{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:23:16Z","timestamp":1787772196043,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>One of the essential components for successful caries management is caries risk assessment (CRA). Among CRA tools (CRATs) published in the literature: Caries management by risk assessment (CAMBRA) 123 and American Academy of Pediatric Dentistry (AAPD) CRATs are specifically designed for infants and toddlers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The aim of this study is to compare readily available internationally accepted CRAT for infants and toddlers and check the usability of these tools in assigning caries risk among the Indian population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>The study was conducted at Baby Oral Health Promotion Clinic, Department of Pediatrics, Tertiary Care Hospital using a cross-sectional study design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>Data were collected using CAMBRA 123 and AAPD CRATs from 379 children aged 0\u20136 years. The caries risk of the children was recorded with each CRAT and a comparison was made between the two tools used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>The percentage of agreement and Cohen\u2019s kappa coefficient were used to know the agreement between the CAMBRA 123 and AAPD CRATs using the SPSS statistical tool. The significance level was set at 5% (\u03b1 = 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>For children aged &lt;2 years, the study showed slight agreement between the CAMBRA 123 and AAPD, whereas, for children more than 2 years, there was a fair agreement between the two methods which was statistically significant. This indicates that the agreement between the two methods is still not perfectly established, and AAPD CRA assigns a higher risk category than CAMBRA 123.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>CAMBRA 123 is a promising user-friendly quantitative method for CRA in clinical practice. Since there is ambiguity in assessing the caries risk in children &lt;2 years, there is a need to establish a CRAT that can be used exclusively for children below 2 years.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_546_23","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T02:00:09Z","timestamp":1713146409000},"page":"9-14","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of two different caries risk assessment tools for infants and toddlers \u2013 A cross-sectional study"],"prefix":"10.4103","volume":"42","author":[{"given":"Indira Mysore","family":"Devraj","sequence":"first","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girish M.","family":"Shankaraguru","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lalitha S.","family":"Jairam","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, Gnanagangothri Campus, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanika Singh","family":"Dhull","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandlal","family":"Bhojraj","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4,15]]},"reference":[{"key":"R1-20260505","first-page":"72.","article-title":"Early childhood caries: IAPD Bangkok declaration","volume":"86","author":"Pitts","year":"2019","journal-title":"J Dent Child (Chic)"},{"key":"R2-20260505","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1111\/ipd.12783","article-title":"The global prevalence of early childhood caries: A systematic review with meta-analysis using the WHO diagnostic criteria","volume":"31","author":"Uribe","year":"2021","journal-title":"Int J Paediatr Dent"},{"key":"R3-20260505","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1007\/s12098-018-2793-y","article-title":"Prevalence of early childhood caries in India \u2013 A systematic review","volume":"86","author":"Ganesh","year":"2019","journal-title":"Indian J Pediatr"},{"key":"R4-20260505","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1111\/j.1875-595X.2000.tb00573.x","article-title":"Caries patterns and their relationship to infant feeding and socio-economic status in 2-4-year-old Chinese children","volume":"50","author":"Du","year":"2000","journal-title":"Int Dent J"},{"key":"R5-20260505","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1111\/idj.12261","article-title":"Early childhood caries among 5- to 6-year-old children in Southeast Asia","volume":"67","author":"Duangthip","year":"2017","journal-title":"Int Dent J"},{"key":"R6-20260505","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1177\/154405910208100812","article-title":"Predicting caries in permanent teeth from caries in primary teeth: An eight-year cohort study","volume":"81","author":"Li","year":"2002","journal-title":"J Dent Res"},{"key":"R7-20260505","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1111\/j.1834-7819.2008.00064.x","article-title":"Dental caries: A dynamic disease process","volume":"53","author":"Featherstone","year":"2008","journal-title":"Aust Dent J"},{"key":"R8-20260505","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1177\/0022034517735295","article-title":"In sickness and in health-what does the oral microbiome mean to us? 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