Bright Futures Oral Health Pocket Guide

Risk Assessment

Periodontal Disease Risk Assessment Table

Risk Factors Intervention Strategies
Physical: Examples
Gingivitis Treatment of disease
Puberty Preventive measures to address oral effects
Pregnancy Preventive measures to address oral effects
Mouthbreathing Management of mouthbreathing
Malpositioned or crowded teeth Orthodontic care
Genetic predisposition Preventive intervention to minimize effects
Anatomical variations (e.g., frenum) Surgical correction
Behavioral: Examples
Poor oral hygiene Good oral hygiene
Tobacco use Tobacco-use cessation
Birth control pills Preventive measures to minimize effects
Socioenvironmental: Examples
Poverty Access to care
Poor family oral health Access to care and good oral hygiene
Disease or Treatment Related: Examples
Infectious disease (e.g., HIV/AIDS) Treatment of disease and preventive intervention to minimize effects
Medications (e.g., calcium channel blockers) Preventive intervention to minimize effects
Unrestored or poorly restored tooth decay Properly contoured and finished restorations
Metabolic disease (e.g., diabetes) Treatment of disease
Neoplastic disease (e.g., leukemia or its treatment) Treatment of disease and preventive intervention to minimize effects
Injury Use of age-appropriate safety measures and treatment of injury
Nutritional deficiencies (e.g., vitamin C) Good eating behaviors

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