A CAMBRA Model For High Caries Risk Indian XXXX : A Pragmatic Comprehensive Tailored Intervention.

@entity1 @entity1547 @entity1388
OBJECTIVE: To evaluate a CAMBRA based therapeutic and preventive model for high caries risk @entity1 in a pediatric dentistry clinic set-up. STUDY DESIGN: A total of 100 systemically healthy @entity1 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, @entity1388 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 @entity1547 ' 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 @entity1547 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.
