Riesgo de Caries

R1: C.D. Raúl Del Castillo Miranda

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¿CARIES?

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ETIOLOGÍ A

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Clase social

Saliva (Flujo salival)

Educación

Depósito microbiano

Flúor 

Diente Capacidad Búffer 

pH

Dieta Composición Frecuencia

Tiempo

Especies microbianas Depósito microbiano

Ingresos

Diente

Azúcar  Grado de clearance

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 TRIADA DE SALUD

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RIESGO DE CARIES Paciente de riesgo a caries car ies dental, es aquel expuesto a una oportunidad



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EVALUACIÓN DEL RIESGO DE CARIES

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VALORACION DE RIESGO DE CARIES “…Las herramientas para la valoración

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FACTORES DE RIESGO

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INDICADORES DE RIESGO

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FACTORES DE RIESGO DE

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Número Permanente

Tipo

Primario Oclusal

Dientes Presentes

Actual

Inter próximo

Agente Infeccioso

Serotipo

S. mutans

Cantidad

Caries Hx

Oclusal Restaurada Inter próximo

Madres

Historia de caries Hermanos

Actinomyces Bifidobacterium

Selladores Flora

Lactobacili

Otros

Caries Familiares Hx

Ambiente

Frecuencia Cantidad Hora (de ir a dormir)

Azúcar 

Riesgo de caries

Sistema Inmune

IgA

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SISTEMA 1-2-3

TOMAS SEIF

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EVIDENCIA DE CARIES CLÍNICA Y RADIOGRÁFICA

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PRESENCIAS DE RESTAURACIONES

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UTILIZACIÓN DE AGENTES FLUORADOS

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INGESTA DE CARBOHIDRATOS

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HIGIENE BUCAL

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MOTIVACIÓN

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CLASIFICACION RIESGO A CARIES

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HERRAMIENTAS DE DE EVALUACIÓN DEL DEL RIESGO DE CARIES CARIES DE AAPD (CAT )* Indicadores de Riesgo de Caries Condiciones clínicas

Bajo Riesgo

Riesgo Moderado

Dientes sin caries en los últimos 24 meses





Alto Riesgo

Dientes con caries en los últimos 24 meses Dientes con caries en los últimos 12 meses

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RIESGO DE CARIES

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PROGRAMA CARIOGRAM

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 La caries es una enfermedad producida por

tres factores principales: Bacterias, (placa bacteriana) Azúcar (dieta) y Huésped ( uso de fluoruros, variaciones de secreción salival y capacidad buffer de la misma). Para entender como se desarrolla la caries es necesario dividir un círculo en tres partes iguales coloreados en rojo, azul y ¿ Que indican losllamados colores? celeste "Sector"



Bacteria

Azúcar

Huésped

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 El Cariograma, es una torta dividida

en cinco sectores, los colores indican los distintos factores relacionados con el proceso de caries. El sector verde muestra la oportunidad real de una estimación para evitar las caries.

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 El sector azul es la dieta, basada en una

combinación de volúmenes y frecuencia de alimentos.  El sector rojo son las bacterias está basado en una combinación de cantidad de placa y de estreptococos mutans.  El sector celeste es el huesped suceptible y esta basado en una combinación de programa fluorado, volumen de secreción salival y su capacidad buffer

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 El sector amarillo es la

circunstancia y está basado en una combinación de experiencia de caries en el pasado y

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reducci redu cción ón de la fre frecu cuen encia cia y  cant ca ntid idad ad de in inge gest sta a de az azúc úcar ar qu que  e  tien ti ene e la di diet eta  a  . Resultado reducción de la producción de ácidos por las bacterias, menor  desmineralización del diente. El

sector rojo es el que indica que el número de bacterias cariogénicas ha sido disminuido

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 Otras interacciones entre los

factores para evaluar el riesgo de caries Todos los los sectores sectores están reducid reducidos os , esto indica disminución de la ingesta de

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El cuadro cuadro indica indica un gran gran hueco, bajo riesgo de caries

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TEST SEMI SEMICUANT CUANTIT ITA ATIVOS Sistemas de tests ya establecidos

 

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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D ia g n ó stico M icro b io ló g ico

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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Método Micr Microbiologico obiologico

The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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CONCLUSION

The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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The world’s largest digital library

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REFERENCIAS BIBLIOGRAFICAS