis, and the medication prescribed by a healthcare provider.

37
What are the key components of a prescription?
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The key components of a prescription include the patient's name, date, medication name, dosage, frequency, and the prescriber's signature.

38
What are the 7 steps for prescription writing?
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Prescriber Information, Patient Information (Superscription), Inscription, Signatura (Sig), Dispensing Instructions (Disp), Refills (Rf), Prescriber's Signature

39
What does the term 'Superscription' refer to in prescription writing?
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Patient Information

40
What is the purpose of the 'Signatura (Sig)' step in prescription writing?
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Directions to the Patient

41
What does 'qd' stand for in prescription shorthand?
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once a day or everyday

42
What is the abbreviation for 'twice a day' in prescription shorthand?
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bid

43
What does 'po' mean in prescription shorthand?
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take by mouth

44
What is a tablet?
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A solid dosage form of a drug that is usually in the shape of a disk.

45
List the common drug forms mentioned in the slide.
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Tablet, capsule, powder, liquid, rinse, inhalant/spray, suppository, topical, drops.

46
What does 'Enteral' refer to in the context of drug administration?
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Enteral refers to the routes of administration where the drug is delivered through the gastrointestinal tract.

47
List the two enteral routes mentioned in the slide.
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The two enteral routes mentioned are po (by mouth) and pr (by rectum).

48
What is the abbreviation 'IM' and what does it stand for in drug administration?
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IM stands for intramuscular, which refers to the route of administration where the drug is injected into a muscle.

49
What is the purpose of the form shown in the slide?
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The form is a practice prescription form used by students at California Northstate University College of Dental Medicine.

50
What is the abbreviation 'RX' used for in the context of this slide?
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RX is an abbreviation for 'Rx', which stands for prescription.

51
What are CAMBRA products?
Show answer
CAMBRA products are dental diagnostic tools used for detecting caries.

52
When was the CAMBRA product introduced?
Show answer
The CAMBRA product was introduced in 2010.

53
What is the fluoride concentration of the toothpaste shown in the slide?
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1.1% Sodium Fluoride (NaF)

54
Is this toothpaste available over-the-counter (OTC)?
Show answer
No, it is only available by prescription.

55
What are the potential side effects of ingesting this toothpaste?
Show answer
Gingival irritation, fluorosis if ingested during tooth development (<6yo), nausea if ingested, hypersensitivity unlikely.

56
What is the concentration of fluoride in the 1.1% NaF Toothpaste Prescription?
Show answer
1.1% Sodium Fluoride

57
What are the instructions for using the 1.1% NaF Toothpaste Prescription for adults?
Show answer
Brush once daily with a pea-sized amount for 2 minutes, expectorate, and avoid rinsing, eating, or drinking for 30 minutes after.

58
How many refills are allowed for the 1.1% NaF Toothpaste Prescription?
Show answer
3 refills

59
What is the concentration of fluoride in the 0.2% Sodium Fluoride Rinse?
Show answer
0.2%

60
Is the 0.2% Sodium Fluoride Rinse available over-the-counter?
Show answer
No

61
What are the potential side effects of the 0.2% Sodium Fluoride Rinse?
Show answer
Fluorosis, gingival irritation, hypersensitivity, GI upset

62
What is the concentration of the sodium fluoride rinse?
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0.2%

63
How much sodium fluoride rinse should be used per use?
Show answer
2 teaspoons (10mL)

64
How long should the rinse be vigorously swished?
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One minute

65
What is the concentration of Chlorhexidine Gluconate 0.12% Oral Rinse?
Show answer
0.12%

66
For whom is Chlorhexidine Gluconate 0.12% Oral Rinse typically prescribed?
Show answer
Patients with periodontal disease management

67
What are the side effects of Chlorhexidine Gluconate 0.12% Oral Rinse?
Show answer
Tooth staining, minor irritation, sloughing of oral mucosa, inflammation of salivary glands

68
What is the concentration of Chlorhexidine Gluconate in the oral rinse?
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0.12%

69
How long should the oral rinse be swished in the mouth?
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1 minute

70
How often should the oral rinse be used?
Show answer
Once a day for the first 7 days of each month

71
What is the primary mechanism by which xylitol gum protects against caries?
Show answer
Increasing salivary flow and decreasing adhesion of bacteria to teeth

72
What are the patient instructions for using xylitol gum?
Show answer
Chew gum 3 times per day after meals

73
What is the purpose of the caries risk assessment in patient education?
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To determine and discuss the patient's risk of dental caries, recall intervals, oral hygiene routine, dietary changes, and CAMBRA products.

74
What is the purpose of the teach-back method in patient education?
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To ask the patient to repeat back the CAMBRA product instructions to confirm they understand proper use.

75
What is the purpose of continuously reassessing a patient's caries risk at each recall exam?
Show answer
To ensure the caries prevention plan is tailored to the patient's current risk level.

76
What is CAMBRA Rx?
Show answer
CAMBRA Rx stands for Caries Management by Risk Assessment, a system used to manage caries risk in dental patients.

77
What is the importance of providing positive affirmations with improvement?
Show answer
It helps maintain patient motivation and self-efficacy in achieving their caries prevention goals.

78
What is the first step to add the CRA form?
Show answer
Click the "forms" tab.

79
What is the second step to add the CRA form?
Show answer
Click the "+" button on the right control panel.

80
What is the purpose of the CRA form in the context of dental medicine?
Show answer
The CRA form is used for Caries Risk Assessment.

81
What should be done after selecting the appropriate form in the dropdown menu?
Show answer
Once the form is opened, you can record information.

82
What is the purpose of the Caries Risk Assessment Form?
Show answer
To evaluate and assess the risk of dental caries in a patient.

83
What are some contributing conditions listed on the form?
Show answer
Fluoride exposure, consumption of sugary foods or drinks, and regularity of dental care in the past two years.

84
What is the purpose of the Huddle in the clinic sequence of activities?
Show answer
Review materials and procedures with Pod Faculty

85
What are the steps involved in the Faculty Operatory Check?
Show answer
Complete hand hygiene, PPE and operatory setup

86
What is the significance of the Caries Risk Assessment in Axium?
Show answer
Identify all contributing oral, general health, environmental and lifestyle factors that contribute to caries risk

87
What is the full form of CAMBRA?
Show answer
Caries Risk Assessment, CAMBRA Prescription

88
What is the Stimulated Salivary Flow Rate mentioned in the slide?
Show answer
0.75 mL/min

89
What is the frequency of radiograph recall mentioned in the slide?
Show answer
BWX every 6-18 mo until no cavitated lesions evident

90
What is the name of the institution shown in the slide?
Show answer
California Northstate University College of Dental Medicine

91
What is the date shown in the bottom left corner of the slide?
Show answer
12/23/20