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Caries Risk Assessment Form (Age 06)
Patient Name:
Birth Date:Date:Age:Initials:
Low Risk
Contributing Conditions. Fluoride Exposure (through drinking water, supplements,
professional applications,
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What is caries risk assessment form?
The caries risk assessment form is a tool used by dental professionals to evaluate the likelihood of an individual developing dental caries (cavities).
Who is required to file caries risk assessment form?
Dental professionals such as dentists and hygienists are required to fill out caries risk assessment forms for their patients.
How to fill out caries risk assessment form?
The caries risk assessment form is typically filled out by asking the patient a series of questions about their oral health habits, diet, medical history, and other factors that may influence their risk of developing cavities.
What is the purpose of caries risk assessment form?
The purpose of the caries risk assessment form is to help dental professionals identify patients who may be at increased risk of developing cavities so that appropriate preventive measures can be taken.
What information must be reported on caries risk assessment form?
Information such as the patient's oral hygiene habits, diet, medical conditions, medications, and family history of dental problems must be reported on the caries risk assessment form.
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