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Chapter 3: Oral Health Screening
Introduction
Dental caries is a multi-factorial chronic disease process. A variety of risk factors are known to contribute to the development and progression of dental caries. (The pathology of dental caries is reviewed in detail in Chapter 4: Caries.)

In this chapter, we will review the AAP policy on risk assessment and screening, explain how pediatricians can assess dental caries risk in their patients, present a tool that can be used to assist in risk assessment, and propose referral options for patients deemed at risk.


Sections
1.
AAP Policy on Risk Assessment
2.
Clinical Evaluation
   
Examination Technique
   
What to Look For
3.
AAPD Caries Risk Assessment Tool
4.
Risk Groups
5.
AAP Policy on Referral to a Dentist
6.
Key Points
7.
Self-Assessment Questions
 
Upon chapter completion, participants will be able to:
 
1.
Recall the AAP policy on the initiation of oral health risk assessment in the primary office.
 
2.
Perform a complete pediatric oral examination.
 
3.
Utilize the AAPD Caries Assessment Tool in clinical practice.
 
4.
Recall the 6 high-risk groups listed in the AAP policy on risk assessment.
 
5.
State the ideal age for establishment of a dental home.
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