Dental network: source of data
Practitioner ID - PT ID
Q7a: Practice type case selected from
Q8: Practice type controls selected from
Q7b: If PT is referral, provider type referred PT
Q3a: date of last visit to your office-month
Q3a: date of last visit to your office-year
Q3b: date of last visit unknown
Q5: PT gender 1-M, 2-F
Q6: ONJ case or control: 1-CA, 2-CO
Written informed consent
Q4: PT month/year of birth
Patient ID (study ONJ)
Was PT edentunous in 2000
Number of maxillary teeth present in 2000
Number of maxillary teeth present in 2001
Number of maxillary teeth present in 2002
Number of maxillary teeth present in 2003
Number of maxillary teeth present in 2004
Number of maxillary teeth present in 2005
Number of maxillary teeth present in 2006
Number of maxillary teeth present in 2007
Number of mandibular teeth present in 2000
Number of mandibular teeth present in 2001
Number of mandibular teeth present in 2002
Number of mandibular teeth present in 2003
Number of mandibular teeth present in 2004
Number of mandibular teeth present in 2005
Number of mandibular teeth present in 2006
Number of mandibular teeth present in 2007
Periodontal disease in 2000
Periodontal disease in 2001
Periodontal disease in 2002
Periodontal disease in 2003
Periodontal disease in 2004
Periodontal disease in 2005
Periodontal disease in 2006
Periodontal disease in 2007
Caries (two or more per year) in 2000
Caries (two or more per year) in 2001
Caries (two or more per year) in 2002
Caries (two or more per year) in 2003
Caries (two or more per year) in 2004
Caries (two or more per year) in 2005
Caries (two or more per year) in 2006
Caries (two or more per year) in 2007
Endodontic problems in 2000
Endodontic problems in 2001
Endodontic problems in 2002
Endodontic problems in 2003
Endodontic problems in 2004
Endodontic problems in 2005
Endodontic problems in 2006
Endodontic problems in 2007
Gingival bleeding in 2000
Gingival bleeding in 2001
Gingival bleeding in 2002
Gingival bleeding in 2003
Gingival bleeding in 2004
Gingival bleeding in 2005
Gingival bleeding in 2006
Gingival bleeding in 2007
Suppuration in 2000
Suppuration in 2001
Suppuration in 2002
Suppuration in 2003
Suppuration in 2004
Suppuration in 2005
Suppuration in 2006
Suppuration in 2007
Pain or sensitivity in 2000
Pain or sensitivity in 2001
Pain or sensitivity in 2002
Pain or sensitivity in 2003
Pain or sensitivity in 2004
Pain or sensitivity in 2005
Pain or sensitivity in 2006
Pain or sensitivity in 2007
Neurosensory disturbances in 2000
Neurosensory disturbances in 2001
Neurosensory disturbances in 2002
Neurosensory disturbances in 2003
Neurosensory disturbances in 2004
Neurosensory disturbances in 2005
Neurosensory disturbances in 2006
Neurosensory disturbances in 2007
TMD in 2000
TMD in 2001
TMD in 2002
TMD in 2003
TMD in 2004
TMD in 2005
TMD in 2006
TMD in 2007
Tooth number (2000)
Tooth number (2001)
Tooth number (2002)
Tooth number (2003)
Tooth number (2004)
Tooth number (2005)
Tooth number (2006)
Tooth number (2007)
PT had teeth extracted since 2000
Oral surgery codes for tooth 1
Oral surgery codes for tooth 2
Oral surgery codes for tooth 3
Oral surgery codes for tooth 4
Oral surgery codes for tooth 5
Oral surgery codes for tooth 6
Oral surgery codes for tooth 7
Oral surgery codes for tooth 8
Oral surgery codes for tooth 9
Oral surgery codes for tooth 10
Oral surgery codes for tooth 11
Oral surgery codes for tooth 12
Oral surgery codes for tooth 13
Oral surgery codes for tooth 14
Oral surgery codes for tooth 15
Oral surgery codes for tooth 16
Oral surgery codes for tooth 17
Oral surgery codes for tooth 18
Oral surgery codes for tooth 19
