Abstract
Objective: To determine the caries risk by Caries Management by Risk Assessment (CAMBRA) for children with mixed dentition attending a Basic Health Unit (BHU), identifying the main dental caries disease indicators, risk factors and protective factors. Material and Methods: The sample consisted of 89 children of both genders aged 8-12 years. Clinical and bitewing radiographic examinations were performed by a calibrated examiner, as well as the filling of the adapted CAMBRA form. Dental caries disease indicators, risk factors and protective factors of all subjects were determined. Chi-square test and multivariate logistic regression analysis for all CAMBRA variables were applied (p<0.05). Results: Caries risk was considered high in 38.2% of patients, moderate in 32.6% and low in 29.6%. The most frequent disease indicator was white spot lesion on smooth surfaces (73.0%), the most common risk factor was visible biofilm (78.7%) and protective factor was fluoridated water (100.0%). Children with “moderate risk” and “high risk” had risk of visible cavities or radiographic penetration of the dentin (OR=14.689; OR=574.363, respectively) compared to patients with “low risk”. Conclusion: Caries risk determined as “high” and “moderate” were classifications most observed among children attending BHU. White spot lesions on smooth surfaces were the most frequent dental caries disease indicators and visible plaque on tooth surface and community water fluoridation were the most significant risk factors and protective factors, respectively.
Highlights
The caries risk assessment consists in determining the possibility of disease incidence, as the number of new non-cavitated or cavitated caries lesions during a certain period [1]
Studies have suggested that the dental caries risk assessment should be carried out by analyzing the factors involved in the disease, such as social, behavioral, microbiological, environmental and clinical factors [3,4]
The results show that "high" caries risk classification was the most common (38.2%), followed by "moderate" (32.6%) and "low" (29.6% of cases)
Summary
The caries risk assessment consists in determining the possibility of disease incidence, as the number of new non-cavitated or cavitated caries lesions during a certain period [1]. Studies have suggested that the dental caries risk assessment should be carried out by analyzing the factors involved in the disease, such as social, behavioral, microbiological, environmental and clinical factors [3,4] In this context, CAMBRA (Caries Management by Risk Assessment) was developed at a conference held in 2002 in California, USA, defining caries indicators, as well as risk and protective factors to guide therapy and treatment planning based on evidence for both children and adults and for communities. The goal of CAMBRA is the rapid, simple and precise identification of patients at higher risk for the disease so that proper planning can be implemented This method has been used since 2008 in an American University as part of the clinical and didactic teaching to standardize the caries risk classification of patients determined by both faculty and students [11]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
