Title: 1219 - Caries Risk Assessment/Treatment: Calibration Necessary in North American Dental Schools


Swati Chitre (Presenter)
University of Detroit Mercy, School of Dentsitry


Objectives: The purpose of this review is to determine if there are any inconsistencies in caries detection, treatment planning North American dental schools.

Dental caries is known and remains the most common chronic disease. The philosophy of teaching dental caries in dental schools has moved away from the traditional surgical model to more contemporary, non-surgical model. This model emphasizes assessing risk, prevention and management. Literature supporting Evidenced based is increasing our knowledge on contributing etiological factors of caries and their assessment and prevention. Dental schools in North American region have advocated the assessment of caries risk as a tool in comprehensive treatment planning. Implementation of this tool, however, may vary between institutions.

Methods: Three surveys conducted to identify caries risk assessment program throughout North America in 1998, 2009 and 2014 were used to compare the questions asked in these surveys related to detecting caries, caries removal treatment options, prevention methods.

Results: There was a strong correlation amongst these three surveys on diagnosing methods, majority of respondents used visual, tactile and radiographs to detect caries. Dietary analysis, caries control and excavation and restoration, fluoride application xylitol chewing gum were used as frequent ways of treatment.
The inconsistencies were noticed in the caries risk reassessing. There is no structured way of caries reassessing in the dental schools. A wide range of assessment periods were recorded based on individual institution policies. Other inconsistency found was on caries classifying system; majority used Black’s classification, a few used ICDAS and ‘Other ‘methods respectively.

Conclusions: Currently there is no consensus in caries risk assessing and detecting system. North American schools should come together to develop a universal protocol for assessing and managing caries risk. In future the combination of new therapies along with improvement of current management will change the standard of care for caries prevention and management.

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE