CLINICAL REPORT: Caries, Root, and Fracture Risk Assessment
Prepared By		Prepared For
Dr. John Martin 20849 Cascade Ridge Drive, Mount Vernon,, Washington, 98274,   Phone: 360.941.4715, Email: carlf@previser.com Exam Date: 2007-08-21		Sally Adams Age: 53 Risk Assessment ID: 6709e10e-1c26-428b-8fd2-b0fa88b12432 Patient PreViser ID: 8c2fb32a-b376-4b40-bdc4-a105fda2d0ab

Background Information: Permanent premolars and molars >2 interproximal restorations Root surfaces Visible and sound Months Patient has been Caries-free >= 36 Root Surface Erosion/Abrasion/Abfraction Yes A tooth has been fractured (non-traumatic) Yes A tooth that is present has root canal fillings and is not restored with a crown No Oral Hygiene Acceptable Fluoride products used (fluoridated water, supplements, toothpaste, rinses, or gels) Yes Has fixed orthodontic appliance No Experiences dry mouth Yes Bruxes, grinds, or clenches -OR- Symptoms of habits like occlusal or incisal wear, tooth facets, or cervical wear exist Yes Has pierced tongue or oral habit (eating ice, playing musical instrument with a mouthpiece, opening bottles) placing excessive stress on teeth No Has had a major change in health (heart attack, stroke, etc.) during the past 12 months Yes Times per day snacks or beverages containing sugar are consumed between meals 5 or more

Risk Scores Caries Risk Score: 2 - Moderate Fracture Risk Score: 3 - High Root Surface Risk Score: 3 - High

Prevention - Active Intervention Prevention is based on risk and risk factors. This is treatment before disease is observed. Repair of the effects of disease rarely results in a condition as good as the original health state. Preventing disease eliminates tooth loss and reparative treatment. Fluoride Therapeutic oral rinses Occlusal Adjustment Bite guard Crown for at risk tooth    Communication Dental treatment cannot keep you healthy. Your participation is very important. The most common patient behaviors that influence health and treatment success are oral hygiene, nutrition, and smoking. You may receive advice, including resources for you to change to health-promoting behaviors. Oral hygiene Instruction Nutritional Counseling    Visit the Dentist Symptoms are warning signs that frequently appear too late in the disease process for the simplest, most predictable, least costly treatment. Regular visits to detect disease in the early stages can prevent more complex and expensive treatment. Better still are regular visits for preventive care targeted to your risk factors. 2 x year 3 x year 1 x year 4 or more per year Generally most effective May be effective Less likely to be effective

Oral Hygiene
	Oral Hygiene is of particular importance to you. You should learn improved methods of maintaining your teeth and gums.