Dentistry

Caries Risk Assessment (CAMBRA / ADA Guidelines)

Evaluates dental caries risk (Low, Moderate, High, Extreme) to guide recall, fluoride varnish, and prescription pastes.

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Visible cavitated carious lesions or Frank dentinal decay

Restorations (fillings/crowns) placed in the past 36 months due to active decay

Visible active smooth surface white spot enamel demineralization lesions

Radiographic proximal enamel or dentin radiolucencies

Heavy microbial biofilm / visible plaque accumulation on teeth

Frequent between-meal snacking on fermentable carbohydrates or sugary beverages (> 3x/day)

Deep anatomical pits/fissures, exposed root surfaces, or fixed orthodontic appliances

Severe hyposalivation, Sjögren syndrome, radiation therapy, or xerostomic medications

Severe GERD, bulimia, or xerogenic drug use (methamphetamine, antihistamines, psychotropics)

Lives in a community with optimally fluoridated water (0.7 ppm)

Brushes teeth at least twice daily with standard fluoridated toothpaste (1000–1450 ppm)

Received professional 5% NaF varnish application within the past 6 months

Regular daily use of Xylitol chewing gum/mints or therapeutic chlorhexidine rinse

Formula

Stratified according to CAMBRA (Caries Management By Risk Assessment) algorithms and ADA Caries Risk Assessment Guidelines.

Shifts dental care from surgical restoration to medical prevention and remineralization, significantly decreasing recurrent cavity rates.

Dynamic assessment that requires ongoing reassessment at every periodic hygiene recall examination.