Table 1.

Managing a patient’s risk factors (from ICCMS^TM).

Low Risk	Medium Risk	High Risk
Tooth brushing 2/day with a fluoride toothpaste (≥1000 ppm), following the dental team instructions	Tooth brushing 2/day with a fluoride toothpaste (≥1450 ppm), following the dental team instructions	Tooth brushing 2/day with a fluoride toothpaste (≥1450 ppm), following the dental team instructions
	General Behaviour Modification in Oral Health	General Behaviour Modification in Oral Health
	Prescribed Fluoride mouth rinse	Prescribed Fluoride mouth rinse
Motivational engagement (discuss with patients how to improve oral health behaviours—including amount of sugar), maintain dental visits at risk-based intervals
	Sealants Fluoride varnish 2 times/year Fluoride gel or solution Recalls up to every 3 months: professional cleaning and topical fluoride- application on active lesions	Sealants Fluoride varnish 2 times/year Fluoride gel or solution Recalls up to every 3 months: professional cleaning and topical fluoride- application on active lesions
	Motivational interviewing One-to-one dietary intake interventions Altering medication-induced hyposalivation Reducing the use of recreational drugs	Motivational interviewing One-to-one dietary intake interventions Altering medication-induced hyposalivation Reducing the use of recreational drugs
		Increase fluoride varnish to 4 times/year
		Topical fluoride application, counseling: reduce sugar amount and frequency