Dental Care for Infants

Course Number: 387

Understanding an Infant is the First Step

Caries risk assessment determines the likelihood of developing carious lesions, or the likelihood that there will be a change in current carious lesions (size or activity).3 If risk factors are eliminated before the diseases occur, the disease process can be prevented. Risk factors that can be evaluated for a child between 0-5 year old include:

  • Presence of caries

  • Presence of plaque

  • Enamel defects

  • Caries history

  • Fluoride exposure

  • Frequent sugar exposure in between meals

  • Dental care exposure

  • Caregiver dental literacy

The American Academy of Pediatric Dentistry (AAPD) developed a caries risk assessment form for children age 0-5 years that evaluates four risk factors areas.4

  1. Social, behavioral, medical risk factors

  2. Clinical

  3. Protective factors

  4. Disease Indicators

These subjects are further categorized as High, Moderate or Low Risk.

Figure 1. Caries Risk Assessment Form (Ages 0-5 years and ≥6 years).