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Pamela Maragliano-Muniz, DMDSalem Dental ArtsCAMBRA Template for EHRCategory: HygieneTitle of Template: CAMBRARisk Assessment:A CAMBRA Risk Assessment was completed and the patient presents with the following risk factors: (italics= high risk)[These items pop up and the question is if they DO/ DO NOT exist) Systemic condition causing xerostomia Xerostomia-causing medications Smoking Poor oral hygiene Diet high in fermentable carbohydrates Gingival Recession Orthodontics Caries within 3 years Radiographic caries Clinical caries Incipient caries/ demineralization White spot lesions Extensive restorative history Fixed Partial Dentures (bridges) Removable Partial DenturesDiagnostic Aids:Disclosing gelDisclosing gel was applied to the patient’s teeth and the distribution of bacteria was evaluated: (Fill in %)% Pink (new) Plaque (Fill in %)% Dark Purple (older than 48 hours) plaque (Fill in %)% Light blue (acidogenic) plaque pH testA resting pH test was completed and it was determined that the patient has a resting pH of fill in. OtherCaries Risk Category:After assessing the patient’s caries risk and clinical presentation, it was determined that the patient is at a___________ risk for the development of dental caries. Low Moderate High Extremely High [All of these items pop up and you click on one of them]Risk Management: [All of these pop up and you check off which recommendations were made]Oral hygiene instructionsDiet recommendationsOTC ToothpasteMI PasteMI Paste PlusDip toothbrush in baking sodaOTC xylitol gum5% NaF MouthrinseMI Varnish at all recalls3 month recall4 month recall6 month recallWhite spot reversalSealants1.1% 5000ppm NaF ToothpasteFluoridexRx for PrevidentOral-B Smart Series 5000Baking Soda RinsesBoost spray100% xylitol (Xyloshield- consider from Ultradent/ Spry...)Instruction handout was given to the patientCompliance:The patient was/was not receptive to these recommendations. ................
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