Risk and Disease Analysis Input Forms: Content

Click on the links below to view approximate samples of the Risk Input Forms available to print from the program:

The Input Forms are formatted so you can print them and easily record all key data you will need for the Risk Assessment. Note that the forms in the links above are only samples; you should access the correct forms directly from the application's Home page, rather than this User's Guide.

Each form requests slightly different information, but generally you need to indicate the following:

Patient Info:
Identifying information about the individual the report is prepared for and about, including the Name, Date of birth (which determines the age on the exam date), Patient ID and PreViser ID. (Those two ID's are part of the patient's records in your local PreViser files, so you don't need to obtain them from the patient)

Patient History and Clinical Data:

Information related to the patient's health history and habits (e.g. smoking, oral hygiene), and clinical conditions (observing the presence of bleeding, furcation involvements, etc.)

Perio Measurements:
For a Perio form, you need to indicate data on pocket depths and radiographic bone height from the CEJ, for each quadrant.

Target Tooth:
On Caries forms for younger patients, you are asked to indicate the target tooth (the tooth most recently exposed to saliva for the last 12 months), and mark any conditions that are true for those teeth.

Treatments Performed since the last Risk Assessment:
Four main headings with items listed under each, asking for a numerical response if applicable. The form asks for the date of the last Risk Assessment so that you can determine these answers correctly. Note: This is relevant only for patients who have had a previous Risk Assessment. If this is the patient's first Risk Assessment, you can completely ignore this section on the form, as you will not see that entry screen in the application.

For clarification and definitions of specific terms and treatments referred to in the data input process of a Risk Assessment, please refer to the resources in other areas of the User's Guide. Links are provided on the next page.

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Printing Input Forms