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Dental Caries Risk Assessment-a Review
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Caries is a disease of multifactorial etiology and a risk assessment should evaluate all factors involved with the disease. Individual risk factors studied separately from the pool of risk factors tend to be poor predictors of caries onset. The assessment of all risk factors not only allows for a more accurate caries risk assessment, but also identifies the etiologic factors responsible for the occurrence of caries in a particular patient. This approach encourages management strategies developed specifically for the patient.
Identifying factors that determine those individuals at highest risk-either prior to or very shortly after teeth begin to erupt-is imperative to allow for possible preventive intervention. Once identified, these factors should be assessed using a reliable and valid tool that is useable by both dental practitioners and trained nondental health professionals.
Furthermore, the risk assessment, any proposed management strategy and outcomes should be recorded formally over time to monitor and measure treatment efficacy. Patients should be given an opportunity to formally acknowledge the outcomes of a complete risk assessment evaluation so that empowered patients can become true partners and contributors to their oral care.
Keywords
- Reich E, Lussi A, Newbrun E. Caries- Risk Assessment. Int Dent J 1999;49:15–26.
- Pitts NB, Stamm JW. International consensus workshop on caries clinical trials (ICW-CCT)— final /consensus statements: Agreeing where the evidence leads. J Dent Res 2004;83(spec no c):c125-8.
- American Academy of Pediatric Dentistry (Council on Clinical Affairs). Policy on use of a caries-risk assessment tool (CAT) for infants, children, and adolescents. Adopted 2002, Revised 2006. Reference manual v 30/no7;08/09.
- American academy of pediatric dentistry. Guideline on periodicity of examination, preventive dental services, anticipatory guidance, and oral treatment for children. Pediatr Dent 2005;27(suppl):84-86.
- Brambilla E, Garcia-Godoy F, Strohmenger L. Principles of diagnosis and treatment of highcaries- risk subjects. Dent Clin North Am 2000;44(3):507-40.
- Featherstone JB, Gansky SA et al. A randomized clinical trial of caries management by risk assessment. Caries Res 2005;39(4):295.
- Featherstone JB, Domejean-Orliaguet S, Jenson L, Wolff M, Young DA. Caries risk assessment in practice for age 6 through adult. CDA Journal 2007;35(10):703-713.
- Domejean-Orliaguet S, Gansky SA, Featherstone JD. Caries risk assessment in an educational environment. J Dent Educ 2006;70(12):1346-54.
- Featherstone JD. The caries balance: The basis for caries management by risk assessment. OralHealth Prev Dent 2000;2( suppl 1):259-264.
- Messer LB. Assessing caries risk in children. Aus Dent J 2000;45(1):10-16.
- Rethman J. Trends in preventive care: Caries risk assessment and indications for sealants JADA 2000;131:8s-12s.
- American Dental Association Council on access, prevention and international relations. Caries diagnosis and risk assessment: A review of preventive strategies and management. JADA 1995;126(supple):1-24s.
- Brown LJ, Selwitz RH. The impact of recent changes in the epidemiology of dental caries on guidelines for the use of dental sealants. J Public Health Dent 1995;55:274-91.
- Brown L, Kaste L, Selwitz R, Furman L. Dental caries and sealant usage in U.S. children, 1988- 1991: Selected findings from the third national health and nutrition examination survey. JADA 1996;127:335-43.
- Francisco Ramos-Gomez, Crystal M, Waing M, Tinanoff N, Featherstone JD. Caries risk assessment, prevention, and management in pediatric dental care. Pediatr Dent Nov/Dec 2010;505- 517.
- Fontana M, Zero D. Assessing patients’ caries risk. JADA Sep 2006;137:1231-1239.
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