Risk Assessment

Dental Caries Risk Assessment Table

Risk Factors Intervention Strategies
Physical: Examples
Previous dental caries experience Increased frequency of oral health supervision
High Streptococcus mutans count Reduction of Streptococcus mutans count
History of tooth decay Increased frequency of oral health supervision
Variations in tooth enamel; deep pits and fissures; anatomically susceptible areas Dental sealants (if possible) or observation
Special health care needs Preventive intervention to minimize effects
Gastric reflux Management of condition
Behavioral: Examples
Frequent snacking Reduction in snacking frequency
Poor oral hygiene Good oral hygiene
Frequent or prolonged bottle feedings during the day or night Less-frequent and less-prolonged bottle feedings, and weaning from bottle by age 12 to 14 months
Self-induced vomiting Referral for counseling
Socioenvironmental: Examples
Inadequate fluoride Optimal systemic and/or topical fluoride
Poverty Access to care
Poor family oral health Access to care and good oral hygiene
High parental levels of Streptococcus mutans Good parental oral health and oral hygiene
Disease or Treatment Related: Examples
Special carbohydrate diet Preventive intervention to minimize effects
Frequent intake of medications containing sugar Alternate medications or preventive intervention to minimize effects
Orthodontic appliances Good oral hygiene for appliances
Reduced saliva flow from medication or irradiation Saliva substitute

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