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CAMBRA – Caries Management By Risk Assessment

Synonyms: CARIES = CAVITIES = DECAY

A paradigm shift in dental practice occurred nearly 10 years ago when the California Dental Association Foundation, in partnership with the UCSF School of Dentistry, published evidence based studies in the Journal of the California Dental Association that caries could be prevented and managed through risk assessment. This concept of preventing future caries based on the particular patient risk is now the standard of care adopted by the American Dental Association (ADA).

Similar to how your physician assesses your risk for future heart disease based on measuring your current blood pressure, blood cholesterol, family history of heart disease, and your life style habits such as: smoking, diet, exercise routine, etc., CAMBRA assesses your risk level for future caries based on your current dental condition and manages your risk to prevent caries disease in the future by designing a preventive dental health program that fits your risk level.

Essentially we want to shift the balance from “Caries making factors” to “Caries neutral and Caries preventing factors”

Choose a Customized Oral Health Program according to your risk factors:

Cavities: High Risk
Gum Disease: High Risk

Cavities, gingivitis and periodontal disease are painful, costly and harmful to your overall health. Luckily, these diseases are largely preventable by simple procedures that are quick and easy to do. Based on your risk profile above, which we diagnosed during your office visit, we recommend for you the following customized oral health preventive program.

Regular care at the office

  • Dental cleaning by your hygienist every 3 months
  • Application of fluoride varnish at every dental cleaning
  • Check-ups by Dr. Jalbout every 6 months
  • 4 cavity checks radiographs every year

Regular care at home

  • First: Floss using a “C” wrap to wipe the sides of the teeth
  • Then: Brush with light pressure and vibration at 45 degree angle
    • Modify the technique for recession areas: swipe from gums to teeth
  • Clinpro 5000 tooth paste:
    • Twice a day for 2 minutes each time (instead of regular tooth paste) and DO NOT eat or drink or rinse mouth with water for at least 30 minutes.
  • Antibacterial mouth wash, Chlorhexidine 0.12%:
    • Rinse with ½ of bottle cap, one hour after brushing your teeth with Clinpro toothpaste ONCE A DAY.
    • Swish for 1 minute and do not eat, drink or rinse for at least 30 minutes afterwards.
    • Use for 7 consecutive days every month for one year.
  • Other tools if any, as recommended by your hygienist at your last dental cleaning visit such as:
    • Rubber tip stimulators
    • Proxabrush
    • Soft Piks
    • Antibacterial application Peroxyl

Check out our: “Home Oral Care Instructions Flossing Brushing Mouthwash and More” for details on how to follow these recommendations best!

Cavities: High Risk
Gum Disease: Moderate Risk

Cavities, gingivitis and periodontal disease are painful, costly and harmful to your overall health. Luckily, these diseases are largely preventable by simple procedures that are quick and easy to do. Based on your risk profile above, which we diagnosed during your office visit, we recommend for you the following customized oral health preventive program.

Regular care at the office

  • Dental cleaning by your hygienist every 4 months
  • Application of fluoride varnish at every dental cleaning
  • Check-ups by Dr. Jalbout every other dental cleaning
  • 4 cavity checks radiographs every year

Regular care at home

  • First: Floss using a “C” wrap to wipe the sides of the teeth
  • Then: Brush with light pressure and vibration at 45 degree angle
    • Modify the technique for recession areas: swipe from gums to teeth
  • Clinpro 5000 tooth paste:
    • Twice a day for 2 minutes each time (instead of regular tooth paste) and DO NOT eat or drink or rinse mouth with water for at least 30 minutes.
  • Antibacterial mouth wash, Chlorhexidine 0.12%:
    • Rinse with ½ of bottle cap, one hour after brushing your teeth with Clinpro toothpaste ONCE A DAY.
    • Swish for 1 minute and DO NOT eat, drink or rinse for at least 30 minutes afterwards.
    • Use for 7 consecutive days every month for one year.
  • Other tools if any, as recommended by your hygienist at your last dental cleaning visit such as:
    • Rubber tip stimulators
    • Proxabrush
    • Soft Piks
    • Antibacterial application Peroxyl

Check out our: “Home Oral Care Instructions Flossing Brushing Mouthwash and More” for details on how to follow these recommendations best!

