LINK https://www.odontologiavirtual.com/2025/06/cambra-caries-management-by-risk.html CAMBRA is an evidence‑based framework developed at UCSF in the early 2000s for preventing and managing dental caries through personalized risk assessment. It categorizes patients into low, moderate, high or extreme risk and guides interventions accordingly. ✅ Core Components of CAMBRA a) Risk & Protective Factors ✔ Risk: frequent sugar intake, poor oral h ygiene, high counts of S. mutans and Lactobacillus, low saliva flow, deep pits, exposed root surfaces, orthodontic appliances. ✔ Protective: fluoride exposure (systemic and topical), optimal saliva, calcium/phosphate pastes, chlorhexidine rinses. b) Disease Indicators White spots, cavitated lesions, enamel demineralization—all identified in clinical exam or radiographs—and factored into risk scoring. c) Risk Categorization ✔ After data collection, clinicians assign risk: low, moderate, high, extreme. Quantitative scoring methods in updated CRA forms improve accuracy for all ages.