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Preventive, Predictive and Personalized Medicine in Paediatric Dentistry - Caries Risk Assessment

Publication

Abstract

Preventive, preventive and personalized medicine (PPPM) is an approach to medicine that proposes the customization of healthcare in which decisions and treatment are personalized based on the patient's needs [1, 2]. The PPPM concept has an important impact on dental and oral health care [3].

Dental caries is the most common chronic childhood disease. Early childhood caries (ECC) is defined as tooth decay in preschool children.

ECC is a biofilm-mediated, sugar-driven, multifactorial, dynamic disease that results in demineralization of dental tissues. Its development is determined by biological, behavioural and psychosocial factors linked to an individual's environment [4].

The mean caries prevalence for 5-year-olds is 63%. Approaches to the reduction of ECC include early prediction, prevention and personalized dental care.

Caries risk assessment (CRA) is the process of establishing the probability of a child or group of children developing caries over a certain period, or the likelihood that there will be a change in size or activity of lesions already present. Caries risk factors are variables that are thought to cause the disease directly, or whose prediction has been shown to be useful.

The aim of the study was to identify caries risk factors among one-year-old infants.