Ramos, Patricia Belle T.
ONLINE DENTAL CHECK-UP
Patient Information
Dental History
Name: Kaymart Carmelo D. Magnaye
Birthday: March 16, 2014
Address: Mainaga, Mabini, Batangas
Parent’s name: Raymart R. Magnaye
Caries Risk Assessment
Has your child been to a dentist before?
If yes, date of last visit: Date of last x-rays:
Yes, November 2019 (Restoration)
Has the patient had unhappy experiences? If yes,
please explain.
No
What age did the patient discontinued the bottle or
nursing?
3 years old
Eating habits? None
Yes, 2x a day (2 minutes)
Does the patient brush daily?
If yes, how many times a day? And minutes?
Does the adult assist the patient in tooth brushing?
No, px stopped being assisted when he
turned 4 yrs old
If yes, who?
Has the patient had any injuries to the mouth, teeth
or head?
No
Does the patient have any mouth habits?
None
(thumb/finger sucking, pacifier, grinding, etc.)
What is your main concern about your child’s “masipag naman siya nagttoothbrush pero
dental health ang bilis masria ng ngipin niya”
Ramos, Patricia Belle T.
Socio-demographic factors • Mother- OFW Low Risk
• Father- Government
employee
Behavioral factors • Diet- High frequency High risk
(sweets)
• Habits- None
• Baby bottle- None
• Fluoride exposure- No
exposure
Clinical factors • Caries prevalence- High risk
Presence of caries
• Oral hygiene- Poor
oral hygiene Gingival
inspection- N/A
Radiographic • Bitewing radiograph- High risk (based on the
N/A intraoral picture)
Supplementary test • Salivary flow- High Low risk
salivary flow
• Saliva buffering
capacity- N/A
• Bacterial- N/A
Patient is: HIGH CARIES
RISK
Ramos, Patricia Belle T.
Intraoral pictures