AMERICAN ACADEMY OF PEDIATRIC DENTISTRY
CARIES-RISK ASSESSMENT*
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RISK FACTORS TO
CONSIDER (For each item below,
circle the most accurate response
found to the right under “Risk
Indicators”.)
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RISK INDICATORS
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HIGH
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MODERATE
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LOW
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Part 1 – History (determined by
interviewing the parent/primary
caregiver)
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Child has special health care needs
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Yes
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No
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Child has condition that impairs
salivary flow/composition
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Yes
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No
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Child’s use of dental home
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None
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Irregular
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Regular
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Time lapsed since child’s last cavity
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12 to 24 months
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24 months
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Child wears braces or orthodontic/oral
appliances
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Yes
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No
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Child’s mother has active decay present
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Yes
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No
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Socioeconomic status of child’s
caregiver
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Low
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Mid-level
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High
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Frequency of exposure to between meal
sugars/cariogenic foods (include ad lib
use of bottle/sippy cup containing juice
or carbonated beverage)
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3
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1 to 2
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Mealtime
only
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Child’s exposure to fluoride
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Does
not use fluoridated toothpaste; drinking water is not fluoridated; not taking fluoride supplement |
Uses fluoridated
toothpaste;
usually does not
drink fluoridated
water and does
not take fluoride
supplement
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Uses
fluoridated
toothpaste;
drinks
fluoridated
water or
takes fluoride
supplement
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Part 2 – Clinical evaluation (determined by examining the child’s mouth)
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Visible plaque on anterior teeth
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Present
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Absent
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Gingivitis
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Present
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Absent
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Areas of demineralization (white spot
lesions)
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More than
1
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1
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None
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Enamel characteristics; hypoplasia,
defects, retentive pits/fissures
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Present
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Absent
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Part 3 – Supplemental assessment (Optional)
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Radiographic enamel caries
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Present
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Absent
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Levels of mutans streptococci
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High
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Moderate
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Low
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