8-year-old Recent Immigrant Visits Dentist for the First Time


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

Caries Risk Assessment tool. Risk factor 1- Caries Activity; status is moderate (incipient lesion). Risk factor 2- Demineralized areas; status is moderate (Inactive white spot). Risk factor 3- Restorations or missing teeth due to caries; status is low (none). Risk factor 4- Parents, primary caregiver/siblings (ages 6-14); status is moderate (low caries rate). Risk factor 5-  Presence of plaque, gingivitis; status is moderate (moderate). Risk factor 6- Fluorideexposure; status is high (low/can’t confirm fluoride history). Risk factor 7- Sugar consumption; status is moderate (1-2 between meals). Risk factor 8- Dental home; status is high (none/first dental visit). Risk factor 9- Special conditions; status is high (Enamel hypoplasia/Impaired salivary flow/Recent immigrant/Recently moved from Central America.

Question 1 of 3
What is Julio’s risk level?