• 대한치과의사협회지
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• 제52권8호
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• pp.472-477
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• 2014

The new paradigm of dentistry require the detection of caries in their earlier stages. To achieve this, a high technology detection device and systematic and organized caries management system are needed. Caries management by risk assessment (CAMBRA) model is representative caries management system that satisfied new paradigm. Dental caries prevention and treatment according to CAMBRA model is patient-centered, risk-based, evidence-based practice. Therefore, individual caries management such as CAMBRA should be performed through accurate assessment of caries disease indicators and comprehensive assessment of caries risk factors and protective factors. Based on the CAMBRA better effectiveness of comprehensive dental caries management including non-surgical treatment will be accomplished.

• 치위생과학회지
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• 제12권6호
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• pp.545-557
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• 2012

Dental caries is biofilm induced disease throughout life and is recognized significant oral health problem. This article reviewed new trends in dental caries management by risk assessment, including history, protocol/guideline, and collaborated model. Dental caries prevention and treatment according to caries management by risk assessment (CAMBRA) model is patient-centered, risk-based, evidence-based practice. Team approach is necessary and clinician need to integrate science, practice and product. Dental hygienist take a important role in implementing CAMBRA. CAMBRA model could be incorporated into clinical dental hygiene education based on dental hygiene process of care as standard of dental hygiene practice and education. Dentist and dental hygienist able to provide scientific and ethical care managing dental caries by risk assessment.

• 대한치과의사협회지
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• 제52권8호
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• pp.456-463
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• 2014

Caries Management by Risk Assessment (CAMBRA), published by California Dental Association in 2003, is a customized caries care system that classifies individuals' caries risk into 4 risk groups based on objective evidences and provides chemical treatments targeted for each caries risk level. However, this system was not only developed but also optimized for situation in the United States, resulting into many limitations to be used in Korea, and thus Korean CAMBRA (K-CAMBRA) that considers the clinical situation in Korea needs to be developed. K-CAMBRA includes various techniques that are newly developed in order to overcome the limitations. First, Q-ray, a new optical technology, is utilized in order to avoid the subjectivity of visual inspection during assessment of disease indicators and risk factors. Moreover, Cariview? that reflects the paradigm shift in cariology as a new form of caries assessment kit is used. In addition, considering the situation in Korea, where it is impossible to use high concentration fluoride product, Oral pack with a customized tray is added to increase the contact time of chemical substance. CAMBRA is believed to be the key clinical tool that overcomes the limitations of the paradigm of the conventional restoration-based surgical model of dentistry. Furthermore, it can be expected that Korean dentists can act as oral physicians who are able to control and care individuals' caries risk rather than operative experts who only care about the outcome of caries.

• 대한치과의사협회지
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• 제52권8호
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• pp.464-471
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• 2014

This article reviewed theological background and historicak development in dental caries management by risk assessment. Dental caries prevention and treatment according to CAMBRA model is patient-centered, risk-based, evidence-based practice. Team approach is necessary and clinician need to integrate science, practice and product. Dental hygienist take a important role in implementing CAMBRA. CAMBRA model could be incorporated into dental and dental hygiene education. Dentist and dental hygienist able to provide scientific and ethical care managing dental caries by risk assessment.

• 한국치위생학회지
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• 제21권4호
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• pp.321-336
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• 2021

The aim of this study was to investigate the caries management by risk assessment (CAMBRA) development process and the latest updated caries risk assessment for the domestic settlement of the CAMBRA program and the activation of dental clinics. A system for CAMBRA was published in California Dental Association (CDA) in 2007. To investigate whether CAMBRA can be successfully implemented outside a university setting, a practice-based research network (PBRN) was created in the San Francisco Bay Area. Based on the CAMBRA-PRAN clinical studies, the caries risk assessment (CRA) tool was updated for patients aged 6 through adults in 2019. The CAMBRA system is expected to be widely and actively used in the dental field in Korea to contribute to oral health care.

• 한국치위생학회지
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• 제19권4호
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• pp.479-492
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• 2019

Objectives: This study aimed to develop the CAMBRA-kids application for the systematic management of dental caries among preschoolers, activate the dental caries management system, and contribute to the dental caries management of preschoolers. Methods: The collected data were analyzed using R studio 1.2.1335 for Windows (RStudio Inc., Boston, MA, USA, 2018). Algorithm evaluation, heuristic evaluation and usability evaluation were analyzed using descriptive statistics. Results: Both expert evaluations of the application's algorithms were calculated as 100%, for proficiency and efficiency. The application worked well with the designed algorithms, the risk group level of participants was categorized appropriately, and the risk management method was guided properly according to the risk group level. Of the five problems presented in the heuristic evaluation, 'the lack of security' and 'the lack of information on oral health care' received 'high severity' scores. The usability evaluation of the application produces an overall score of 3.27. In the subscales (participation, functionality, aesthetics, and information) of the Mobile App Rating Scale (MARS), the 'participation' domain received the lowest score of 2.56 and the 'functional' domain received the highest score of 3.70. Conclusions: The CAMBRA-kids application is expected to be applied and used in the field of preschoolers' oral health care management, and to contribute to the prevention of dental caries of preschoolers by activating the dental caries management system using the application.

