Caries Management by Risk Assessment CAMBRA

Reducing caries risk results in a reduction in dental decay. A patient’s dental caries progression or reversal depends upon the balance between demineralization and remineralization and can be visualized for clinical purposes as the “caries balance.” This balance is determined by the relative weights of the sums of pathological factors and protective factors.

A structured caries risk assessment for each patient should be carried out based upon the concept of the caries balance. Following the risk assessment, a treatment plan is devised which leads to the control of dental caries for the patient. The balance between pathological and preventive factors can be swung in the direction of caries intervention and prevention by the active role of the dentist and his/her auxiliary staff.


Unit 1:

  • Understand what dental caries is
  • Understand the concept of the caries balance
  • Know the three principal pathological factors of caries formation
  • Understand that multiple bacterial species are responsible for dental caries
  • Understand the role of frequent ingestion of fermentable carbohydrates in dental caries
  • Recognize hyposalivation, how this occurs, and its importance in caries progression

Unit 2:

  • Refine the concept of the caries balance
  • Know and understand the multiple caries protective components in saliva
  • Understand demineralization and the role of fluoride
  • Understand remineralization and the role of fluoride

Unit 3:

  • Understand remineralization and the role of fluoride
  • Understand how fluoride interacts with cariogenic bacteria
  • Know the three main mechanisms of action of fluoride
  • Know about fluoride toothpastes and fluoride mouthrinses

Unit 4:

  • Know about fluoride products for the dental office and for home use by prescription
  • Understand the concept of the caries balance
  • Know why high concentration fluoride products are used for high caries risk individuals
  • Understand the root caries process including similarities and differences with coronal caries

Unit 5:

  • Understand the distinction among disease indicators, pathological (biological risk) factors, and protective factors
  • Know that the CAMBRA risk assessment method is validated in clinical use in thousands of patients for 6 years through adult
  • Know the bacterial assessment methods
  • Understand the sequence for the entire CAMBRA method

Unit 6:

  • Know how to assess caries risk for an individual as low, moderate, high, or extreme
  • Know the currently recommended chemical therapy for patients at low, moderate, high, or extreme risk
  • To study numerous examples of risk assessment and therapy and how to build this into the treatment plan
  • Understand the differences between risk assessment for young children, older children, and adults
The Regents of the University of California and Firsthand Technology. All rights reserved. |