Browsing by Subject "High caries risk"

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    Application of International Caries Detection and Assessment System (ICDAS) and Caries Management by Risk Assessment (CAMBRA) systems in child cancer patients: a clinical case report
    (Springer, 2017-05-13) Hernández Fernández, Ana; Oñate Sánchez, Ricardo Elías; Fernández Miñano, Esther; Iniesta López Mantecio, P.; Ortiz Ruiz, Antonio José; Dermatología, Estomatología, Radiología y Medicina Física
    Background Leukaemia represents 30–40% of all paediatric malignant tumours and is the main cause of death in patients aged <15 years. One of the main complications in these patients is infection, which may often occur in the oral cavity. Chemotherapy-related oral health problems may be reduced by oral healthcare strategies based on the International Caries Detection and Assessment System (ICDAS) and Caries Management by Risk Assessment (CABRA). Case report A case is reported of a 14-year-old girl treated for leukaemia who presented with established dental caries lesions which were classified and treated according to ICDAS and CABRA protocols. After three, no new caries was observed. Follow-up and conclusion ICDAS and CAMBRA provide useful and effective guidance for the avoidance of dental and systemic problems. Their introduction into standard practice could reduce the legal difficulties derived from dental treatment in these patients.
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    Cambra system in patients awaiting hematopoietic progenitor cell transplant and high caries risk
    (Medicina Oral S. L., 2017-05-01) Hernández Fernández, Ana; Ortiz Ruiz, Antonio José; Arriba de la Fuente, Felipe de; Vicente García, Vicente; Iniesta López Matencio, Pastora; Oñate Sánchez, Ricardo Elias; Dermatología, Estomatología, Radiología y Medicina Física
    Background Recent times have witnessed a significant increase in the number of patients affected by problems related to oncological treatment Aims of this study is to evaluate dental affectation among patients awaiting hematopoietic progenitor cell transplant (HPCT), and they showed high caries risk, so it should establish a protocol prior to transplantation. Material and Methods The study included 72 patients due for HPCT. Clinical and radiological explorations were performed and oral photos taken. The amount of caries, missing teeth and fillings were registered for each patient. CAO, DMFS and Restoration Indices were calculated. Results 83% of patients presented caries. 48 patients (67%) had lost at least one tooth. Only 32 patients (44%) had received some sort of conservative treatment. The average CAO index value obtained was 10.37. The DMFS index showed an average of 27.06 affected surfaces. Of the 72 patients studied, 40 (56%) showed a restoration index value of zero. Conclusions These patients presented a high number of carious teeth and a low restoration index. The presence of so many possible septic foci in an individual, who will later become susceptible to infection, highlights the importance of preventative treatment and bucco-dental restoration within this patient population. These patients with a high caries risk can be treated with CAMBRA system.