Lead Author Program & Year

IDS Year 1

Additional Authors

Neekita Saudagar, IDS 2025; Karan Bajwa, IDS 2025; & Mandeep Kaur, IDS 2025

Presentation Category

Literature Review

Introduction/Context/Diagnosis

Shifting Paradigm in Dental Care: Embracing Prevention over Intervention for Dental caries Objective: This study aims to evaluate the reliability, usability, and reproducibility of CAMBRA for assessing caries risk levels in pediatric to adult patients, assess the efficacy of ADA guided treatment interventions, and investigate non-invasive dental interventions supporting caries management decisions. The purpose of the poster is three-fold, namely (1) to briefly review CAMBRA and analyze its reliability, usability and reproducibility of caries risk level for pediatric to adult patients. (2) To assess the efficacy of ADA guided treatment interventions (3) To investigate available dental intervention that supports the caries management decisions to implement a non-invasive/ nonsurgical therapeutic model to prevent, treat, and reverse caries lesions. Methods: A scoping review methodology was utilized to comprehensively search dental databases for articles published in English from 1990 onwards. Systematic reviews comparing caries risk assessment models and intervention approaches were identified in Ovid MEDLINE, Embase, Cochrane Database of Systematic Reviews, and randomized controlled trials. Inclusion criteria focused on studies addressing CAMBRA, caries reversal protocols, ADA guideline-compliant excavations, and minimally invasive restorative procedures. Articles with surgical approaches, in foreign languages, or using other caries management tools were excluded. Results: The review revealed out of 203 Articles 30 articles were selected. CAMBRA aligns with modern minimal invasive dentistry practices and, when combined with ADA guidelines, provides standardized data for treating all caries stages. The systematic practice of caries prevention using CAMBRA has been shown to reduce the burden of dental treatment. The study also highlighted the importance of addressing both noncavitated and cavitated lesions through a variety of clinical management options. Conclusion: CAMBRA offers a reliable and reproducible method for assessing caries risk levels, while ADA guided treatment interventions and non-invasive dental interventions support effective caries management decisions. This evidence-based approach contributes to the understanding of caries as a multifactorial disease and emphasizes the significance of implementing systematic caries prevention practices in clinical settings. The authors would like to acknowledge the many people involved in this poster. We like to thank Dr.Pansoy, for the excellent support. Thank you for whole PRD faculty. Dr.Priya.P, Dr.Ganesh, Dr.Milani, Dr.Aniket.D,Dr.Noor, Dr.Pineda.

Comments/Acknowledgements

Presentation Category: IDS: First Year Literature Review

Location

Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA

Format

Presentation

Included in

Dentistry Commons

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May 8th, 2:15 PM May 8th, 5:00 PM

A Shfiting Paradigm in Dental Education: Embracing Prevention Over Interventionfor Dental Caries Management

Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA

Shifting Paradigm in Dental Care: Embracing Prevention over Intervention for Dental caries Objective: This study aims to evaluate the reliability, usability, and reproducibility of CAMBRA for assessing caries risk levels in pediatric to adult patients, assess the efficacy of ADA guided treatment interventions, and investigate non-invasive dental interventions supporting caries management decisions. The purpose of the poster is three-fold, namely (1) to briefly review CAMBRA and analyze its reliability, usability and reproducibility of caries risk level for pediatric to adult patients. (2) To assess the efficacy of ADA guided treatment interventions (3) To investigate available dental intervention that supports the caries management decisions to implement a non-invasive/ nonsurgical therapeutic model to prevent, treat, and reverse caries lesions. Methods: A scoping review methodology was utilized to comprehensively search dental databases for articles published in English from 1990 onwards. Systematic reviews comparing caries risk assessment models and intervention approaches were identified in Ovid MEDLINE, Embase, Cochrane Database of Systematic Reviews, and randomized controlled trials. Inclusion criteria focused on studies addressing CAMBRA, caries reversal protocols, ADA guideline-compliant excavations, and minimally invasive restorative procedures. Articles with surgical approaches, in foreign languages, or using other caries management tools were excluded. Results: The review revealed out of 203 Articles 30 articles were selected. CAMBRA aligns with modern minimal invasive dentistry practices and, when combined with ADA guidelines, provides standardized data for treating all caries stages. The systematic practice of caries prevention using CAMBRA has been shown to reduce the burden of dental treatment. The study also highlighted the importance of addressing both noncavitated and cavitated lesions through a variety of clinical management options. Conclusion: CAMBRA offers a reliable and reproducible method for assessing caries risk levels, while ADA guided treatment interventions and non-invasive dental interventions support effective caries management decisions. This evidence-based approach contributes to the understanding of caries as a multifactorial disease and emphasizes the significance of implementing systematic caries prevention practices in clinical settings. The authors would like to acknowledge the many people involved in this poster. We like to thank Dr.Pansoy, for the excellent support. Thank you for whole PRD faculty. Dr.Priya.P, Dr.Ganesh, Dr.Milani, Dr.Aniket.D,Dr.Noor, Dr.Pineda.

 
 

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