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Caries risk assessment of children an d adolescents Risk assessment is an essential component in the decision-making process for adequate prevention and management of dental caries, and for the determination of recall intervals. Yet, there is little information on how this process is performed in everyday paediatric dentistry. A comprehensive risk assessment is a synthesis of data from the case history, clinical examination and biochemical tests and the use of structured forms or computer-based programs is considered "best clinical practice". Recent systematic reviews have concluded that concerning accuracy, there is no perfect and clearly superior method for caries risk assessment in children. The accuracy of multivariate models is however generally higher for pre-school children than for schoolchildren and adolescents. Baseline caries prevalence is the most accurate single predictor in all age groups with moderate/good accuracy in pre-school children but limited accuracy in schoolchildren/adolescents. Other single variables are of little or no value. The period of highest risk for caries is the first few years after tooth eruption. In general, the quality of evidence is limited.

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