Cavities: High Risk
Gum Disease: Low Risk

Cavities, gingivitis and periodontal disease are painful, costly and harmful to your overall health. Luckily, these diseases are largely preventable by simple procedures that are quick and easy to do. Based on your risk profile above, which we diagnosed during your office visit, we recommend for you the following customized oral health preventive program.

Regular care at the office

  • Dental cleaning by your hygienist every 4 months
  • Application of fluoride varnish at every dental cleaning
  • Check-ups by Dr. Jalbout every other dental cleaning
  • 4 cavity checks radiographs every year

Regular care at home

  • First: Floss using a “C” wrap to wipe the sides of the teeth
  • Then: Brush: light pressure and vibration at 45 degree angle
    • Modify the technique for recession areas: swipe from gums to teeth
  • Clinpro 5000 tooth paste:
    • Twice a day for 2 minutes each time (instead of regular tooth paste) and DO NOT eat or drink or rinse mouth with water for at least 30 minutes.
  • Antibacterial mouth wash, Chlorhexidine 0.12%:
    • Rinse with ½ of bottle cap, one hour after brushing your teeth with Clinpro toothpaste ONCE A DAY.
    • Swish for 1 minute and DO NOT eat, drink or rinse for at least 30 minutes afterwards.
    • Use for 7 consecutive days every month for one year.
  • Other tools if any, as recommended by your hygienist at your last dental cleaning visit such as:
    • Rubber tip stimulators
    • Proxabrush
    • Soft Piks
    • Antibacterial application Peroxyl

Check out our: “Home Oral Care Instructions Flossing Brushing Mouthwash and More” for details on how to follow these recommendations best!

Cavities: Low Risk
Gum Disease: High Risk

Cavities, gingivitis and periodontal disease are painful, costly and harmful to your overall health. Luckily, these diseases are largely preventable by simple procedures that are quick and easy to do. Based on your risk profile above, which we diagnosed during your office visit, we recommend for you the following customized oral health preventive program.

Regular care at the office

  • Dental cleaning by your hygienist every 3 months
  • Application of fluoride varnish at every dental cleaning
  • Check-ups by Dr. Jalbout every other dental cleaning
  • 4 cavity checks radiographs every year

Regular care at home

  • First: Floss using a “C” wrap to wipe the sides of the teeth
  • Then: Brush: light pressure and vibration at 45 degree angle
    • Modify the technique for recession areas: swipe from gums to teeth
  • Fluoride Mouth Wash over the counter everyday
  • Other tools if any, as recommended by your hygienist at your last dental cleaning visit such as:
    • Rubber tip stimulators
    • Proxabrush
    • Soft Piks
    • Antibacterial application Peroxyl

Check out our: “Home Oral Care Instructions Flossing Brushing Mouthwash and More” for details on how to follow these recommendations best!

Cavities: Moderate Risk
Gum Disease: High Risk

Cavities, gingivitis and periodontal disease are painful, costly and harmful to your overall health. Luckily, these diseases are largely preventable by simple procedures that are quick and easy to do. Based on your risk profile above, which we diagnosed during your office visit, we recommend for you the following customized oral health preventive program.

Regular care at the office

  • Dental cleaning by your hygienist every 3 months
  • Application of fluoride varnish at every dental cleaning
  • Check-ups by Dr. Jalbout every other dental cleaning
  • 4 cavity checks radiographs every year

Regular care at home

  • First: Floss using a “C” wrap to wipe the sides of the teeth
  • Then: Brush: light pressure and vibration at 45 degree angle
    • Modify the technique for recession areas: swipe from gums to teeth
  • Fluoride Mouth Wash over the counter everyday
  • Other tools if any, as recommended by your hygienist at your last dental cleaning visit such as:
    • Rubber tip stimulators
    • Proxabrush
    • Soft Piks
    • Antibacterial application Peroxyl

Check out our: “Home Oral Care Instructions Flossing Brushing Mouthwash and More” for details on how to best do any of the above at home recommendations.

Review our: “Nutritional and dietary guide to preventing cavities” to help you prevent new cavities.

Cavities: Moderate Risk
Gum Disease: Moderate Risk

Cavities, gingivitis and periodontal disease are painful, costly and harmful to your overall health. Luckily, these diseases are largely preventable by simple procedures that are quick and easy to do. Based on your risk profile above, which we diagnosed during your office visit, we recommend for you the following customized oral health preventive program.

