A Pediatric Care Provider Oral Health Assessment Form

American Academy of Pediatric Dentistry Caries Risk Assessment Tool (CAT*)ClinicalConditionsEnvironmentalCharacteristicsGeneral HealthConditionsLow risk Moderate risk High risk• No caries• No enamel demineralization• No visible plaque• No gingivitis• Optimal systemic topicalfluoride exposure• Consumption of simple sugarsor foods strongly associatedwith caries initiation primarily atmealtimes• High caregiver socioeconomicstatus• Regular use of dental care in anestablished dental home• Carious teeth in past 24 months• 1 area of enameldemineralization (enamel• Caries “white spots lesions”)• Gingivitis• Suboptimal systemic fluorideexposure with optimal topicalexposure• Occasional (1-2) between-mealexposures to simple sugars orfoods strongly associated withcaries• Mid-level caregiversocioeconomic status (i.e.,eligible for school lunchprogram or SCHIP)• Irregular use of dental services• Carious teeth in the past 12 months• More than 1 area of enameldemineralization• (enamel caries, “white spot lesions”• Visible plaque on anterior frontteeth• Radiographic enamel caries• High titers of mutans streptococci• Wearing dental or orthodonticappliances• Enamel hypoplasia• Suboptimal topical fluorideexposure• Frequent (i.e. 3 or more) betweenmealexposures to simple sugars orfoods strongly associated withcaries• Low-level caregiver socioeconomicstatus (i.e. Eligible for Medicaid)• No usual source of dental care• Active caries present in the mother• Children with special health careneeds• Conditions impairing salivacomposition/flow*AAPD, Council on Clinical Affairs, www.aapd.org