Use of Cariogram as a risk assessment of caries lesions in the city of Arraial do Cabo, Brazil / Uso do Cariograma como avaliação de risco de lesões de cárie na cidade de Arraial do Cabo, Brasil

Caroline Lourenço Correia, João Victor Frazão Câmara, Gisele Damiana da Silveira Pereira, Isabel Ferreira Barbosa, Josué Junior Araujo Pierote, Justine Monteiro Monnerat Tinoco, Amara Eulalia Chagas Santos, Sonia Groisman


The aim of this study was to establish a caries risk profile for the population served in the Family Health Program in the city of Arraial do Cabo, Rio de Janeiro, comparing the Cariogram results when using DMF-T and ICDAS. 165 individuals divided into different age groups were evaluated by 1 examiner. The factors evaluated were caries experience, systemic diseases, diet (content and frequency), amount of plaque, fluoride program, salivary secretion and clinical evaluation of the evaluator. Was used the SPSS software, version 17.0, to perform the work and adopted the significance level of 1% and 5% probability (P <0.050). Chances in avoiding caries were observed according etiological factors evaluated. DMF-T/dmf-t and ICDAS predominant score was 3, DMF-T value was 9.44, and ICDAS was 11,9. The chances to prevent carious lesions showed a statistical difference at 1 %: diet content (p = 0.000) and its frequency (p = 0.000), presence of biofilm (p = 0.00), and fluorides (p = 0.000). When DMF-T was used to access caries, cariogram preventive measures proposed type 2 ( high risk for caries - 34,5 % ). With ICDAS, 37.6 %, of the proposals where for the type 2 and 38.2 % for type 3. The Cariogram showed more risk factors for the occurrence of carious, concerning content of diet and presence of biofilm, proposing a more intensive preventive program when ICDAS was used.


Dental caries; Dental Caries Susceptibility; Dental Caries Activity Tests.


. Pitts N, Zero D. White Paper on Dental Caries Prevention and Management, A summary of the current evidence and the key issues in controlling this preventable disease. Caries Prevent Partnership, FDI-Colgate 2015.

FDI World Dental Federation (2016). Policy statement on dietary free sugars and dental caries. International Dental Journal, 66(1):9-10.

Taqi M, Razak IA, Ab-Murat N. Caries risk assessment in school children using reduced cariogram model. Pak J Med Sci. 2017;33(4):948-952.

Petersson GH, Åkerman S, Isberg PE, Ericson D. Comparison of risk assessment based on clinical judgement and Cariogram in addition to patient perceived treatment need. BMC Oral Health. 2017;17:13.

Ismael AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts NB. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007;35(3):170–178.

Bratthall D, Hänsel-Petersson G, Stjernswärd JR. 2001. Assessment of caries risk in the clinic - a modern approach. In: Advances in Operative Dentistry. Vol 2. Ed: Wilson NHF, Roulet JF, Fuzzi M. Quintessence Publishing Co, Inc. pp 61-72.

Peker I, Mangal T, Erten H, Alp G, Avci E, Akca G. Evaluation of caries risk in a young adult population using a computer-based risk assessment model (Cariogram). Journal of Dental Sciences. 2012;7(2):99-104.

Petersson GH, Fure S, Bratthall D. Evaluation of a computer-based caries risk assessment program in an elderly group of individuals. Acta Odontol Scand. 2003;61(3):164-71.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: resultados principais / Ministério da Saúde. Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. – Brasília: Ministério da Saúde, 2012. 116 p.

Thylstrup A e Fejerskov O. Cariologia clínica, 2ª e., trad Sônia RL. Maike, São Paulo, Editora Santos, 1995. p. 283-310.

Dutra GV, Azevedo ID, Figueiredo MC. Cárie dentária: uma doença transmissível. Rev. bras. odontol 1997; 54(5):293-6.

Narvai PC. Cárie dentária e flúor: uma relação do século XX. Ciência & Saúde Coletiva2000, 5(2):381-392.

Birpou E, Agouropoulos A, Twetman S, Kavvadia K. Validation of different Cariogram settings and factor combinations in preschool children from areas with high caries risk. Int J Paediatr Dent. 2019 Jul;29(4):448-455.

Pitts NB, Ekstrand KR. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol. 2013;41(1):41-52.

Honkala E, Runnel R, Honkala S, Olak J, Vahlberg T, Saag M, Mäkinen KK. Measuring dental caries in the mixed dentition by ICDAS. Int J Dent. 2011. doi: 10.1155/2011/150424.

Addy M, Slayne MA, Wade WG. The formation and control of dental plaque - an overview. J Appl Bacteriol. 1992 Oct;73(4):269-78.

Almeida PF. Microbiota estreptocócica associada com a formação inicial da placa dental. Revista de Ciências Médicas e Biológicas 2002; 1: 33-41.

Newbrun, E. Cariology. 2nd ed. Baltimore: Williams & Wilkins,1983.

Petersson GH, Isberg P, Twetman S. Caries risk assessment in school children using a reduced Cariogram model without saliva tests. BMC Oral Health. 2010;10(1):5.

Gustafsson DE, Quensel CE, Lanke LS, Lundqvist C, Grahnen H, Bonow BE, Krasse B. The vipeholm dental caries studies: the effect of diferente levels of carbohydrate intake on caries activity in 436 individuals observed for five years (Sweden). Acta Odontol Scand. 1954;11(3-4):232-64.

Weiss RL, Trithart AH. Between meal eting habits and dental caries experience in preschool children. Am J Public Health Nations Health. 1960;50(8):1097–1104.

ABOPREV: Promoção de Saúde Bucal/Coordenação Léo Kriger. – 3ª ed. São Paulo: Artes Médicas, 2003.

Wennerholm K1, Emilson CG. Comparison of Saliva-Check Mutans and Saliva-Check IgA Mutans with the Cariogram for caries risk assessment. Eur J Oral Sci. 2013 Oct;121(5):389-93.

Nikiforuk G. Understanding Dental Caries- 1. Etiology and Mechanisms – Basic and Clinical Aspects. New York, Karger, 1985. P. 182-209.

Kavvadia K, Agouropoulos A, Gizani S. Papaginnouli L, Twetman S. Caries risk profiles in 2- to years-old Greek children using the cariogram. Eur J Dent. 2012;6(4): 415–421.

Hänsel Petersson G, Twetman S, Bratthall D. Evaluation of a computer program for caries risk assessment in schoolchildren. Caries Res. 2002;36(5):327-40.



  • There are currently no refbacks.