Table. 2.
Caries management recommendations for patients ≤6 by CAT and CAMBRA
| Category | Model | Low risk | Moderate risk | High risk | Extreme high risk |
|---|---|---|---|---|---|
| Recall | CAT | 6–12 months | 6 months | 3 months | |
| CAMBRA | 6–12 months | 6 months | 3 months | monthly | |
| Radiographs | CAT | 12–24 months | 6–12 months | 6 months | |
| CAMBRA | 12–24 months | 6–12 months | 6 months | 6 months | |
| Fluoride | CAT | optimally fluoridated water/twice-daily brushing with fluoridated toothpaste | optimally fluoridated water/twice-daily brushing with fluoridated toothpaste/fluoride supplements/professional topical fluoride every 6 months | optimally fluoridated water/twice-daily brushing with fluoridated toothpaste/Professional topical fluoride treatment every 3 months/SDF on cavitated lesions | / |
| CAMBRA | twice-daily brushing with fluoridated toothpaste | optimized fluoride intake/twice-daily brushing with fluoridated toothpaste/ Fluoride varnish every 6 months | optimized fluoride intake/twice-daily brushing with fluoridated toothpaste/ Fluoride varnish every 3 months | optimized fluoride intake/three times daily brushing with fluoridated toothpaste, spitting the toothpaste with no rinsing/ Fluoride varnish every 1–3 months | |
| Dietary counseling | CAT | Yes | Yes | Yes | / |
| CAMBRA | No | Yes | Yes | Yes | |
| Sealants | CAT | Yes | Yes | Yes | / |
| CAMBRA | No | On enamel defects and pits and fissures at-risk | On enamel defects and pits and fissures at-risk | All pits and fissures | |
| Restorative | CAT | Surveillance | Active surveillance of non-cavitated /Restoration of cavitated or enlarging caries lesion | Active surveillance of non-cavitated/Restoration of cavitated or enlarging caries lesion | / |
| CAMBRA | / | Active surveillance for developing lesions | Remineralize enamel-only lesion; restoration of cavitated lesions or non-surgical caries; ITR; SDF; | Caries control before surgical treatment; remineralize enamel-only lesion; restoration of cavitated lesions or non-surgical caries; ITR; SDF; | |
| Self-managements | CAT | / | /Yes | /Yes | / |
| CAMBRA | No | Yes | |||
| Additional therapies | CAT | / | / | / | / |
| CAMBRA | / | / | / | use of baking soda/xylitol, ACP/CPP paste |