RISK MEASUREMENTS
Plaque index:
DMFT score:
# of active carious lesions:
# of BOP (Bleeding on Probing) sites:
RISK FACTORS
Dietary risks:
Alcohol Consumption:
Tobacco use:
Alcohol/drug dependency issues:
Recreational drug use:
Clenching/bruxism/attrition?:
Problems with existing restorations:
PROTECTIVE FACTORS
Frequency of dental care:
Frequency of flossing:
Frequency of brushing:
Fluoridation in water:
