Feilding Dental Centre we are implementing a new system of care to
help us achieve this goal together. This system is called CAMBRA
which stands for CAries Management By Risk
decay is the end result of a bacterial infection. The (preventable)
disease is called dental caries, and if left untreated results in
cavities. Just placing fillings or repairing teeth does not in the
long run stop the disease process. Oral health is relatively simple
to attain and dental disease is not inevitable.
bacteria responsible for tooth decay generate acids from the
fermentable carbohydrates we eat and drink every day. These acids
attack your teeth. The level of infection that causes damage to teeth
is increased by multiple factors:
large number of acid-producing bacteria
saliva of poor quality or quantity
unhealthy eating and drinking habits
ineffective or inadequate brushing and flossing
several or all of the above factors are present, your teeth begin to
lose minerals (calcium and phosphate) from the tooth surface. This
process is called demineralisation. The earliest visible signs of
demineralisation appear as white spots, in the enamel. When enough
minerals are lost, the enamel collapses: this is then a cavity.
the help of a standardised questionnaire and new examination
criteria, we conduct a Caries Risk Assessment (CRA) that places you
in a low, moderate or high risk category of developing caries. We
then develop an evidence-based treatment plan that is specific to
your oral health needs. This enables you to take charge of your oral
health and become cavity-free. That is our aim for you.
part of this care approach, we may amongst other measures, test your
saliva, recommend different frequencies of exams, hygiene visits,
radiographs (“x-rays”) and fluoride applications.
CAMBRA, detection and treatment is focused not only on cavities but
also on the pre-cavitated stages such as white spots for example. At
this early stage, the use of chlorhexidine, fluoride or (subject to
no milk protein allergy) Tooth Mousse to remineralise a tooth, can
help us avoid drilling and filling teeth. We may also use other
strategies to reduce bacteria. If a filling is needed, restoration
can be accomplished using the most minimally invasive means possible.
alternative is to ignore the disease and wait for cavities and
problems to arise. However, tooth repairs and replacement parts do
not come with lifetime guarantees. They are subject to breakdown,
necessitating lifelong maintenance or replacement.
have decided to implement CAMBRA in our practice because it has been
scientifically proven to provide both optimal, and minimally
invasive, oral health care for our patients. This is the standard of
care we wish to promote.
In order to achieve this goal you do need to make the necessary lifestyle changes advised by us - this is an oral health partnership.