{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:34:44Z","timestamp":1787762084900,"version":"build-2784847793"},"reference-count":53,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"\n Background:<\/jats:title>\n Dental caries is the most prevalent dental disease. The external validity of the available caries risk assessment (CRA) tools is not established, especially among pediatric population.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To assess caries risk using the caries management by risk assessment (CAMBRA) protocol among Egyptian children aged 3\u201312 years and suggest variables that could potentially be used to develop a simpler CRA model.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n For this cross-sectional study, we recruited 320 children aged 3 to <6 years (Group I) and 320 children aged 6\u201312 years (Group II). CAMBRA was used to collect data about disease indicators, biological and environmental factors, and protective factors among study participants. Each child was examined clinically to collect data about past caries experiences and to measure plaque scores.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The risk of caries was high in 92.5% of Group I and 83.4% of Group II participants. The overall dmft was 5.71 \u00b1 3.18 for Group I and 4.78 \u00b1 2.53 for Group II. In Group I, a significant positive relation was found between the overall mean caries risk score and past caries experience (dmft;\n r<\/jats:italic>\n = 0.344,\n P<\/jats:italic>\n < 0.001) and mean plaque index (\n r<\/jats:italic>\n = 0.463,\n P<\/jats:italic>\n < 0.001). In Group II, a significant positive relation was found between the overall mean caries risk score and dmft score (\n r<\/jats:italic>\n = 0.511,\n P<\/jats:italic>\n < 0.001),\n S. mutans<\/jats:italic>\n count (\n r<\/jats:italic>\n = 234,\n P<\/jats:italic>\n < 0.001),\n Lactobacilli<\/jats:italic>\n count (\n r<\/jats:italic>\n = 0.316,\n P<\/jats:italic>\n < 0.001), and plaque index (\n r<\/jats:italic>\n = 0.463,\n P<\/jats:italic>\n < 0.001). Participants\u2019 age, parents\u2019 education, and parents\u2019 occupation had a negative significant effect on the overall mean caries risk score.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This study suggests predictors that can be used in the development of a new CRA model for children aged 3\u201312 years.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/sjmms.sjmms_128_23","type":"journal-article","created":{"date-parts":[[2023,7,29]],"date-time":"2023-07-29T06:03:57Z","timestamp":1690610637000},"page":"219-228","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Predictors of Caries Risk among Egyptian Children Attending Pediatric Dental Clinics at a University Hospital"],"prefix":"10.4103","volume":"11","author":[{"given":"Rabaa Mahmoud","family":"Aboubakr","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doaa Mohsen","family":"Alkhadragy","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mai Monuir El Said","family":"Okda","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadeer Wael Mohamed","family":"Rady","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasha Mokhtar","family":"Elnagar","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Immunology, Faculty of Medicine, Mansoura University, Mansoura, Egypt"},{"name":"Department of Basic Medical Sciences, College of Medicine, AlMaarefa University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,15]]},"reference":[{"key":"R1-20240909","first-page":"52","volume":"38","year":"2016","journal-title":"Pediatr Dent"},{"key":"R2-20240909","doi-asserted-by":"crossref","first-page":"97","DOI":"10.3390\/dj10060097","article-title":"CAMBRA protocol efficacy: A systematic review and critical appraisal","volume":"10","author":"Coelho","year":"2022","journal-title":"Dent J (Basel)"},{"key":"R3-20240909","doi-asserted-by":"crossref","first-page":"210","DOI":"10.4103\/IJDS.IJDS_49_17","article-title":"An overview of caries risk assessment: Rationale, risk indicators, risk assessment methods, and risk-based caries management 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