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Modified CAMBRA Protocol for Caries Risk Assessment in Children Aged 6 to 14 Years.

Esther Pérez de Mora1, Ángel Luis Formoso-Veloso2, Marcela Arenas-González1

  • 1Department of Pediatric Dentistry, Faculty of Dentistry, University of Seville, 41009 Seville, Spain.

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Summary

A modified Caries Risk Assessment (CAMBRA) protocol effectively analyzes pediatric dental caries risk. The new CAMBRA-OP tool shows strong correlation and concordance with the original CAMBRA, aiding personalized prevention strategies.

Keywords:
CAMBRAdental cariesdiethygienerisk of dental caries

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Area of Science:

  • Pediatric Dentistry
  • Dental Public Health
  • Caries Risk Assessment

Background:

  • Dental caries remains a significant public health issue in children.
  • Existing caries risk assessment tools may require adaptation for pediatric populations.
  • The Caries Management By Risk Assessment (CAMBRA) protocol is a widely used framework.

Purpose of the Study:

  • To propose and evaluate a modified CAMBRA protocol tailored for pediatric caries risk analysis.
  • To adapt the CAMBRA questionnaire for children's specific needs and habits.
  • To assess the reliability and concordance of the modified tool.

Main Methods:

  • A descriptive and analytical observational study was conducted.
  • Caries risk was assessed using the standard CAMBRA Questionnaire and a modified University of Seville Questionnaire (CAMBRA-OP).
  • Statistical analysis included correlation (Cramer's V) and concordance (Cohen's Kappa) tests.

Main Results:

  • The study included 300 children aged 6-14 years.
  • Both CAMBRA and CAMBRA-OP identified a high prevalence of high (48.6% vs 48.7%) and extreme (11.3% vs 11.3%) caries risk.
  • A strong statistically significant correlation (p=0.001, Cramer's V=0.826) and high concordance (0.815, p=0.001) were found between the two methods.

Conclusions:

  • The modified CAMBRA-OP questionnaire is a reliable tool for pediatric caries risk assessment.
  • This adapted tool is easily interpretable by professionals.
  • It facilitates more effective and personalized dental caries prevention strategies in children.