According to RDH Magazine, CAMBRA, or Caries Management by Risk Assessment, ?is an evidence-based approach to preventing or treating dental caries at the earliest stages. Caries protective factors are biologic or therapeutic measures that can be used to prevent or arrest the pathologic challenges posed by the caries risk factors.?
Dentistry IQ describes the process of using CAMBRA for caries detection.
?The dental care team analyzes individual patient risk factors for tooth decay by using various methods, including standardized assessment forms and bacterial load testing. Based on the patient?s specific classification as low, moderate, high, or extreme risk, the dental team can then recommend a comprehensive treatment plan for minimal intervention that is grounded in evidence-based dentistry. Early lesions are arrested or reversed, and overall risk is reduced.?
This methodology opens up the door for more in-depth diagnoses, as dentists will need to be able to identify various stages of caries at various risk levels.
?Thus there is a new role for advanced caries detection technology. A practice that adopts the CAMBRA philosophy will require instrumentation that is able to document the location and severity of carious lesions. Diagnosis that is based solely on visual, tactile, and radiographic examination is more limited. Healthy tooth structure can be easily distinguished from frank cavitation, but the spectrum of disease in between has subtleties that may escape the examiner.?
If caries are found in the early stages through these new therapies, remineralization therapy or minimally invasive surgery is still an option.