Abstract:

Introduction: For the caries management of the carious process it is necessary a complex approach, which includes caries risk assessment, recommendations for healthy behavior and clinical professional care from the general dental practitioners. The cooperativity of the most of the little patients can not provide the necessary conditions for treatment and restoration of the affected hard tooth tissues.

Aim: Assessment of the caries risk and the cooperativeness of 5-7-year-old children.

Materials and methods: Clinical examination includes 100 children on 5-7 years of age from Varna, whose cooperativity is assessed by the dentist using the 4-grade scale of Frankel and data received from interviewed parents. The caries risk assessment is done by tool of American Academy of Pediatric Dentistry (AAPD).

Results: The children’s behavior is slightly negative at 32% of the children, at 44% it is positive and strongly positive behavior have 24%. There is no statistically significant difference in the received results for the three groups of children (p>0,05). The parents assess their child as negative before the dental treatment in 35% of the cases and as positive in 47%. The parents assess the behavior for 18% of the children as strongly positive. Doing the caries risk assessment the most significant factors are the clinical data dmf(T+t) and the caries activity. Regarding the oral hygiene and low social status respectively 58% and 59% of the children are classified in the group of medium risk. Regarding the risk biologic factors such as carbohydrate intake and caries activity of the parents the highest part of the children are classified in the group of high risk.

Conclusion: The caries risk assessment and the cooperativeness of the children is really important for the choice of treatment method, restoration materials and prophylaxis of the dental caries