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Tips for Completing the State-Required
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The state-required oral assessment form to be returned to the school is a simple data collection tool that requires the following four pieces of information.

  1. The date of the child's oral evaluation or examination, which may occur anytime during the first year of school or up to 12 months prior to school entrance.
  2. Is there evidence the child has experienced decay? The form asks if visible caries and/or fillings are present. If either or both are detected by visual or by radiographic examination, the YES box should be checked. If a child is found to have one or more untreated carious lesions, then he/she will automatically be marked positive in this section and the next.
  3. Is there evidence of untreated dental decay? If a dental examination is performed, the answer to this question is easily determined. When only a visual screening assessment is done, the dental professional must make an educated judgment. To standardize responses, it is recommended that if there appears to be as little as 0.5 mm of enamel loss and a brown discoloration of the occlusal or smooth enamel surface, the form should be marked YES.
  4. Is there a treatment urgency? The form provides three options:
    • "Urgent" is indicated if there are signs or symptoms of pain, infection, or soft tissue swelling.
    • "Early Dental Care" is indicated when dental caries is suspected or present without other accompanying signs or symptoms. Sealant indications such as deep fissured groves or while enamel demineralization also qualify the child for this designation.
    • "No Obvious Problems Found" is indicated when the teeth appear visually sound and the child appears to need only routine dental examination.
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