CARIES RISK ASSESSMENT DATE: PATIENT NAME: CARIES PROMOTING FACTORS CARIES PROTECTING FACTORS Medicaments influencing oral health Psychotropic, sugar-containing medicaments etc. Subjective xerostomia Xerostomia with reduced salivary flow (unstimulated flow rate < 0.1 ml/min) Active white spots lesion/cavities/fillings in the last 2 years. Additional special factors Fluoride rinsing/highly fluoridated toothpaste Saliva substitute with fluoride, Xylitol, Interdental brushed, Arginine toothpaste Sugar inputs Professional prophylaxis Exposed cervical area Oral hygiene with fluridated toothpaste 1x 2x 3x Limitation of hand movement... TOTAL MEASURES TO REDUCE CARIES RISK: Always recommend when red exceeds green With the assistance of Prof. med. dent. Adrian Lussi
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