Oral surgery codes for tooth 20
Oral surgery codes for tooth 21
Oral surgery codes for tooth 22
Oral surgery codes for tooth 23
Oral surgery codes for tooth 24
Oral surgery codes for tooth 25
Oral surgery codes for tooth 26
Oral surgery codes for tooth 27
Oral surgery codes for tooth 28
Oral surgery codes for tooth 29
Oral surgery codes for tooth 30
Oral surgery codes for tooth 31
Oral surgery codes for tooth 32
SUPERNUMERARY: YES/NO
Other proc/codes and oral medications 2004
Other proc/codes and oral medications 2005
Other proc/codes and oral medications 2006
Has PT had any perio Tx since 2000
Periodontal maintenance 2000
Periodontal maintenance 2001
Periodontal maintenance 2002
Periodontal maintenance 2003
Periodontal maintenance 2004
Periodontal maintenance 2005
Periodontal maintenance 2006
Periodontal maintenance 2007
Scaling and root planning 2000 - ul
Scaling and root planning 2001 - ul
Scaling and root planning 2002 - ul
Scaling and root planning 2003 - ul
Scaling and root planning 2004 - ul
Scaling and root planning 2005 - ul
Scaling and root planning 2006 - ul
Scaling and root planning 2007 - ul
Scaling and root planning 2000 - ur
Scaling and root planning 2001 - ur
Scaling and root planning 2002 - ur
Scaling and root planning 2003 - ur
Scaling and root planning 2004 - ur
Scaling and root planning 2005 - ur
Scaling and root planning 2006 - ur
Scaling and root planning 2007 - ur
Scaling and root planning 2000 - ll
Scaling and root planning 2001 - ll
Scaling and root planning 2002 - ll
Scaling and root planning 2003 - ll
Scaling and root planning 2004 - ll
Scaling and root planning 2005 - ll
Scaling and root planning 2006 - ll
Scaling and root planning 2007 - ll
Scaling and root planning 2000 - lr
Scaling and root planning 2001 - lr
Scaling and root planning 2002 - lr
Scaling and root planning 2003 - lr
Scaling and root planning 2004 - lr
Scaling and root planning 2005 - lr
Scaling and root planning 2006 - lr
Scaling and root planning 2007 - lr
Has PT had any endo Tx since 2000
Tooth endo Tx failure 1: tooth number
Tooth endo Tx failure 2: tooth number
Tooth 2: code of endo Tx
Tooth 3: code of endo Tx
Tooth 4: code of endo Tx
Tooth 5: code of endo Tx
Tooth 6: code of endo Tx
Tooth 7: code of endo Tx
Tooth 8: code of endo Tx
Tooth 9: code of endo Tx
Tooth 10: code of endo Tx
Tooth 11: code of endo Tx
Tooth 12: code of endo Tx
Tooth 13: code of endo Tx
Tooth 14: code of endo Tx
Tooth 15: code of endo Tx
Tooth 18: code of endo Tx
Tooth 19: code of endo Tx
Tooth 20: code of endo Tx
Tooth 21: code of endo Tx
Tooth 25: code of endo Tx
Tooth 29: code of endo Tx
Tooth 30: code of endo Tx
Tooth 31: code of endo Tx
Has PT received any implants since 2000
Tooth 4: code of implants
Tooth 5: code of implants
Tooth 6: code of implants
Tooth 18: code of implants
Tooth 19: code of implants
Tooth 20: code of implants
Tooth 30: code of implants
Tooth implants failure 1: tooth number
Tooth 20: date of implants
Diagnosis for biopsis #1
Sextant for biopsis #1 2004
Sextant for biopsis #1 2005
Sextant for biopsis #1 2006
Sextant for biopsis #1 2007
Has PT had any biopsis since 2000
Biopsis report attached
Code for biopsis #1 2004
Code for biopsis #1 2005
Code for biopsis #1 2006
Code for biopsis #1 2007
Compeleted form in one sitting
Designation of person - dentist
Designation of person - office manager
Designation of person - dental hygienist
Designation of person - PBRN staff
Designation of person - other
Certification: designation - dentist
Certification: designation - other
Practitioner ID
Network adminstrative region
CASE-CONTROL MATCH
Month completed
Year completed
Oral surgery year for tooth 1
