Dental Caries Risk Assessment Survey

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| By Mcmahonfamilyden
M
Mcmahonfamilyden
Community Contributor
Quizzes Created: 1 | Total Attempts: 202
| Attempts: 202
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  • 1/22 Questions

    Do you currently or have you ever had GERD?

    • Yes
    • No
Please wait...
About This Quiz

Please complete this survey in order to help us assess your risk for Dental Caries. When you are finished, we will be able to better recommend dental treatment for you.

Dental Caries Risk Assessment Survey - Quiz

Quiz Preview

  • 2. 

    Do you currently have Sjogren's Syndrome?

    • Yes

    • No

    Rate this question:

  • 3. 

    Are you currently taking or have you ever taken Hypo-salivary Medications?

    • Yes

    • No

    Rate this question:

  • 4. 

    Are you currently receiving or have you ever received Radiation Therapy?

    • Yes

    • No

    Rate this question:

  • 5. 

    How often do you snack between meals per day?

    • 3+ times

    • 1-3 times

    • Rarely

    Rate this question:

  • 6. 

    How often do you consume soda or low pH beverages?

    • Often

    • Rarely

    • Never

    Rate this question:

  • 7. 

    Do you currently or have you ever consumed recreational drugs?

    • Yes

    • No

    Rate this question:

  • 8. 

    Does the patient have any plaque or calculus buildup?

    • Generalized

    • Localized

    • Minimal

    Rate this question:

  • 9. 

    Are there any visible cavitations in the patients teeth?

    • Yes

    • No

    Rate this question:

  • 10. 

    Has the patient had a cavity in the last 3 years?

    • Yes

    • No

    Rate this question:

  • 11. 

    Does the patient have a dry mouth?

    • Yes

    • No

    Rate this question:

  • 12. 

    Does the patient have any exposed roots on any teeth?

    • Yes

    • No

    Rate this question:

  • 13. 

    Does the patient display any deep pits or fissures?

    • Yes

    • No

    Rate this question:

  • 14. 

    Has the patient displayed any Radiographic Cavities?

    • Yes

    • No

    Rate this question:

  • 15. 

    Are there any White Spot Lesions in the patient's mouth?

    • Yes

    • No

    Rate this question:

  • 16. 

    Are there any appliances present in the patient's mouth?

    • Yes

    • No

    Rate this question:

  • 17. 

    Is the patient currently using Fluoridated Water?

    • Yes

    • No

    Rate this question:

  • 18. 

    Is the patient currently using Fluoridated Toothpaste?

    • Yes

    • No

    Rate this question:

  • 19. 

    Is the patient currently using Fluoridated Mouthwash?

    • Yes

    • No

    Rate this question:

  • 20. 

    Is the patient currently using Xylitol gum/mints?

    • Yes

    • No

    Rate this question:

  • 21. 

    Is the patient currently using any other protective rinses?

    • Yes

    • No

    Rate this question:

  • 22. 
    Please begin the patient portion of the Dental Risk Assessment Survey. - ProProfs

    Please begin the patient portion of the Dental Risk Assessment Survey.

Quiz Review Timeline (Updated): Jul 18, 2022 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Jul 18, 2022
    Quiz Edited by
    ProProfs Editorial Team
  • May 13, 2016
    Quiz Created by
    Mcmahonfamilyden
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