Regular care at the office

  • Dental cleaning by your hygienist every 4 months
  • Application of fluoride varnish at every dental cleaning
  • Check-ups by Dr. Jalbout every other dental cleaning
  • 4 cavity checks radiographs every year

Regular care at home

  • First: Floss using a “C” wrap to wipe the sides of the teeth
  • Then: Brush: light pressure and vibration at 45 degree angle
    • Modify the technique for recession areas: swipe from gums to teeth
  • Fluoride Mouth Wash over the counter everyday
  • Other tools if any, as recommended by your hygienist at your last dental cleaning visit such as:
    • Rubber tip stimulators
    • Proxabrush
    • Soft Piks
    • Antibacterial application Peroxyl

Check out our: “Home Oral Care Instructions Flossing Brushing Mouthwash and More” for details on how to best do any of the above at home recommendations.

Review our: “Nutritional and dietary guide to preventing cavities” to help you prevent new cavities.

Cavities: Moderate Risk
Gum Disease: Low Risk

Cavities, gingivitis and periodontal disease are painful, costly and harmful to your overall health. Luckily, these diseases are largely preventable by simple procedures that are quick and easy to do. Based on your risk profile above, which we diagnosed during your office visit, we recommend for you the following customized oral health preventive program.

Regular care at the office

  • Dental cleaning by your hygienist every 4 months
  • Application of fluoride varnish at every dental cleaning
  • Check-ups by Dr. Jalbout every other dental cleaning
  • 4 cavity checks radiographs every year

Regular care at home

  • First: Floss using a “C” wrap to wipe the sides of the teeth
  • Then: Brush: light pressure and vibration at 45 degree angle
    • Modify the technique for recession areas: swipe from gums to teeth
  • Fluoride Mouth Wash over the counter everyday
  • Other tools if any, as recommended by your hygienist at your last dental cleaning visit such as:
    • Rubber tip stimulators
    • Proxabrush
    • Soft Piks
    • Antibacterial application Peroxyl

Check out our: “Home Oral Care Instructions Flossing Brushing Mouthwash and More” for details on how to best do any of the above at home recommendations.

Review our: “Nutritional and dietary guide to preventing cavities” to help you prevent new cavities.

Cavities: Low Risk
Gum Disease: Moderate Risk

Cavities, gingivitis and periodontal disease are painful, costly and harmful to your overall health. Luckily, these diseases are largely preventable by simple procedures that are quick and easy to do. Based on your risk profile above, which we diagnosed during your office visit, we recommend for you the following customized oral health preventive program.

Regular care at the office

  • Dental cleaning by your hygienist every 4 months
  • Check-ups by Dr. Jalbout every other dental cleaning
  • 4 cavity checks radiographs every year

Regular care at home

  • First: Floss using a “C” wrap to wipe the sides of the teeth
  • Then: Brush: light pressure and vibration at 45 degree angle
    • Modify the technique for recession areas: swipe from gums to teeth
  • Fluoride Mouth Wash over the counter everyday
  • Other tools if any, as recommended by your hygienist at your last dental cleaning visit such as:
    • Rubber tip stimulators
    • Proxabrush
    • Soft Piks
    • Antibacterial application Peroxyl

Check out our: “Home Oral Care Instructions Flossing Brushing Mouthwash and More” for details on how to follow these recommendations best!

Cavities: Low Risk
Gum Disease: Low Risk

Cavities, gingivitis and periodontal disease are painful, costly and harmful to your overall health. Luckily, these diseases are largely preventable by simple procedures that are quick and easy to do. Based on your risk profile above, which we diagnosed during your office visit, we recommend for you the following customized oral health preventive program.

Regular care at the office

  • Dental cleaning by your hygienist every 6 months
  • Check-ups by Dr. Jalbout every 6 months
  • 4 cavity checks radiographs every 2 years

Regular care at home

  • First: Floss using a “C” wrap to wipe the sides of the teeth
  • Then: Brush: light pressure and vibration at 45 degree angle
    • Modify the technique for recession areas: swipe from gums to teeth
  • Fluoride Mouth Wash over the counter everyday
  • Other tools if any, as recommended by your hygienist at your last dental cleaning visit such as:
    • Rubber tip stimulators
    • Proxabrush
    • Soft Piks
    • Antibacterial application Peroxyl

Check out our: “Home Oral Care Instructions Flossing Brushing Mouthwash and More” for details on how to follow these recommendations best!

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