title: A CAMBRA Model For High Caries Risk Indian Children: A Pragmatic Comprehensive Tailored Intervention.
abstract: OBJECTIVE
  To evaluate a CAMBRA based therapeutic and preventive model for high caries risk children in a pediatric dentistry clinic set-up.
  
  
  METHODS
  A total of 100 systemically healthy children aged 4-8 years with dmft/DMFT ≥ 5 and/or ≤ 20% magnitude of cariogram sector 'chance to avoid new cavities' were enrolled. The program comprised of following components i.e. caries risk assessment, customized preventive interventions (Motivational interviewing and counseling, oral prophylaxis, fluoride varnish, fissure sealants) and restorative procedures. The recall intervals were scheduled on the basis of caries risk i.e. every 1 month (≤ 40% chance to avoid new cavities) and 3 months (≥ 41% chance to avoid new cavities). The primary outcome measure was 'new carious lesions' at 12 months following achievement of 'termination levels' i.e. ≥ 41% magnitude of 'chance to avoid new cavities.' The secondary outcome measures were changes in cariogram parameters at termination and duration needed to achieve termination levels.
  
  
  RESULTS
  The program showed 97% success rate as 3/100 subjects developed new carious lesions at 12 months follow up. Highly significant (p<0.001) favorable shift was achieved in cariogram parameters at termination. Termination levels were achieved in 2.71 ± 4.854 months.
  
  
  CONCLUSIONS
  The present CAMBRA based program with customized intervention and recall schedules showed favorable results.
authors.affiliation: From the Unit of Pedodontics and Preventive Dentistry, Oral Health Sciences, Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Krishan
authors.initials: K
authors.lastname: Gauba
authors.affiliation: From the Unit of Pedodontics and Preventive Dentistry, Oral Health Sciences, Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Ashima
authors.initials: A
authors.lastname: Goyal
authors.affiliation: From the Unit of Pedodontics and Preventive Dentistry, Oral Health Sciences, Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Neeti
authors.initials: N
authors.lastname: Mittal
mesh_terms: D058491:Bacterial Load; D002327:Cariostatic Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D003190:Comprehensive Dental Care; D003376:Counseling; D004245:DMF Index; D003731:Dental Caries / Q000517:prevention & control*; D003732:Dental Caries Activity Tests; D003733:Dental Caries Susceptibility; D003774:Dental Plaque Index; D003777:Dental Prophylaxis; D003793:Dental Restoration, Permanent / Q000379:methods; D005247:Feeding Behavior; D005460:Fluorides, Topical / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007194:India; D062405:Motivational Interviewing; D009910:Oral Hygiene; D010512:Periodontal Index; D010895:Pit and Fissure Sealants / Q000627:therapeutic use; D011446:Prospective Studies; D018570:Risk Assessment; D012463:Saliva / Q000378:metabolism / Q000382:microbiology; D012636:Secretory Rate / Q000502:physiology; D013295:Streptococcus mutans / Q000302:isolation & purification; D016896:Treatment Outcome
chemical_list: D002327:Cariostatic Agents; D005460:Fluorides, Topical; D010895:Pit and Fissure Sealants
keywords: CAMBRA; Caries prevention; Cariogram; High caries risk