• 대한소아치과학회지
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• 제40권1호
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• pp.72-81
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• 2013

최근 2세에서 5세 사이 소아의 우식 발생율이 상당히 증가하고 있다. 유아기우식증(Early Childhood Caries)은 향후 영구치의 우식 발생 가능성에 대한 예측인자이며 사회 저소득층과 다문화 가정 자녀에서 특히 발생빈도가 높은데, 이는 충분히 예방과 관리가 가능하다. 만1세때부터 정기적으로 치과를 방문하고 이 때 우식위험도를 체계적으로 평가하여 환자들에게 맞춤형 예방 전략을 제시할 수 있기 때문이다. 유아기우식증의 예방을 위한 CAMBRA (Caries Management by Risk Assessment)에 대해 가장 최신의 개념과 사용법을 소개하고자 한다. 소아치과의사는 CAMBRA를 통해 개개인의 위험인자를 분석하여 연령에 따른 적절한 예방법을 수립하고 향후 우식 발생시 치료방향의 지침을 정하게 된다.

• 한국치위생학회지
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• 제20권6호
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• pp.775-786
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• 2020

Objectives: The purpose of this study was to evaluate the effects that appeared to parents after conducting a dental caries management program for 12 months using a mobile application for systematic caries management of children. Methods: Parents responded to a questionnaire on oral care self-efficacy and oral health knowledge at the baseline, and received feedback on a management program suitable for their child's caries risk group for 12 months through a mobile application. At the end of 12 months, the questionnaire was re-written. Results: The self-efficacy of oral care increased in the low risk group, and oral care knowledge and program satisfaction were highest in the parents of low risk children. Conclusions: Base on the results of the this study, It was confirmed that parents' self-efficacy, knowledge, performance and satisfaction were all positively evaluated through the oral care program using a mobile application.

• 치위생과학회지
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• 제18권2호
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• pp.97-104
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• 2018

본 연구는 유아의 구강건강 증진을 위한 우식예방효과를 알아보고자 우식위험이 높은 6세 유아를 대상으로 CRA에 따라 위험군을 분류하고 치아우식 예방을 위한 중재를 시행한 후 변화를 평가하였다. 사전에 부모 인터뷰(CRA 설문지)를 통해 선별된 최종 연구대상자 33명을 대상으로 첫 방문 시 구내검사, 타액분비율검사, 우식원인균검사, 산생성능검사를 실시하고 CRA 설문지에 따라 우식위험군을 분류하였다. 대상자들에게 4개월 간격으로 불소도포 및 구강보건교육 실시하고 1년 뒤 첫 방문 시와 동일하게 평가하였으며 다음과 같은 결과를 얻었다. 연구대상자의 우식위험군 분포는 초기에 중위험군이 18.2%, 고위험군이 39.4%, 초고위험군이 45.4%로 나타났으며 1년 후에는 중위험군이 6.1%, 고위험군이 39.4%, 초고위험군이 54.5%로 중위험군이 감소하고 초고위험군이 다소 증가한 것으로 나타났다. 중재 전후 dft index 평가 결과, 모든 위험군에서 중재 후 dft index가 증가하였으며, 군 간 유의한 차이가 있었다(p=0.001, p=0.008). Cariview score는 중위험군과 초고위험군에서 중재 후 Cariview score가 다소 감소한 것으로 나타났으나 중재 전후 군 간 유의한 차이는 없었다. 우식원인균 평가 결과, SM균은 모든 군에서 중재 후 ${\geq}10^5CFU/ml$ saliva가 감소한 것으로 나타났으며 LB균은 고위험군과 초고위험군에서 중재 후 전반적으로 균이 감소하는 양상을 보였다. 타액분비율에서는 우식위험군이 높아질수록 타액분비율이 낮아지는 양상을 보였으며 중재 전후 모두 우식위험군에 따라 유의한 차이가 있었다(p<0.001). 이상의 결과를 볼 때 정기적인 우식위험관리가 우식 고위험 아동들의 우식위험요소의 변화에 영향을 미치는 것을 확인할 수 있었으며, 관련된 후속 연구를 통해 국내 실정에 맞는 정기적인 우식위험관리 체계의 모색이 필요하다.

• 대한치과의사협회지
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• 제49권1호
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• pp.16-21
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• 2011

Now it is time to move from the scientific basis of CAMBRA into practical methods for dentists to the incorporate concepts into practice. The aim of this article is to provide a clinical guideline for assessment of caries risk and for application for growing children.