®

CRT Caries Risk Test

Make the invisible visible.

 ®
CRT
The basis for customized treatment

Cariogenic germs Early diagnosis Cariogenic

bacteria

Many different factors To achieve early dia- Bacteria produce acids

influence oral health. gnosis, it is important from carbohydrates.
Eating habits, the nat- to analyse a patient’s These acids demineral-
ural resistance of the caries risk. Only then is ise the tooth structure.
tooth structure, it possible to fight the
microorganisms, and causes of caries and
saliva all play an essen- employ individual, cus-
tial role in the develop- tomized treatment
ment and progression measures. The CRT
of caries. caries risk test enables Mutans
Individual Micro- you to do just this. streptococci
factors organisms

CRT bacteria
To determine the
Caries mutans streptococci and
lactobacilli count in
saliva

Carbohy- Time and

drates frequency
Mutans streptococci
play a decisive role in
the onset of caries.
Factors influencing the
development of carious defects

CRT buffer Lactobacilli

To determine the
buffer capacity of the
saliva

Lactobacilli contribute
to the progression of
caries.

Pictures by
PD Dr. S. Kneist, Erfurt
 ®
CRT bacteria

High caries risk In-depth Mineral loss

(symptoms)
information

High bacterial counts CRT bacteria and CRT

indicate a high caries buffer supply subclin- Visible
risk. If the protective ical information that is Total destruction
factors opposing the normally inaccessible. Progression

visible
bacteria are inade- CRT enables early inter- Cavity
quate, carious defects vention, even before Chalky spot
may develop. carious defects can be
visually detected.
Number of Children

Caries
Subclinical
increase Light-microscopy

subclinical
150 Ultrastructural
127
No caries Caries No caries

CRT
100 increase increase increase

50
22 23 14
0
High caries risk Low and
medium caries risk

Forecast and actual increase in

caries (12- to 13-year-olds after
4 years) based on the mutans
streptococci and lactobacilli
counts in saliva (Kneist 1998)

CRT bacteria – CRT bacteria –

accurate dia- easy handling
gnostic reading

Ô two in one:
records the mutans Ô quick and easy to use
streptococci and Ô results after just 2
lactobacilli count
Ô high selectivity
days

Ô hygienically sealed
agars
Ô scientific basis
 ®
CRT buffer

Natural Demineralisation
protective factors by acids

Saliva
Buffer systems con-
tained in the saliva can
neutralize acids which
are harmful to teeth.
How capably the buffer
systems are doing their
job can be revealed
by determining the
buffer capacity of the
saliva with CRT buffer.
Protection
by buffer systems

Speichel

CRT buffer – CRT buffer –

consistent quality easy handling

Ô individually packed Ô quick and easy

test strips procedure
Ô reliable results Ô results after just 5
minutes
 ®
CRT
For a partnership based on trust

between … and patient Establish a

dentist … dentist-patient
relationship
Ô targeted patient Ô individual care
built to last!
education and support
Ô early preventive Ô early detection With regular risk control
measures Ô long-term conser- examinations in con-
Ô individualized vation of teeth junction with customized
recall intervals treatment measures

Targeted
treatment
To successfully imple- Cervitec the protective varnish
ment professional, indi- with chlorhexidine for
vidualized treatment, germ control
we recommend the
following Professional
Care products for pre- Fluor Protector the fluoride-containing
vention, therapy and varnish for increased
care: enamel resistance

Proxyt the pastes for profes-

sional tooth cleaning
and polishing

Helioseal the fissure sealants

Helioseal F
Helioseal Clear
Helioseal Clear Chroma
 ®
CRT
Delivery Forms
Literature:
CRT® … to support
M. H. Andersson, D. J. Bales, K.-A.
Intro Pack communication Omnell: Modern management of dental
caries; J. Am. Dent. Assoc. 124, 1993,
with your 37-44
3 dip slides CRT bacteria
3 test strips CRT buffer
patients S. R. Brailsford, R. W. Byrne, D. Beighton:
Evaluation of new dip-slide test for the

Ô flowchart
Accessories quantification of mutans streptococci
from saliva; Bericht 1998
Ô therapy diagram
Ô treatment booklet
D. Bratthall: Dental caries: Intervened -
interrupted - interpreted; Eur. J. Oral. Sci.
CRT® bacteria for children 104, 1996, 486-491

Refill Ô treatment booklet W. M. Edgar, S. M. Higham, R. H.

Manning: Saliva stimulation and
for adults
Ô brochures
caries prevention; Adv. Dent. Res. 8,
6 dip slides CRT bacteria 1994, 239-245

Accessories S. Kneist, R. Heinrich-Weltzien,

W. Tietze, V. Schumann, L. Stößer:
Die mikrobielle Mundhöhlenbesiedlung
als Grundvoraussetzung des Kariesrisikos -
CRT® buffer eine Übersicht der Befunde aus der
Erfurter Studie; In: L. Stößer (Hrsg.):
Refill Kariesdynamik und Kariesrisiko;
Quintessenz Verlag Berlin, 1998

S. Kneist, A. Richter, C. Finke: Validierung

6 test strips CRT buffer von Speicheltests zur Anzucht von Mutans
Accessories Streptokokken; Quintessenz 52, 2001,
439-447

S. Kneist, R. Heinrich-Weltzien, T. Fischer,

C. Klein, S. Rupf, K. Eschrich:
Cultura Incubator Handelsübliche Speicheltests zum
Mutans-Nachweis - Übersicht und
Effizienzbewertung; Quintessenz 50,
1999, 33-43
1 mini incubator
1 multirack sample K. G. König: Karies und Parodontopathien;
Georg Thieme Verlag, Stuttgart,
Holder New York 1987

B. Krasse: Can microbiological knowledge

be applied in dental practice for the treat-
ment and prevention of dental caries; J.
Can. Dent. Assoc. 50, 1990, 211-223

L. Laurisch: Die mikrobiologische

Untersuchung des Speichels;
Quintessenz 50,1999, 343-356

P. D. Marsh: Antimicrobial strategies in the

prevention of dental caries; Caries Res.
27, 1993, 72-76

I. Zickert, C. G. Emilson, B. Krasse:

Correlation of level and duration of
Streptococcus mutans infection with
incidence of dental caries;
Infect. Immun. 39, 1983, 982-985

Descriptions and data constitute no warranty

of attributes and.
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