Case Study

Assessing and Documenting Caries Risk

Mariela brings her 8-year-old son to your office for his first dental exam. As part of Julio’s Texas Health Steps initial oral exam, you conduct a caries risk assessment and document Julio’s individual, biological, and protective factors as well as his clinical presentation. You use the caries risk assessment tool provided by the Texas Department of State Health Services Oral Health Program, which was developed by pediatric and general dentists to meet Texas Health Steps’ documentation requirements.

The results of Julio’s caries risk assessment will inform your next steps. Review the assessment and answer the question below.

Caries Risk Assessment Tool

chart documenting caries factors and their risk levels

portrait of young boy
8 years

What is Julio's risk level?

Which of the following age-related dental guidance should you share with Julio and Mariela?

Hazards associated with smoking and use of smokeless tobacco.

Etiology, consequences, and treatments for periodontal disease.

Oral hygiene care and skills.

What recall schedule is appropriate for Julio?

Related Texas Health Steps courses

photo of young boy having his teeth checked

Promoting Oral Health through Caries Risk Assessment and Dental Anticipatory Guidance

Learn to implement nationally recognized dental quality measures such as individualized caries risk assessment and age-appropriate anticipatory guidance to improve oral health.

Credit hours: 1.5 CE

photo of a confident dentist

First Dental Home

Dentists enrolled in Texas Medicaid must complete this training and provide additional certification in order to bill Medicaid for First Dental Home services for children 6 - 35 months old.

Credit hours: 1.5 CE

photo of flouride being brushed onto a child’s tooth

Oral Evaluation and Flouride Varnish

Implement practices required for physicians, advanced practice nurses, and physician assistants to perform Oral Evaluations and Fluoride Varnish services in Texas. This course and additional certification are required to bill Medicaid for the service.

Credit hours: 1.5 CE

photo of a physician examining a young girl’s mouth with a tongue depressor and flashlight

Oral Health For Primary Care Providers

Promote oral health for infants and children in a primary care practice. Includes screening and treatment guidelines as well as age-appropriate anticipatory guidance.

Credit hours: 1.5 CE


About Texas Health Steps

Texas Health Steps’ award-winning online program offers FREE CE courses for primary care providers and other health professionals. These courses offer updated clinical, regulatory, and best practice guidelines for a range of preventive health, oral health, mental health, and case management topics.