Caries Risk Assessment

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 include:

  • Presence of caries
  • Presence of plaque
  • Gingival condition
  • Caries history
  • Fluoride exposure
  • Carbohydrate exposure – frequency, amount
  • Socioeconomic status
  • 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 three areas and includes.4

  1. Contributing Conditions
  2. General Health Conditions
  3. Clinical Conditions

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

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