PATIENT ID WITHIN PRACTICE
LESION ID (PRAC_ID | PT_ID | TOOTH NUMBER)
S12(6)Q6: TOOTH NUMBER
S12(6)Q1: GENDER (1=MALE; 2=FEMALE)
S12(6)Q3: ETHNICITY
S12(6)Q5: HAS DENTAL INSURANCE
S12(6)Q7: LUSTER 1=Chalky 2=Shiny
S12(6)Q9: AREA ASSOCIATED WITH FISSURE OR PIT
S12(6)Q10a: AID IN DX - MAGNIFICATION
S12(6)Q10a2: AID IN DX - MAGNIFICATION POWER
S12(6)Q10b: AID IN DX - AIR DRYING
S12(6)Q10c: AID IN DX - DENTAL EXPLORER
S12(6)Q10d: AID IN DX - LASER FLUORESCENCE
S12(6)Q10e: AID IN DX - DYE
S12(6)Q10f: AID IN DX - RADIOGRAPHS
S12(6)Q10g: AID IN DX - TRANSILLUMINATION (FIBRO-OPTICS)
S12(6)Q11: DENTAL EXPLORER - ROUGHNESS
S12(6)Q12: DENTAL EXPLORER - RETENTION
S12(6)Q13: CARIES HX PRIOR 2 YEARS 1=NONE, 1:1-2, 3:3+
S12(6)Q14: HX - REG RECALL CARE INTERVALS
S12(6)Q15: HX - ORAL SELF [HOME] CARE 1=GOOD, 2=FAIR 3=POOR
S12(6)Q16: HX - HAS RESTORATIONS
S12(6)Q17: HX - OPTIMAL FLUORIDE LEVEL
S12(6)Q18a: HX - CARIOGENIC DIET
S12(6)Q18b: HX - DISEASE/MEDICATION XEROSTOMIA/HYPOSALIVATION
S12(6)Q18c: HX - ACTIVE ORTHODONIC TREATMENT
S12(6)Q19a: TREATMENT - MONITORING
S12(6)Q19b: TREATMENT - ORAL HYGIENE INSTRUCTION
S12(6)Q19c: TREATMENT - APPLYING/PRESCRIBING FLUORIDE
S12(6)Q19e: TREATMENT - SEALANT PLACEMENT
S12(6)Q19f: TREATMENT - ENAMELOPLASTY
S12(6)Q19g: TREATMENT - PREVENTIVE RESIN RESTORATION
S12(6)Q19h: TREATMENT - FULL RESTORATION
S12(6)Q19i: TREATMENT - OTHER
S12(6)Q21: RESTORATION - MATERIAL 1=Amalgam; 2=Composite; 3=Glass ionomer; 4=Other
S12(6)Q20: RESTORATION - FINDINGS
S12(6)Q19d: TREATMENT - APPLYING VARNISH
S12(6)Q0a: VISIT DATE - MONTH
S12(6)Q0c: VISIT DATE - YEAR
S12(6)Q10d2: AID IN DX - LASER MEASUREMENT
DPBRN ADMIN REGION
US TOOTH NUMBER
S12(6)Q6: TOOTH POSITION 1:PREMOLAR 2:MOLAR
S12(6)Q10a2: AID IN DX - MAGNIFICATION POWER- (CLEANED)
PRACTIONER ID
Study 12 was done
S12 COT. Tooth Number
S12 COT. Original treatment month: mm
S12 COT. Original treatment year: yy
S12 COT. Change of treatment month: mm
S12 COT. Change of treatment year: yy
S12 COT. Q1. Same practitioner today as who enrolled lesion
S12 COT. Q3a. Original treatment plan: MONITOR
S12 COT. Q3b. Original treatment plan: ORAL HYGIENE INSTRUCTION
S12 COT. Q3c. Original treatment plan: APPLYING/PRESCRIBING FLUORIDE
S12 COT. Q3e. Original treatment plan: SEALANT PLACEMENT
S12 COT. Q4. Luster of area today: 1-chalky 2-shiny
S12 COT. Q5. Color of area today
S12 COT. Q6. When used dental explorer, experienced roughness
S12 COT. Q7. When used dental explorer 0:none, 1:slight, 2:resistance
S12 COT. Q8e. Treatment plan for today - SEALANT PLACEMENT
S12 COT. Q8j. Treatment plan for today - FULL RESTORATION
S12 COT. Q10. RESTORATION MATERIALS
S12 COT. Q2. Visit due to a problem with this specific tooth
CHANGE OF TREATMENT FORM COMPLETED
S13. Tooth Number
S13. Followup treatment month: mm
S13. Followup treatment year: yy
S13. Q2. Visit due to a problem with this specific tooth
S13. Original treatment month: mm
S13. Original treatment year: yy
S13. Q1. Same practitioner today as who enrolled lesion
S13. Q3. Current treat status 1-monitor, 2-seal, 3-restore
S13. Q4. Luster of area today: 1-chalky 2-shiny
S13. Q5. Color of area today
S13. Q6. When used dental explorer, experienced roughness
S13. Q7. Retention (dental explorer) 0: none, 1:slight stick, 2:resistance to removal
S13. Q8. Sealant rating: 1: Acceptable 2:Repair or Replace
STUDY 13 DONE (24 MONTH FU STUDY 12)
S12(6)Q4: RACE -categories combined
S12(6)Q2: AGE truncated at 10 & 80
S12COT.Q5.Color of area today