CAMBRA Factors Correlated with Dental Caries in Children
Keywords:
CAMBRA, Dental Caries in Chlidren, Caries Risk AssessmentAbstract
Background: Recent data show that the prevalence of dental caries in children aged 10 to 14 years is almost 41.4%. Several methods for managing caries include Caries Management by Risk Assessment (CAMBRA). The CAMBRA method assists doctors in identifying causes of dental caries by identifying risk factors in each patient. Based on research, the etiology of dental caries was discovered by identifying risk factors in each participant. This study aims to identify what factors influence dental caries in children based on CAMBRA. Method: This research uses observational analysis with cross-sectional data. The respondents are students from Kadipiro I Elementary School, Bantul, Daerah Istimewa Yogyakarta, Indonesia. Purposive sampling was used to create the sample, which included 82 children between the ages of 10 and 12. The study was conducted by discovering dental caries risk factors with the CAMBRA method: 1. new cavity or lesion to dentine, 2. white spot, 3. restorations within the last three years, 4. volume of saliva, 5. plaque/ PHPM index, 6. pH saliva, and 7. frequency of sweet foods consumption. The scale of the data was nominal and analysed using the SPSS version 25.0 program, which included frequency analysis and logistic regression. Result: The results of the logistic regression analysis showed that five variables have a significant (p<0.05) correlation with the occurrence of dental caries: new cavity or lesion to dentine, white spot, restorations with the last three years, pH of saliva, and the plaque existence. Conclusion: The use of the CAMBRA method revealed five indicators of disease that are related to the risk of dental caries in children: lesion to dentine, white spot, restorations within the last three years, pH of saliva, and plaque existence.References
Riskesdas. Riset Kesehatan Dasar 2018.
CAMBRA Comes of Age Results From a Practice-Based Research Network Study Journal California Dental Association CAMBRA Risk Assessment Tools Guidelines To Improve Risk Level Assignments Early Caries Management Protocol. 2019.
Featherstone J, Ramos Gomez F. CAMBRA ® Caries Management by Risk Assessment A Comprehensive Caries Management Guide for Dental Professionals Mechanism Behind Silver Diamine Fluoride View project Influence of Financial Incentives on Oral Disease Management in Young Children (Behavioral Economics for Oral health innovation) View project [Internet]. Vol. 2, Article in Journal of the California Dental Association. 2019. Available from: https://www.researchgate.net/publication/334401386
Rizki A, Annisa F R, Mochamad S, Heriandi. An Indonesian version of caries management by risk assessment (CAMBRA) for children aged 0-5 years: Assessing validity and reliabilty [Internet]. Vol. 11, J Int Dent Med Res. 2018. Available from: http://www.jidmr.com
Muthu MS, Sivakumar N. Pediatric Dentistry: Principles and Practice. Elsevier Health Science; 2022. 219 p.
Soxman JA. Handbook of Clinical Techniques in Pediatric Dentistry. 2nd ed. Wiley; 2021.
Warreth A. Dental Caries and Its Management. Int J Dent [Internet]. 2023;2023. Available from: https://api.semanticscholar.org/CorpusID:255592399
Schwendicke F, Splieth CH, Bottenberg P, Breschi L, Campus G, Doméjean S, et al. How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement. Clin Oral Investig [Internet]. 2020;24(9):3315–21. Available from: https://doi.org/10.1007/s00784-020-03431-0
Duncan HF et al. European Society of Endodontology position statement: Management of deep caries and the exposed pulp. Int Endod J. 2019;52((7)):923–34.
Bourouni S, Dritsas K, Kloukos D, Wierichs R J. Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or fluorosis — a systematic review and meta-analysis. [cited 2023 Sep 7]; Available from: https://doi.org/10.1007/s00784-021-03931-7
Congiu G, Campus G, Lugliè P F. Early Childhood Caries (ECC) Prevalence and Background Factors: A Review. Oral Health Prev Dent. 2014;12(1):71–761.
