Acta Scientific Dental Sciences (ISSN: 2581-4893)

Research Article Volume 4 Issue 9

Comparative Evaluation of 3 Caries Risk Assessment Tools for Children with Early Childhood Caries

Nessa Mary John1* and Latha Anandakrishna2

1Senior Resident, Department of Pedodontics and Preventive Dentistry, Goa Dental College and Hospital, Goa, India
2Professor, Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, Bangalore, India

*Corresponding Author: Nessa Mary John, Senior Resident, Department of Pedodontics and Preventive Dentistry, Goa Dental College and Hospital, Goa, India.

Received: July 24, 2020; Published: August 27, 2020



Background: Caries risk assessment is the determination of the likelihood of the incidence of new carious lesions. Individualized risk assessment of an infant or toddler will help both the health care provider and parent/caregiver to identify the factors associated with early childhood caries, so that a preventive plan can be developed.

Aim: To compare three different caries risk assessment tools, Caries-risk Assessment Tool (CAT), Caries Management by Risk Assessment (CAMBRA) and Cariogram® for children with/without Early Childhood Caries (ECC).

Methods: A prospective comparative study design comprising of 44 children under 71 months of age and diagnosed with/without ECC were included. Oral examination to record oral hygiene score and dmft was done followed by saliva collection to estimate flow rate, pH, buffering capacity and microbial analysis. Unpaired ‘t’ test was used for statistical analysis.

Results: CAT assessed 90.9% of the subjects and CAMBRA assessed 45.5% of the subjects as having high risk of developing dental caries thereby overestimating caries risk, whereas Cariogram® estimated 59.1% of subjects as having high risk after a comprehensive evaluation.

Conclusion: CAT and CAMBRA overestimated caries risk whereas Cariogram® evaluated caries risk appropriately.

Keywords: Caries Risk Assessment; Cariogram; CAMBRA; CAT; ECC



  1. Vargas Clemencia M., et al. “Sociodemographic distribution of pediatric dental caries: NHANES III, 1988-1994”. The Journal of the American Dental Association9 (1998): 1229-1238.
  2. Reich E., et al. “Caries‐risk assessment”. International Dental Journal1 (1999): 15-26.
  3. Lagerweij MD and C Van Loveren. "Declining caries trends: are we satisfied?”. Current Oral Health Reports4 (2015): 212-217.
  4. Featherstone John DB. "Caries prevention and reversal based on the caries balance”. Pediatric Dentistry2 (2006): 128-132.
  5. Featherstone John DB. "The caries balance: contributing factors and early detection”. CDA2 (2003): 129-134.
  6. Ramos-Gomez Francisco J. "Clinical considerations for an infant oral health care program”. Compendium Of Continuing Education In Dentistry5-1 (2005): 17.
  7. Council, Originating. "Guideline on Caries-risk Assessment and Management for Infants, Children, and Adolescents”. The American Academy of Pediatric Dentistry 37 (2013): 132-139.
  8. Tellez M., et al. “Evidence on existing caries risk assessment systems: are they predictive of future caries?”. Community Dentistry and Oral Epidemiology 1 (2013): 67-78.
  9. American Academy of Pediatric Dentistry Council on Clinical Affairs. Definition of early childhood caries (ECC)”. The Pediatric Dental 7 (2005): 14.
  10. Ramos-Gomez Francisco., et al. “Caries risk assessment, prevention, and management in pediatric dental care”. General Dentistry 6 (2010): 505-517.
  11. Nainar S., et al. “Predoctoral dental student evaluation of American Academy of Pediatric Dentistry's Caries-Risk Assessment Tool”. Journal of Dental Education 3 (2006): 292-295.
  12. Featherstone John D B., et al. “Caries risk assessment in practice for age 6 through adult”. Journal of the California Dental Association 10 (2007): 703-707.
  13. Bratthall D., et al. “Cariogram manual, a new and interactive way of illustrating the interaction of factors contributing to the development of dental caries”. Cariogram, Internet Version 2.01 (2004).
  14. Gao XL., et al. “Caries risk assessment programmes for Hong Kong children”. Hong Kong Medical Journal = Xianggang Yi Xue Za zhi 21.6 (2015): 42-46.
  15. Yoon Richard K., et al. “Early childhood caries screening tools: a comparison of four approaches”. Journal of the American Dental Association7 (2012): 756-763.
  16. Gao Xiaoli., et al. “Validity of caries risk assessment programmes in preschool children”. Journal of Dentistry9 (2013): 787-795.
  17. Cheng J., et al. “Understanding treatment effect mechanisms of the CAMBRA randomized trial in reducing caries increment”. Journal of Dental Research1 (2015): 44-51.
  18. Sudhir KM., et al. “CAMBRA as a Tool for Caries Risk Prediction Among 12-to 13-year-old Institutionalised Children-A Longitudinal Follow-up Study”. Oral Health and Preventive Dentistry 4 (2016): 355-362.
  19. Mitha MM., et al. “Caries risk assessment among 12-13 year old school-going children of government and private schools of Tirupur district, Tamil Nadu”. Journal of Indian Society of Pedodontics and Preventive Dentistry 3 (2016): 244-248.


Citation: Nessa Mary John and Latha Anandakrishna. “Comparative Evaluation of 3 Caries Risk Assessment Tools for Children with Early Childhood Caries”. Acta Scientific Dental Sciences 4.9 (2020): 150-154.


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