CAMBRA, ONE BITE AT A TIME
something; and because I cannot do
everything, I will not refuse to do
the something that I can do. You can
do something and you can make a
difference.” Take one step toward
eating the elephant. RDH
Patti DiGangi, RDH, BS, is a certified
health information technology trainer
shaping the changes in our interoperable
electronic health record world. Patti is an
ADA Evidence Based Champion and
holds publishing and speaking licenses
for “Current Dental Terminology” (ADA)
and SNODENT Coding. She is the author
of the DentalCodeology series of
bite-size books for busy people. Patti
was awarded the 2014 Sunstar Award of
Distinction and the 2013 Sonicare
Mentor of Distinction award. Visit
DentalCodeology.com for more
information about her books.
it for every patient at first. These
forms are not for patients to fill out.
They are for you to work with patients to learn some answers. Download them and fill out a couple for
yourself. Yes, that’s a small bite.
So what do you believe? Is disease inevitable? Is our role to manage it? Or are you starting to believe
a caries-free world might be possible? If you are beginning to believe
the last statement, you cannot continue to do what you have always
done, even though it has brought
significant success. It has not
brought enough success. It is not
time to rest on the laurels of our
As a philosopher once said, “I am
only one, but still I am one. I cannot
do everything, but still I can do
energy molecule in all living cells.
The CariScreen provides the opportunity to measure bacterial load and
biofilm activity levels as they relate
to health, and it only takes a few
minutes to get a tangible score.
The purpose of each of these is
not to find cavities but rather to use
a systematic method for assessing
risk. Only when risk is identified can
the correct therapies be considered.
So often dental professionals think
in terms of therapies. We run to “fix”
something before we know what’s
causing and contributing to it. The
best prevention is primary prevention, to entirely avoid the development of disease by eliminating or
allaying the principal risk factors.
Start this bite the next time you
see patients. You probably won’t use
treatments; they are to determine
These forms can be found online
and through other systems. The
sidebar lists where you can download some of the basic caries risk
assessment forms. (Contact me at
firstname.lastname@example.org if you don’t
want to type in the link.) In addition,
for iPhone and iPad users, there is
an app called MyCAMBRA that can
be downloaded at the i Tunes store.
CariFree ( CariFree.com) is a
company that created an entire system for assessing risk. In addition
to risk forms, they offer a very simple
test with their CariScreen that measures ATP. If you remember back to
the citric acid cycle, also known as
the Krebs cycle, ATP stands for adenosine triphosphate and is the
Low abrasion for your patients
who need sensitivity care and
seek low abrasive whitening
Based on Relative Dentin Abrasivity testing against 15 products in the top 80% of the whitening toothpaste market.
References: 1. GSK DOF RH02006. 2. Shellis RP et al. J Dent 2005; 33( 4): 313-324. 3. Schemehorn BR et al. J Clin Dent 2011; 22( 1): 11-18.
4. Hughes N et al. J Clin Dent 2009; 20( 7): 218-222. 5. GSK DOF – 2860473. 6. GSK DOF – Z2860435.
© 2016 GSK group of companies or its licensor. All rights reserved. Read and follow label directions.
Recommend Sensodyne® – the Dentin Hypersensitivity Specialists
More information on other Sensodyne® variants available at:
10x less abrasive than many leading whitening toothpastes*
Active lifting and prevention of extrinsic dental stains1-4
Contains 5% potassium nitrate, 5% Sodium tripolyphosphate (inactive ingredient)
and 1150 ppm fluoride
Low abrasion formulation, appropriate for patients with exposed dentin5, 6