The CAT is based on physical, environmental and general health factors, and used to determine the likelihood of caries within a time period. It encompasses the multi-factorial nature of caries by identifying risk factors. Objective: To assess the caries risk of children attending a public health dental clinic by applying the CAT. Method: Two mother/child pairs were invited to participate in this pilot study. An oral screening was done on the children using a mouth mirror in the dental chair. Mothers were interviewed and screened for caries. Data was recorded as per the CAT. Results:1) Clinical indicators: child 1 and 2 recorded caries, visible plaque and gingivitis therefore high risk.2)Environmental indicators:(i)socioeconomic status:child 1 and 2 recorded low SES (high risk);(ii) dental attendance: child 1 and 2 recorded irregular (moderate risk);(iii)fluoridated use: child 1 and 2 recorded toothpaste use only (moderate risk);(iv)between meal exposures to sugars: child 1 recorded >3 exposures (high risk)and child 2 recorded 1-2 exposures (moderate risk);(v)mother's caries status: no caries in both (low risk.3)General health indicators: child 1 and 2 recorded no special health care needs/conditions. The CAT placed both children in a high risk category. This gives direction for the clinical and educational intervention to reduce their risk. Conclusion: This tool locates the child patient within a family/social environment and provides a comprehensive picture of risk. It shows that although the clinical picture may be similar, the risk indicators for a specific variable may differ in patients and this will allow the professional to modify the management accordingly. |