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Risk assessment - can we achieve consensus?

Svante Twetman1, Margherita Fontana, John D B Featherstone

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Dental caries risk assessment is crucial for preventing and managing tooth decay. Early and regular assessments, especially with structured protocols, improve patient care and recall intervals.

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Area of Science:

  • Dentistry
  • Public Health

Background:

  • Caries risk assessment is fundamental for effective dental caries prevention and management.
  • It guides decisions on individual recall intervals for dental check-ups.

Purpose of the Study:

  • To review and discuss caries risk assessment in general dental practice.
  • To address the 'Why', 'When', and 'How' of caries risk assessment.

Main Methods:

  • A narrative review of existing literature and practices.
  • Analysis of caries risk assessment methodologies and their validity.

Main Results:

  • Caries risk assessment is essential for personalized prevention and management strategies.
  • Assessment should occur at the first dental visit, throughout life, and during significant life events.
  • While evidence for specific methods is limited, structured protocols combining various factors are considered best practice, with accuracy ranging from 60-90%.

Conclusions:

  • Past caries experience is a significant predictor of future decay.
  • Clinical signs of demineralization necessitate tailored preventive and disease management measures.