# Modified CAMBRA Protocol for Caries Risk Assessment in Children Aged 6 to 14 Years

## TL;DR

This study modifies the CAMBRA protocol to better assess caries risk in children aged 6 to 14, showing strong correlation with the original method.

## Contribution

A modified CAMBRA protocol tailored for children with strong correlation to existing methods is introduced.

## Key findings

- The modified CAMBRA-OP questionnaire showed a strong correlation with the original CAMBRA protocol (Cramer’s V = 0.826).
- High concordance (0.815) was found between the two diagnostic models using Cohen’s Kappa index.
- 48.6% of children were classified as high caries risk using the original CAMBRA protocol.

## Abstract

Background/Objectives: This study aimed to propose a modified CAMBRA protocol for caries risk analysis in a pediatric population, adapted to their needs and habits. Methods: A descriptive and analytical observational study was conducted after obtaining approval from the Ethics Committee. Caries risk was determined using the CAMBRA Questionnaire and the modified University of Seville Questionnaire (CAMBRA-OP Questionnaire). Results: The final study sample consisted of 300 patients aged 6 to 14 years, of whom 54% were boys and 46% were girls. The distribution of caries risk according to CAMBRA was as follows: 33% low, 7% moderate, 48.6% high, and 11.3% extreme. The distribution of caries risk according to the CAMBRA-OP was as follows: 27.7% low, 12.3% moderate, 48.7% high, and 11.3% extreme. Correlating both tests, a statistically significant association was observed between the caries risk determined by the CAMBRA and CAMBRA-OP, observing a strong correlation between both systems (p = 0.001; Cramer’s V = 0.826). The two diagnostic models exhibited high concordance (0.815 [p = 0.001]) using Cohen’s Kappa index. Conclusions: This tool is focused on this age group and is easily interpretable by professionals, thus contributing to more effective and personalized prevention of dental caries in childhood.