Oral surgery month for tooth 1
Oral surgery year for tooth 2
Oral surgery month for tooth 2
Oral surgery year for tooth 3
Oral surgery month for tooth 3
Oral surgery year for tooth 4
Oral surgery month for tooth 4
Oral surgery year for tooth 5
Oral surgery month for tooth 5
Oral surgery year for tooth 6
Oral surgery month for tooth 6
Oral surgery year for tooth 7
Oral surgery month for tooth 7
Oral surgery year for tooth 8
Oral surgery month for tooth 8
Oral surgery year for tooth 9
Oral surgery month for tooth 9
Oral surgery year for tooth 10
Oral surgery month for tooth 10
Oral surgery year for tooth 11
Oral surgery month for tooth 11
Oral surgery year for tooth 12
Oral surgery month for tooth 12
Oral surgery year for tooth 13
Oral surgery month for tooth 13
Oral surgery year for tooth 14
Oral surgery month for tooth 14
Oral surgery year for tooth 15
Oral surgery month for tooth 15
Oral surgery year for tooth 16
Oral surgery month for tooth 16
Oral surgery year for tooth 17
Oral surgery month for tooth 17
Oral surgery year for tooth 18
Oral surgery month for tooth 18
Oral surgery year for tooth 19
Oral surgery month for tooth 19
Oral surgery year for tooth 20
Oral surgery month for tooth 20
Oral surgery year for tooth 21
Oral surgery month for tooth 21
Oral surgery year for tooth 22
Oral surgery month for tooth 22
Oral surgery year for tooth 23
Oral surgery month for tooth 23
Oral surgery year for tooth 24
Oral surgery month for tooth 24
Oral surgery year for tooth 25
Oral surgery month for tooth 25
Oral surgery year for tooth 26
Oral surgery month for tooth 26
Oral surgery year for tooth 27
Oral surgery month for tooth 27
Oral surgery year for tooth 28
Oral surgery month for tooth 28
Oral surgery year for tooth 29
Oral surgery month for tooth 29
Oral surgery year for tooth 30
Oral surgery month for tooth 30
Oral surgery year for tooth 31
Oral surgery month for tooth 31
Oral surgery year for tooth 32
Oral surgery month for tooth 32
Tooth 01:Month of Endo Tx
Tooth 01:Year of Endo Tx
Tooth 02:Month of Endo Tx
Tooth 02:Year of Endo Tx
Tooth 03:Month of Endo Tx
Tooth 03:Year of Endo Tx
Tooth 04:Month of Endo Tx
Tooth 04:Year of Endo Tx
Tooth 05:Month of Endo Tx
Tooth 05:Year of Endo Tx
Tooth 06:Month of Endo Tx
Tooth 06:Year of Endo Tx
Tooth 07:Month of Endo Tx
Tooth 07:Year of Endo Tx
Tooth 08:Month of Endo Tx
Tooth 08:Year of Endo Tx
Tooth 09:Month of Endo Tx
Tooth 09:Year of Endo Tx
Tooth 10:Month of Endo Tx
Tooth 10:Year of Endo Tx
Tooth 11:Month of Endo Tx
Tooth 11:Year of Endo Tx
Tooth 12:Month of Endo Tx
Tooth 12:Year of Endo Tx
Tooth 13:Month of Endo Tx
Tooth 13:Year of Endo Tx
Tooth 14:Month of Endo Tx
Tooth 14:Year of Endo Tx
Tooth 15:Month of Endo Tx
Tooth 15:Year of Endo Tx
Tooth 18:Month of Endo Tx
Tooth 18:Year of Endo Tx
Tooth 19:Month of Endo Tx
Tooth 19:Year of Endo Tx
Tooth 20:Month of Endo Tx
Tooth 20:Year of Endo Tx
Tooth 21:Month of Endo Tx
Tooth 21:Year of Endo Tx
Tooth 29:Month of Endo Tx
Tooth 29:Year of Endo Tx
Tooth 30:Month of Endo Tx
Tooth 30:Year of Endo Tx
Tooth 31:Month of Endo Tx
Tooth 31:Year of Endo Tx
Tooth Endo Tx fail 1:Month re-Tx
Tooth 4:Month of implants
Tooth 4:Year of implants
Tooth 5:Month of implants
Tooth 5:Year of implants
Tooth 6:Month of implants
Tooth 6:Year of implants
Tooth 18:Month of implants
Tooth 18:Year of implants
Tooth 19:Month of implants
Tooth 19:Year of implants
Tooth 20:Month of implants
Tooth 20:Year of implants
Tooth 30:Month of implants
Tooth 30:Year of implants
Implant fail 1:Month of re-Tx
Implant fail 1:Year of re-Tx
Month for biopsis #1 2004
Month for biopsis #1 2005
Month for biopsis #1 2006
Month for biopsis #1 2007