• Dentists
  • Dental Hygienists
  • Dental Assistants
Hours: 3 Contact Hours
Author(s): Amy Nieves, RDH
Peer Reviewer(s): Elena Francisco, RDH, RDHAP, MSDH
Item#: L0703
Contents: 1 Course Book (34 pages)
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Caries Management by Risk Assessment: CAMBRA in Dental Practice, Updated 1st Edition

Price $29.95
Item # L0703
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Release Date: July 5, 2011
Revised Dates: August 3, 2014; May 26, 2015
Expiration Date: May 25, 2018

The surgical model of dentistry is being replaced with a medically-based model called minimally invasive dentistry, which seeks to identify the cause of a disease and treat its symptoms, thereby minimizing hard tissue damage. This course applies the concepts of minimally invasive dentistry to caries management. The multifactorial nature of caries, risk factors, and specific indicators are discussed. Assessing diet, oral hygiene, bacterial load, and susceptibility to infection help create a "road map" for oral health professionals to follow as they treat patients using the medical model. The importance of saliva testing is emphasized and specific treatment protocols are discussed.

AGD Subject Code: 257

Western Schools designates this activity for 3 continuing education credits.

Course Objectives
  • Discuss the evolution of caries management and the philosophies of minimal intervention dentistry, minimally invasive dentistry, and caries management by risk assessment in the practice of dentistry.
  • Discuss the factors affecting caries risk.
  • Explain the importance of saliva testing.
  • Identify different protocols to treat caries using the medical model.
  • Discuss the risks, alternatives, and benefits of using glass ionomers as dental sealants.
Amy Nieves, RDH (Original Author), graduated from Middlesex County College in Edison, New Jersey, in 1999 and launched www.amyrdh.com to serve as an online resource for dental hygiene students, clinical hygienists, educators, and other dental professionals. From 2000 to 2007, Ms. Nieves was a regular contributor to the peer-reviewed journal Contemporary Oral Hygiene with her monthly column, “Hygiene Solutions.” Her articles have appeared in various dental hygiene publications. In 2004, she co-authored The Purple Guide: Developing Your Clinical Dental Hygiene Career with Shirley Gutkowski, RDH, BSDH. Ms. Nieves was the southern Michigan specialist for GC America, Inc., from 2007 to 2010 and has also been the eastern Pennsylvania clinical specialist for OralDNA. 
Elena Francisco, RDH, RDHAP, MSDH (Original Peer Reviewer and Revision Author), received her bachelor of science degree in dental hygiene from Loma Linda University and her master’s degree in dental hygiene education from Idaho State University. She is currently an adjunct clinical instructor in dental hygiene at Carrington College in Sacramento, California. Prior to joining the faculty at Carrington College, Ms. Francisco was a clinical instructor in dental hygiene at the University of the Pacific Arthur Dugoni School of Dentistry. A licensed registered dental hygienist in alternative practice, Ms. Francisco has coauthored several journal articles on dental hygienists’ knowledge, attitudes, and practice behaviors regarding caries risk assessment and management.
  • Courses must be completed within one (1) year of the date of purchase or by the expiration date indicated above, whichever date comes first.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that the course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.
  • There are no prerequisites for this course.