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This document provides an assessment of caries risk in children, guidelines for fluoride supplementation, and billing procedures for Medicaid patients, including instructions for dental care providers.
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How to fill out caries risk assessment

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How to fill out Caries Risk Assessment

01
Collect patient information including age, medical history, and dental history.
02
Evaluate dietary habits, focusing on sugar intake and frequency of snacks.
03
Examine oral hygiene practices, including frequency of brushing and flossing.
04
Assess the presence of protective factors such as fluoridated water, fluoride use, and dental sealants.
05
Identify risk factors such as past caries experience, xerostomia (dry mouth), and socio-economic status.
06
Use a scoring system to quantify the risk for cavities based on collected information.
07
Discuss the findings with the patient and create a personalized prevention plan.

Who needs Caries Risk Assessment?

01
Children and adolescents due to their higher susceptibility to caries.
02
Individuals with a history of dental caries.
03
Patients with braces or other orthodontic appliances.
04
People with special health care needs or systemic conditions contributing to dry mouth.
05
Older adults who may have receding gums or health conditions affecting oral care.
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Radiographic Diagnosis Visual-tactile examination of carious lesions is not sufficient for assessing interproximal or occlusal surfaces. Therefore, radiography is commonly used to assess and detect caries, as it gives the practitioner additional information about the clinical progression.
A total of nine different CRA tools were utilised across the studies: (1) Cariogram; (2) CAMBRA; (3) American Dental Association Caries Risk Assessment (ADA-CRA); (4) American Academy of Pediatric Dentistry Caries Assessment Tool (AAPD-CAT); (5) American Academy of Pediatrics' Oral Health Risk Assessment Tool (AAP-
OHIS provides a caries risk assessment score (tooth decay risk score) from 1 (low) to 5 (high). Scores are also calculated for periodontal disease and oral cancer. The program presents a patient's risk level using a green-amber-red traffic light-like visualization.
A total of nine different CRA tools were utilised across the studies: (1) Cariogram; (2) CAMBRA; (3) American Dental Association Caries Risk Assessment (ADA-CRA); (4) American Academy of Pediatric Dentistry Caries Assessment Tool (AAPD-CAT); (5) American Academy of Pediatrics' Oral Health Risk Assessment Tool (AAP-
The caries risk assessment was developed by the California Dental Association with the UCSF School of Dentistry as a way to determine your risk of cavity-causing tooth decay.
Delivery of D1355 may be prompted by findings of a caries risk assessment procedure (i.e., “D0602 caries risk assessment and documentation, with a finding of moderate risk” or “D0603 caries risk assessment and documentation, with a finding of high risk”).
A caries risk assessment is performed to determine the patient's risk level by assessing risk factors that may place the patient at risk for dental caries, protective factors and the patient's medical and dental history.
risk assessment involves evaluation of the patient in light of the patient's physical status and medical health, as well as the type and extent of the planned dental procedures. in general, nonsurgical dental procedures carry less risk compared with invasive, surgical, and traumatic procedures.
Caries Risk Assessment (CRA) aims to manage the disease of caries using preventive services and non-invasive treatment approaches instead of more invasive and costly restorative procedures, targeting Medi-Cal eligible children ages six and under.

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Caries Risk Assessment is a systematic evaluation used to determine an individual's likelihood of developing dental caries (tooth decay) based on various risk factors such as medical history, dietary habits, and oral hygiene practices.
Dental professionals, including dentists and hygienists, are typically required to file Caries Risk Assessments for their patients as part of their routine dental care and preventive services.
To fill out a Caries Risk Assessment, a dental professional will evaluate specific risk factors, assign scores based on those factors, and use standardized forms or tools to document findings and recommendations.
The purpose of Caries Risk Assessment is to identify individuals at higher risk for developing caries, allowing for timely preventive interventions and personalized treatment plans to improve oral health outcomes.
Information required on a Caries Risk Assessment typically includes patient demographics, medical and dental history, dietary habits, fluoride exposure, and current oral hygiene practices, alongside identified risk factors and a risk level designation.
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