Parisotto TM, Steiner-Oliveira C, Silva CM, Rodrigues LK, Rodrigues LK, Nobre-dos-Santos M. Early childhood caries and mutans streptococci: a systematic review. Oral health & preventive dentistry [Internet]. 2010;8(1):59–70. Available from: http://europepmc.org/abstract/MED/20480056
Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraub JA, Ramos-Gomez F, et al. Dental caries. Nature Reviews Disease Primers 2017 3:1 [Internet]. 2017 May 25 [cited 2023 Sep 7];3(1):1–16. Available from: https://www.nature.com/articles/nrdp201730
Elizabeth A D, Megan K M, editors. Research Methods in Human Skeletal Biology. 1st ed. Academic Press; 2012.
Ferdose J, Mohammad S A K, Shah A M, Tasnim A, Rahman N. Correlation Between pH of Saliva and Dental Caries among Children of Rajshahi City. TAJ: Journal of Teachers Association [Internet]. 2020 Oct 18 [cited 2023 Sep 7];33(1):31–4. Available from: https://www.banglajol.info/index.php/TAJ/article/view/49822
Costa O, Bárbara E, Ricomini F, Antônio P, Burne R A, Zeng L. The Route of Sucrose Utilization by Streptococcus mutans Affects Intracellular Polysaccharide Metabolism. Front Microbiol. 2021 Feb 2;12:636684.
Kubala E, Strzelecka P, Grzegocka M, Lietz-Kijak D, Gronwald H, Skomro P, et al. A Review of Selected Studies That Determine the Physical and Chemical Properties of Saliva in the Field of Dental Treatment. Biomed Res Int [Internet]. 2018 [cited 2023 Sep 7];2018. Available from: https://pubmed.ncbi.nlm.nih.gov/29854777/
Lely MA. Pengaruh (PH) Saliva terhadap Terjadinya Karies Gigi pada Anak Usia Prasekolah. Indonesian Bulletin of Health Research. 2017;45(4):241–8.
Chapple ILC, Bouchard P, Cagetti MG, Campus G, Carra MC, Cocco F, et al. Interaction of lifestyle, behaviour or systemic diseases with dental caries and periodontal diseases: consensus report of group 2 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol [Internet]. 2017 Mar 1 [cited 2023 Sep 7];44 Suppl 18:S39–51. Available from: https://pubmed.ncbi.nlm.nih.gov/28266114/
El-Bialy MR, Shaalan OO, El-Zohairy AA, El-Zoghby AF. Clinical evaluation of glass ionomer with glass hybrid technology versus conventional high viscosity glass ionomer in class I cavities in patients with high caries risk: Randomized controlled trial. Journal of International Oral Health [Internet]. 2023 May 1 [cited 2023 Sep 7];12(3):203. Available from: https://www.jioh.org/article.asp?issn=0976-7428;year=2020;volume=12;issue=3;spage=203;epage=212;aulast=El-Bialy
Blum IR, Özcan M. Reparative Dentistry: Possibilities and Limitations. Curr Oral Health Rep [Internet]. 2018;5(4):264–9. Available from: https://doi.org/10.1007/s40496-018-0191-1
Khallaf YS, Hafez S, Shaalan OO. Evaluation of ICCMS versus CAMBRA Caries Risk Assessment Models Acquisition on Treatment Plan in Young Adult Population: A Randomized Clinical Trial. Clin Cosmet Investig Dent [Internet]. 2021 Jul 15 [cited 2023 Sep 7];13:293–304. Available from: https://www.dovepress.com/evaluation-of-iccms-versus-cambra-caries-risk-assessment-models-acquis-peer-reviewed-fulltext-article-CCIDE
Sudhir KM, Kanupuru KK, Fareed N, Mahesh P, Vandana K, Chaitra NT. CAMBRA as a Tool for Caries Risk Prediction Among 12- to 13-year-old Institutionalised Children - A Longitudinal Follow-up Study. Oral Health Prev Dent [Internet]. 2016 [cited 2023 Sep 7];14(4):355–62. Available from: https://pubmed.ncbi.nlm.nih.gov/26870852/
Young DA, Featherstone JDB. Caries management by risk assessment. Community Dent Oral Epidemiol [Internet]. 2013 Feb [cited 2023 Sep 7];41(1). Available from: https://pubmed.ncbi.nlm.nih.gov/24916678/
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

This work is licensed under a Creative Commons Attribution 4.0 International License.
