Modified CAMBRA Protocol for Caries Risk Assessment in Children Aged 6 to 14 Years

<b>Background/Objectives</b>: This study aimed to propose a modified CAMBRA protocol for caries risk analysis in a pediatric population, adapted to their needs and habits. <b>Methods</b>: A descriptive and analytical observational study was conducted after obtaining approval from the Ethics Committee. Caries risk was determined using the CAMBRA Questionnaire and the modified University of Seville Questionnaire (CAMBRA-OP Questionnaire). <b>Results</b>: The final study sample consisted of 300 patients aged 6 to 14 years, of whom 54% were boys and 46% were girls. The distribution of caries risk according to CAMBRA was as follows: 33% low, 7% moderate, 48.6% high, and 11.3% extreme. The distribution of caries risk according to the CAMBRA-OP was as follows: 27.7% low, 12.3% moderate, 48.7% high, and 11.3% extreme. Correlating both tests, a statistically significant association was observed between the caries risk determined by the CAMBRA and CAMBRA-OP, observing a strong correlation between both systems (<i>p</i> = 0.001; Cramer's V = 0.826). The two diagnostic models exhibited high concordance (0.815 [<i>p</i> = 0.001]) using Cohen's Kappa index. <b>Conclusions</b>: This tool is focused on this age group and is easily interpretable by professionals, thus contributing to more effective and personalized prevention of dental caries in childhood.