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    Clinical Skills•Jun 28, 2023•6 min read

    Caries Risk Assessment in the Hygiene Appointment

    Use a structured caries risk assessment to individualize recall intervals, fluoride, and patient education.

    Caries Risk Assessment in the Hygiene Appointment

    Moving Beyond Fixed Intervals

    Fixed six-month recalls do not reflect individual risk. A structured caries risk assessment supports risk-based recall intervals and targeted preventive interventions.

    Key Risk Factors to Document

    • Current active caries and recent restoration history.
    • Salivary function, including medication-induced dry mouth.
    • Dietary frequency of fermentable carbohydrates.
    • Fluoride exposure and home-care effectiveness.

    Linking Risk to Action

    Translate the assessment into a plan: high-risk patients may warrant shorter recalls, in-office fluoride, and adjunctive therapies. Document the rationale so the plan is consistent and defensible across providers.

    Practical Takeaway

    Document structured risk factors and translate them into a written plan that adjusts recall interval, fluoride frequency, and home-care coaching.

    Authoritative Dental Resources

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