The concept of Caries Risk Assessment and Management

Every parent wants a beautiful and bright smile of their child. However, dental caries is the most prevalent disease in children and adults. Dentists in Caledon believes that risk assessment is a valuable tool to prevent and manage caries.


Caries Risk Assessment is to determine future caries development before the outcome of the diseases.

Dentists in Caledon are pushed to get actively involved with caries prevention. It is suggested to move a few steps ahead of the home care remedies. The term used for such a methodology is Caries Management by Risk Assessment (CAMBRA). The CAMBRA works on the logic of addressing the bacterial causes rather than just treating the tooth decay. With the help of CAMBRA, dentists in Caledon help, people control caries and even maintain dental hygiene.

CAMBRA had started to form in 2003. California Dental Association had launched the two special issues in its journal regarding strategies to manage caries. The objective was to remineralize and repair the early outcome of caries. Caries was termed as “curable and preventable” disease. With this belief, CAMBRA is launched to address dental disease in a much broader way.

Significance of CAMBRA

  • It is an evidence-based approach. Thus, instead of waiting for the damage to happen, it suggests treating the cause beforehand.
  • It helps the dentists in Caledon for the purpose of decision making during the diagnosis and treatment recommendations for the patient.
  • Such risk assessment methodology provides for better cost-effectiveness and greater success in treatment in comparison to the traditional approach.
  • It helps to reduce the risk of developing the advanced disease in patients. Also, the diseases process gets checked.

CAMBRA Methodology

The science behind CAMBRA is to manage caries using risk assessment tools. This is mainly used for the purpose of diagnosis, treatment, and prevention. It includes nonsurgical means to repair or demineralise the tooth structure.

Hence in CAMBRA methodology, evidence-based assessment, as well as specific treatment, is recommended. It gives balance to pathologic and protective factors. CAMBRA has introduced two CRA forms for the purpose of the dentist. One form was designed for infants to children aged 5 years and the second for patients aged 6 years and above.

The form lists 24 factors which the dentist uses to evaluate the risk level among patients. There are various disease indicators such as white spots on smooth surfaces. Also, protective factors are mentioned such patient staying in the fluoridated community. Risk factors include salivary flow, poor oral hygiene and such.

Based on the results of the assessment form, patients are categorized as low, moderate, high or extreme risk. Thus, this helps in dealing with an individual patient. Different ways are determined to prevent caries and manage the issues.