European Archives of Paediatric Dentistry

, Volume 18, Issue 3, pp 219–224 | Cite as

Application of International Caries Detection and Assessment System (ICDAS) and Caries Management by Risk Assessment (CAMBRA) systems in child cancer patients: a clinical case report

  • A. Hernández FernándezEmail author
  • R. E. Oñate Sánchez
  • E. Fernández Miñano
  • P. Iniesta López-Matencio
  • A. J. Ortiz Ruiz
Case Report



Leukaemia represents 30–40% of all paediatric malignant tumours and is the main cause of death in patients aged <15 years. One of the main complications in these patients is infection, which may often occur in the oral cavity. Chemotherapy-related oral health problems may be reduced by oral healthcare strategies based on the International Caries Detection and Assessment System (ICDAS) and Caries Management by Risk Assessment (CABRA).

Case report

A case is reported of a 14-year-old girl treated for leukaemia who presented with established dental caries lesions which were classified and treated according to ICDAS and CABRA protocols. After three, no new caries was observed.

Follow-up and conclusion

ICDAS and CAMBRA provide useful and effective guidance for the avoidance of dental and systemic problems. Their introduction into standard practice could reduce the legal difficulties derived from dental treatment in these patients.


Leukaemia High caries risk Children Cancer 



We would like to thank Prof. Mª Antonia Alcaina Lorente her work with this patient.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from participant included in the study.


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Copyright information

© European Academy of Paediatric Dentistry 2017

Authors and Affiliations

  1. 1.Faculty of Dentistry, Paediatric Dental ClinicUniversity of Murcia, Hospital Morales-MeseguerMurciaSpain
  2. 2.Faculty of Dentistry, Special Patients ClinicUniversity of Murcia, Hospital Morales-MeseguerMurciaSpain
  3. 3.Haematology UnitHospital Morales-MeseguerMurciaSpain
  4. 4.MurciaSpain

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