Category: Hygiene Title of Template: cambra

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Pamela Maragliano-Muniz, DMD

Salem Dental Arts

CAMBRA Template for EHR
Category: Hygiene
Title of Template: CAMBRA
Risk 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 Dentures

Diagnostic Aids:

  • Disclosing gel

    • Disclosing 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 test

    • A resting pH test was completed and it was determined that the patient has a resting pH of fill in.

  • Other

Caries 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 instructions

    • Diet recommendations

    • OTC Toothpaste

    • MI Paste

    • MI Paste Plus

    • Dip toothbrush in baking soda

    • OTC xylitol gum

    • 5% NaF Mouthrinse

    • MI Varnish at all recalls

    • 3 month recall

    • 4 month recall

    • 6 month recall

  • White spot reversal

    • Sealants

    • 1.1% 5000ppm NaF Toothpaste

      1. Fluoridex

      2. Rx for Prevident

    • Oral-B Smart Series 5000

    • Baking Soda Rinses

    • Boost spray

    • 100% xylitol (Xyloshield- consider from Ultradent/ Spry...)

    • Instruction handout was given to the patient


The patient was/was not receptive to these recommendations.

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