Oral Health Risk Assessment for Prenatal Care Providers
Oral Health Risk Assessment for Prenatal Care Providers
Oral Health Risk Assessment for Prenatal Care Providers
1. When was your last dental visit?
- Less than 6 months Less than 6 months
- More than 6 months (Suggested provider response: I recommend you make a dental appointment as soon as possible. It is safe to get dental care during pregnancy and keeping your mouth and teeth healthy is important for the health of your baby. ) More than 6 months (Suggested provider response: I recommend you make a dental appointment as soon as possible. It is safe to get dental care during pregnancy and keeping your mouth and teeth healthy is important for the health of your baby. )
2. Do you have a dental home (regular dentist)?
- Yes Yes
- No (Suggested provider response: Do you need help finding a dental provider?) No (Suggested provider response: Do you need help finding a dental provider?)
3. Do you have any current mouth/tooth pain today?
- Yes Yes
- No (Suggested provider response: Let’s get you an appointment to see a dental provider as soon as possible.) No (Suggested provider response: Let’s get you an appointment to see a dental provider as soon as possible.)
4. Referral(1) Completed?
- Yes Yes
- No No
Optional (2) Oral Health Examination:
Optional (2) Oral Health Examination:
Select an option
- Provider to check teeth and gums for hygiene, inflammation and disease. (3)
5. Potential caries, swollen or bleeding gums, other dental concern.
- Yes (Suggested provider action: Document on referral form to dental provider.) Yes (Suggested provider action: Document on referral form to dental provider.)
- No (Suggested provider action: Document on referral form to dental provider.) No (Suggested provider action: Document on referral form to dental provider.)
6. Sign of infection or other urgent need.
- Yes (Suggested provider action: Document on referral form to dental provider.) Yes (Suggested provider action: Document on referral form to dental provider.)
- No (Suggested provider action: Document on referral form to dental provider.) No (Suggested provider action: Document on referral form to dental provider.)
Citations and Notes
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(1)
Ideally, the Prenatal Oral Health Risk Assessment is incorporated into electronic health record using a flowsheet with discoverable fields to pull reports. However, when needed, documenting in patient note can suffice, often using a SmartPhrase or Dot Phrase. ICD 10 code z13.84 (dental screening) can be used to flag charts of patients screened and then question 4 can be manually tallied to track referrals.
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(2)
Recommended By American College of Obstetrics (ACOG) and Oral Health During Pregnancy: a National Consensus Statement
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(3)
Complete training at Smiles for Life – Course 5, CME provided. Needed supplies: gloves, adequate light, tongue depressor