2d) Dental Exam - Caries Risk Assessment

About the automatic caries risk calculation

This form automatically calculates the overall risk level from the selections below.

Any single high-risk factor, or only moderate factors with no protective selections, sets the overall risk to High.
A mix of moderate and low factors, with no high-risk factors, sets the overall risk to Moderate.
Protective and low-risk factors only will set the overall risk to Low.

This table is adapted from the ODQ caries classification and management course, which itself is an amalgamation of CAMBRA, ADA and Caries Care International guidelines.

Risk indicators grouped by severity
Risk indicator	High	Moderate	Low
Clinically: active carious lesion present in the mouth	Yes	Suspected	No
Radiographically: moderate or severe lesionAt new patient exam	Yes		No
Radiographically: new lesion or lesion progressionAt periodic exam	Yes	Suspected active initial lesion	No / Inactive initial lesion
HyposalivationH&N radiotherapy, autoimmune disease, polypharmacy, age	Severe xerostomia	Medication side effects (<0.5 mL/min)	Abundant saliva (>1 mL/min stimulated)
Restorations or extractions due to carious lesionsIn the last 3 years	3+	1-2	0
Time since last caries diagnosis and treatment	<1 year	<3 years	>3 years
Consumption of snacks or sweet drinks (prolonged and frequent)	>3x/day between meals	2x/day	0-1x/day, with meals
Removable appliances or orthodontic treatment		Yes	No
Exposed root / deep fissures		Yes	No
Drug useTobacco, alcohol, cannabis, cocaine, ecstasy, heroin, methamphetamines		Yes	No
Loss of patient autonomyPhysical or cognitive illness		Yes	No
Restorations with defective margins / open contacts / compromised morphology		Yes	No
Bacterial plaque		Abundant and sticky	Minimal
Fluoride exposureFluoridated water, supplements, professional application, mouth rinse, toothpaste >1,000 ppm F-		No	Yes
Brushing with fluoride toothpaste 2x/day, flossing nightly		No	Yes
Regular dental follow-up		No	Yes

Caries risk level (auto-selected)

HighModerateLow

Additional notes

Record context or mitigations that are not captured by the table selections.

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2d) Dental Exam - Caries Risk Assessment Caries risk indicators