How do you manage a high caries risk patient?

Answered by Cody Janus

When it comes to managing high caries risk patients, one of the key protocols to follow is the CAMBRA protocol. This protocol focuses on preventive measures to control dental disease and requires a recall interval of four months.

One important aspect of managing high caries risk patients is providing nutritional counseling. This involves educating patients about the impact of diet on dental health and providing guidance on making healthier food choices. By helping patients understand how certain foods and beverages can contribute to tooth decay, we can empower them to make better dietary choices and reduce their risk of dental disease.

Another important step in managing high caries risk patients is the use of fluoride. Fluoride has been proven to be effective in preventing tooth decay, so it is recommended to incorporate it into the patient’s daily oral hygiene routine. This includes using over-the-counter fluoride-containing toothpaste twice a day. The fluoride in the toothpaste helps to strengthen the enamel and protect the teeth from acid attacks.

In addition to toothpaste, patients can also benefit from using an over-the-counter sodium fluoride rinse on a daily basis. This rinse provides an extra boost of fluoride and helps to further protect the teeth from decay. It is best to use the rinse at a separate time from brushing, such as after meals or before bed.

In addition to these preventive measures, it is important for high caries risk patients to maintain regular dental check-ups every four months. During these appointments, the dentist can assess the patient’s oral health, identify any potential issues, and provide appropriate treatment or interventions as needed. This frequent recall interval allows for close monitoring of the patient’s dental health and helps to catch any problems early on.

Managing high caries risk patients involves a combination of preventive measures, such as nutritional counseling and the use of fluoride toothpaste and rinses, as well as regular dental check-ups. By following the CAMBRA protocol and customizing the treatment plan to each patient’s specific needs, we can effectively manage their caries risk and promote optimal oral health.