Caries Management by Risk Assessment (CAMBRA): 패러다임의 전환
Caries Management by Risk Assessment (CAMBRA) : a Paradigm Shift
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Dental caries is a bacterially based disease that progresses when acid is produced by bacterial action. Pathological factors, including multiple species of acidogenic bacteria, salivary dysfuncion, and dietary carbohydrates are related to caries progression. Protective factors, which include antibacterials, salivary calcium, phosphate and proteins, salivary flow, and fluoride in saliva can balance, prevent or reverse dental caries. This article will introduce caries management by risk assessment (CAMBRA). It will summarize the scientific evidence behind the “caries imbalance” concept, which is the key to CAMBRA in clinical practice, Caries Risk Assessment (CRA) and Caries management protocols. CRA contains three domains : clinical findings, risk/biological factors and protective factors, and caries management protocols are applied by the caries risk level. Implementation of caries management by risk assessment into daily dental practice is a reality, with improvements yet to come.
Abstract
Dental caries is a bacterially based disease that progresses when acid is produced by bacterial action. Pathological factors, including multiple species of acidogenic bacteria, salivary dysfuncion, and dietary carbohydrates are related to caries progression. Protective factors, which include antibacterials, salivary calcium, phosphate and proteins, salivary flow, and fluoride in saliva can balance, prevent or reverse dental caries. This article will introduce caries management by risk assessment (CAMBRA). It will summarize the scientific evidence behind the “caries imbalance” concept, which is the key to CAMBRA in clinical practice, Caries Risk Assessment (CRA) and Caries management protocols. CRA contains three domains : clinical findings, risk/biological factors and protective factors, and caries management protocols are applied by the caries risk level. Implementation of caries management by risk assessment into daily dental practice is a reality, with improvements yet to come.