Dear Alain, this is Ebingen Villavicencio, the last year I was working at Public Helath Minister in Dental Health Manager office and we work a lot in this special Item.
I can share with you some literature that you can find in the web
1. Young & Featherstone; Caries management by risk assessment, Community Dent Oral Epidemiology 2012; 41.
2. Mattos-Vela A, Melgar, Rosa, Riesgo de Caries dental.Rev. Estomatol Herediana 2004; 14 (1-2).
3. Honkala E, Nyysscinen V, Kolmakow S, Lammi S: Factors predicting caries risk in children. Scand J Dent Res 1984; 92: 134-40.
4. Mendes G , Dina D, Lovera Caricote N, Prevalencia de caries dental en escolares de 6 a 12 años de edad del municipio Antolín del Campo, Estado Nueva Esparta, Venezuela (2002-2003), Revista Latinoamericana de Ortodoncia y Odontopediatría.
5. Martínez D, Meisser Vidal A, Tirado L, Relación entre obesidad y caries dental en niños, Rev Cubana Estomatol. 2014;51(1).
6. Vadiakas G, Case definition, aetiology and risk assessment of early childhood caries (ECC): a revisited review. Eur Arch Paediatr Dent (2008) 9:114–125.
7. Leroy R, Bogaerts Kr, Martens, Declerck D, Risk factors for caries incidence in a cohort of Flemish preschool children Clin Oral Invest (2012) 16:805–812
8. Aida J, Ando Y, Oosaka M, Niimi K, Morita M. Contributions of social context to inequality in dental caries: a multilevel analysis of Japanese 3-year-old children. Community Dent Oral Epidemiol 2008; 36: 149–156.
9. Kiwanuka, A. N. Åstrøm & T. A. Trovik Dental caries experience and its relationship to social and behavioural factors among 3–5-year-old children in Uganda, International Journal of Paediatric Dentistry 14:336-346.
10. Heredia Azerrad C, Alva Poma F,Relación entre la prevalencia de caries dental y desnutrición crónica en niños de 5 a 12 años de edad, Rev Estomatol.Herediana v.15 n.2 Lima jul./dic. 2005
11. Cárdenas- Flores, Carol, Perona-Miguel de Priego, Guido, Factores de riesgo asociados a la prevalencia de caries de aparición temprana en niños de 1 a 3 años en una población peruana. Odontol Pediatr Vol 12 Nº 2 Julio-Diciembre 2013, pp. 110-119.
This paper i think will give you answer of your question.
Featherstone JD, White JM, Hoover CI, Rapozo-Hilo M, Weintraub JA, Wilson RS, Zhan L, Gansky SA. A Randomized Clinical Trial of Anticaries Therapies Targeted according to Risk Assessment (Caries Management by Risk Assessment). Caries Res. 2012; 46(2):118-29.
Should assess patient oral health profile by assessing patient risk factors and risk in dictators as dental caries is a multi factorial disease then develop the (concept of balancing) by minimizing patient pathological factor and maximizing patients protective factors.
A good reference is the American Academy of Pediatric Dentistry clinical guidelines on caries risk assessment and management of infants, children and adolescents produced by the AAPD Council of Clinical Affairs, 2014 (revised). The guidelines provide practical recommendations for the follow up and management of children of varying ages with different degrees of caries risk.
American Academy of Pediatric Dentistry, Clinical Guidelines, Reference Manual, V 36, No 6, 14, 15 (AAPD_cariesriskassessment.pdf - Adobe Acrobat Reader DC)
Caries Management by Risk Assessment, as is taught by Featherstone is a fine system. I disagree with its use of Chlorhexidne in high risk patients as there are better modalities like provodone iodine solution applied prior to using fluoride varnish. That being said, CAMBRA is very difficult to implement in large or government funded practices. It is easier to implement in small, sophisticated practices where everyone in the clinic is on board with the concept. Same with the "KeyesTechnique" for periodontal treatment.