A 13 year old male patient presents to the clinic for routine dental examination and has a history of frequent snacking and brushes twice a day. Intraoral examination shows multiple pit and fissure caries. Which of the following caries assessment tool is more predictive in this child?
When  discussing  caries  risk  and  introducing the “Cariogram,” Petersson repeated the complex nature of dental caries and the difficulties in predicting the development of the disease in any one patient. Over the years  these  difficulties  have  not  decreased.  There  are  several tools for predicting dental caries development. In 2012 Tellez conducted a systematic review of caries-risk assessment tools and concluded, “There is an urgent need to  develop  valid  and  reliable  methods  for  caries  risk  assessment  that  are  based  on  best  evidence  for  prediction and  disease  epidemiology  management  rather  than  opinions of experts.” In this review the four most commonly used caries-risk assessment tools were reviewed (Cariogram,  Caries  Management  by  Risk  Assessment  , American Dental Association, and the American Academy of Pediatric Dentistry) and were found to be of equal value. 
The Cariogram has been evaluated and found to be more predictive in  permanent  teeth than  with  preschool children. 
The “Cariogram” is a computer caries-risk program that records several data points including past caries experience, diet, oral hygiene habits, fluoride exposures, and analysis of saliva. The program then produces the results as a coloured graph. This was well described by Gonzalez and Okunseri in 2010. Cariogram was given by Brathall et al in 1999. It is a method of illustrating the interaction of factor contributing to the development of caries. The different colors are as follows: red for bacteria, dark blue for diet, light blue for susceptibility-related factors, and yellow for circumstances. A pie circle diagram is divided into 5 sectors in following colours :
CAMBRA
ADA
AAPD
Cariogram