Session of 22/12/2024 18:17:40
22/12/2024
PatientGender - Years
© 2021 - A. Morandini, J. Trombini, M. Simonini, A. Butera.
© 2021 - A. Morandini, J. Trombini, M. Simonini, A. Butera.
Data collection Patient info
Fill in the Patient, Age and Gender Fields.
Please note that "Patient" is only required to customize the print of the test.
In any case, the Patient's identity will not be stored by the System and the Age e Gender values are acquired anonymously for statistical purposes.
Patient
Male
Female
Age selected: 0
Indicate the value of DMFT.
Selected value: 0
Have you had caries in the past two years?
No caries in the past 24 months.
Yes, in the last 24 months.
Yes, in the last 12 months.
Saliva Test.
If it has been carried out/made indicate the amount and quality of the flux.
The test has not been made.
Abundant flow, high buffering capacity,
low bacterial load.
Medium flow, medium buffering capacity,
medium acidity, medium bacterial load.
Low flow, low buffering capacity,
high acidity, high bacterial load.
Indicate if there are defects and/or erosions of enamel.
Yes, the enamel has defects and/or erosions.
No, there are no enamel defects and erosion.
Indicate if he/she is wearing or has orthodontic device.
Yes, he/she is wearing orthodontic device.
No, he/she has never worn orthodontic device.
Indicate how often sugar are during the day.
During main meals.
During main meals and in the morning
or afternoon snack.
Besides meals and snacks, between meals
and at night.
Fluoride supplementation and/or biomimetic hydroxyapatite calcium phosphopeptide phosphate amorphous .
Failure to supplement Fluoride supplementation
and/or biomimetic hydroxyapatite, calcium
phosphopeptide phosphate amorphous.
Fluoride supplementation and/or biomimetic
hydroxyapatite, calcium phosphopeptide phosphate
amorphous are supplemented.
Indicate the presence of eating disorders such as anorexia nervosa, bulimia or binge eating.
No eating disorder is detected.
He/she suffers from eating disorders.
What is the value of the amount of dental plaque on dental surfaces?
No.
A film of dental plaque along the gum edge,
interdental are free but plaque
is visible at a naked eye.
Dental plaque along the gum edge,
the interdental spaces are filled
with dental plaque.
The socioeconomic status can be defined as ..
High socioeconomic status.
Middle socioeconomic status.
Low socioeconomic status.
Indicate the condition referred to dental health in the family.
No family member has caries.
One or more family members have
a middle DMFT.
One or more family members have
a high DMFT.
The patient is undergoing radio-therapy, suffers from systemic pathologies and is administered medications regularly?
Yes
No
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Data processed
Recall at 6 months.
Plaque index evaluation, deplaquing, professional oral hygiene, food diary, objective evaluation of the enamel, evaluation of the state of the fissures of the permanent molars for possible sealing.
Application of remineralizing agents: gels, varnishes or mousse based on fluorine or biomimetic hydroxyapatite.
Revaluation every six months.
Recall at 4 months.
Plaque index evaluation, deplaquing, professional oral hygiene, food diary, objective evaluation of the enamel, evaluation of the state of the fissures of the permanent molars for possible sealing.
Application of remineralizing agents: gels, varnishes or mousse based on fluorine or biomimetic hydroxyapatite.
Revaluation every four months.
Recall at 3 months.
Plaque index evaluation, deplaquing, professional oral hygiene, food diary, objective evaluation of the enamel, evaluation of the state of the fissures of the permanent molars for possible sealing.
Application of remineralizing agents: gels, varnishes or mousse based on fluorine or biomimetic hydroxyapatite.
Revaluation every three months.