Caries Risk assesment

Question 1

Patient’s Attendance Record
Low
Moderate
High

Answer 1

• Regular recall intervals
• Irregular recall intervals
• Infrequent attendance

Question 2

Things to consider when doing a caries risk assessment?

Answer 2

Patient’s Attendance Record
Patient education and motivation
Family dental history
Medical history
Diet
Tooth Morphology
Previous disease or dental treatment
Saliva
Plaque control
Patient home care
Fluoride use

Question 3

Patient education and motivation
Low
Moderate
High

Answer 3

Dentally aware
Dentally aware but lack of motivation
Low dental knowledge/Poor motivation

Question 4

Family dental history
Low
Moderate
High

Answer 4

No caries in last 24 months
Carious Lesions in the last 2 years
Carious Lesions in the last 6 months

Question 5

Medical history
Low
Moderate
High

Answer 5

No relevant mental or physical factors

Poly pharmacy/ Poor manual dexterity/ Low level learning disability/Reduced saliva flow /Eating disorders

Xerostomia/ Radiotherapy/ Severe mental or physical capacity/ Drug/alcohol abuse

Question 6

Diet
Low
Moderate
High

Answer 6

≤ 4 acid attacks/day/ Balanced intake of fruit and vegetables/Infrequent sugar consumption primarily at mealtimes

Daily or frequent sugar consumption/ Excessive fruit intake

Sugar intake >3/day/ Frequent or prolonged exposure to foods/ Inappropriate bottle-feeding

Question 7

Tooth Morphology
Low
Moderate
High

Answer 7

Well coalesced pit’s and fissures/ Intact sealants/ Sound restorations

Overhanging restorations/ Heavily restored dentition
Orthodontic appliances/ Partial dentures

Deep pit’s or fissures/ Exposed root surfaces

Question 8

Previous disease or dental treatment
Low
Moderate
High

Answer 8

Unrestored teeth/ Sound restorations/ No carious lesions in past year

White spot lesions/ Interproximal radiolucencies
1-2 carious lesions or restorations in previous 3 years

Visible or radiographic caries/ Multiple restorations
≥ 2 restorations in previous 3 years/ Smooth surface caries/ Extractions due to caries

Question 9

Saliva
Low
Moderate
High

Answer 9

Normal flow and quality
Reduced flow or poor quality
Xerostomia

Question 10

Plaque control
Low
Moderate
High

Answer 10

No visible plaque deposits
Minimal plaque deposits
Heavy mature visible plaque deposits

Question 11

Patient home care
Low
Moderate
High

Answer 11

Daily removal of plaque with regular ID care

Little or no ID care/ Occasional lapse in toothbrushing routine

Irregular, infrequent or ineffective toothbrushing/ No ID care

Question 12

Fluoride use
Low
Moderate
High

Answer 12

Appropriate fluoride use
Less than recommended fluoride exposure
No fluoride exposure