Title: 3263 - Caries Risk Assessments Among Young Children: A Systematic Review


Bradley Christian (Presenter)
The University of Melbourne

Rebecca Armstrong, The University of Melbourne
Hanny Calache, Deakin University
Lauren Carpenter, The University of Melbourne
Lisa Gibbs, The University of Melbourne


Objectives: Question: What is the strength of evidence to inform the selection of existing CRA tools for children ages 6 years and less?
To identify current CRA tools for use with young children,
To assess the methodological quality of studies on the measurement properties of existing CRA tools, and
To assess the strength of evidence for a particular tool.

Methods: Medline was the principal search database for this review. Other databases searched included CINAHL and PubMed. Other resources searched were: reference lists of papers selected for inclusion in the review, known cariology literature and known experts in the field. The study population was children ages 0-6 years. The quality assessment was informed by the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist. The narrative synthesis was informed by Cochrane Consumers and Communication Review Group’s method on narrative data synthesis and analysis.

Results: Following the full text screening of 167 papers, 10 papers assessing 8 different CRA tools, were included. Most studies had a longitudinal study design. Caries prevalence in the study populations ranged from 35%-72%. The definition of dental caries varied across studies, with the majority being caries into dentine. No evidence was available for the key measurement property of reliability for any of the studied tools. Only the National University of Singapore-CRA (NUS_CRA) tool reported the recommended sensitivity and specificity scores of at least 75% and 85%, respectively. Overall the NUS-CRA tool performed better than other tools, by achieving strong evidence ratings in 3 of the 6 measurement properties studied.

Conclusions: This systematic review showed that the evidence to inform the selection of current CRA tools, for young children, is at present mostly unknown. The findings indicate that research on CRA tools should be accompanied with standardised and methodologically sound evaluations of their measurement properties.

Student Presenter

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