Child's Age Group
Risk Assessment Questions
Active Cavities or White Spots
Does your child currently have any visible cavities, white spots, or areas of decay on their teeth?
Parent/Caregiver Active Cavities
Do parents or primary caregivers have active cavities or untreated dental problems?
Previous Cavities or Restorations
Has your child had cavities or dental fillings in the past 24 months?
Fluoride Exposure
Does your child receive adequate fluoride through water, or toothpaste?
Frequent Snacking
Does your child snack frequently between meals (more than 3 times per day)?
Sugary Drinks
Does your child consume sugary drinks (juice, soda, sports drinks) between meals?
Bottle/Sippy Cup at Bedtime
Does your child go to bed with a bottle or sippy cup containing anything other than water?
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