Table 1.
Risk assessment parameters for dental caries based on CAMBRA modified from Young and Featherstone, 2010 [10].
| Pathological factors |
|---|
| Visible cavities or radiographic penetration of dentin |
| Radiographic evidence of approximal enamel lesions |
| White spots on smooth surfaces |
| Restorations placed in the last 3 years |
| Risk Factors (biological predisposing factors) |
| High Mutans Streptococci and Lactobacelli load∗ |
| Visible, heavy plaque on teeth surfaces |
| Frequent consumption of carbohydrate-containing food items (>3x daily between meals) |
| Deep pits and fissures |
| Recreational drug use |
| Inadequate saliva flow by observation or measurement∗∗ |
| Saliva reducing factors (medications/radiation therapy/systemic disease) |
| Exposed roots |
| Orthodontic appliances |
| Protective factors |
| Lives/work/school fluoridated community |
| Fluoride toothpaste at least once daily |
| Fluoride toothpaste at least 2x daily |
| Fluoride mouth rinse (0.05% NaF) daily |
| 5,000 ppm fluoride toothpaste daily |
| Fluoride varnish in last 6 months |
| In-office fluoride topical application in the last 6 months |
| Chlorhexidine mouth rinse prescribed/used one week each for the last 6 months |
| Xylitol gum/lozenges 4x daily in the last 6 months |
| Calcium and phosphate paste during last 6 months |
| Adequate saliva flow |
∗
By culture of chairside bacterial kits.
∗∗
Stimulated salivary flow rate of 0.7 mL/min. or less.