ID

6248

Description

PRL0501- Deep Caries in Your Practice Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0B58C210-4908-3FE2-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0B58C210-4908-3FE2-E044-0003BA3F9857

Keywords

Versions (1)
  1. 12/18/14 12/18/14 - Martin Dugas
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December 18, 2014

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Creative Commons BY-NC 3.0 Legacy
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Dental Caries Pre-Study - PRL0501- Deep Caries in Your Practice - 2444305v1.0

English

There are three sections to the survey and we ask that you complete all three. This first section of the survey has to do with the incidence of deep caries in your practice and how you manage this problem.

1 forms  
Deep Caries In Your Practice
Description

Deep Caries In Your Practice

On average over the past year, how often each week do you feel you treat lesions that are close to the pulp
Description

CariousDentinTreatmentOccurrenceWeekFrequency

Data type

text

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass
C52594
UMLS 2011AA ObjectClass
C1707305
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25515
UMLS 2011AA ValueDomain
C0439603
On average over the past year how often each week have you had to make a decision as to whether to continue removing caries or expose the pulp
Description

CariousDentinTreatmentDentalPulpExposureOccurrenceWeekFrequency

Data type

text

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass
C52594
UMLS 2011AA ObjectClass
C1707305
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus Property
C17941
UMLS 2011AA Property
C0332157
NCI Metathesaurus Property
C0011399
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25515
UMLS 2011AA ValueDomain
C0439603
In a patient with deep caries (occlusal) & a possible mild pulpitis on a posterior tooth where the caries does not radiographically appear to be close to the pulp, what % of the time do you find that the caries, upon excavation, may involve the pulp
Description

OcclusalSurfacePulpitisCariousDentinPosteriorToothDentalPulpInvolvementAveragePercentageFrequency

Data type

text

Alias
NCI Thesaurus ObjectClass
C52591
UMLS 2011AA ObjectClass
C0447303
NCI Thesaurus ObjectClass
C52594
UMLS 2011AA ObjectClass
C1707305
NCI Thesaurus ObjectClass
C52595
UMLS 2011AA ObjectClass
C0034103
NCI Thesaurus ObjectClass
C52666
UMLS 2011AA ObjectClass
C1709609
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
NCI Thesaurus Property
C32451
UMLS 2011AA Property
C0011399
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25515
UMLS 2011AA ValueDomain
C0439603
NCI Thesaurus ValueDomain
C37917
UMLS 2011AA ValueDomain
C1510992
In pt w/ deep caries assoc. w/ an existing Class I resin-based comp rest & evidence of a possible mild pulpitis but radiographically the caries doesn¿t appear to be close to pulp, what % time do you find that caries, upon excavation may involve pulp (In a patient with deep caries associated with an existing Class I resin-based composite restoration and evidence of a possible mild pulpitis but radiographically the caries does not appear to be close to the pulp)
Description

ClassIRestorationResin-BasedCompositePulpitisToothDentalPulpInvolvementAveragePercentageFrequency

Data type

text

Alias
NCI Thesaurus ObjectClass
C52586
UMLS 2011AA ObjectClass
C1711229
NCI Thesaurus ObjectClass
C12506
UMLS 2011AA ObjectClass
C0040426
NCI Thesaurus ObjectClass
C52595
UMLS 2011AA ObjectClass
C0034103
NCI Thesaurus ObjectClass
C52572
UMLS 2011AA ObjectClass
C1707399
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
NCI Thesaurus Property
C32451
UMLS 2011AA Property
C0011399
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25515
UMLS 2011AA ValueDomain
C0439603
NCI Thesaurus ValueDomain
C37917
UMLS 2011AA ValueDomain
C1510992
If the restoration in question 4 was dental amalgam, would your experience of caries involving the pulp
Description

ClassIRestorationAmalgamPulpitisToothDentalPulpInvolvementAveragePercentageType

Data type

text

Alias
NCI Thesaurus ObjectClass
C12506
UMLS 2011AA ObjectClass
C0040426
NCI Thesaurus ObjectClass
C52583
UMLS 2011AA ObjectClass
C0440138
NCI Thesaurus ObjectClass
C52595
UMLS 2011AA ObjectClass
C0034103
NCI Thesaurus ObjectClass
C52572
UMLS 2011AA ObjectClass
C1707399
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
NCI Thesaurus Property
C32451
UMLS 2011AA Property
C0011399
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C37917
UMLS 2011AA ValueDomain
C1510992
In the situation presenting in question 3 where you believe the caries extends to the pulp, what percentage of the time do you stop before removing all caries and perform an indirect pulp cap (the percentages for 6-A through 6-C must add to 100%)
Description

DentalPulpExposureIndirectPulpCapTreatmentIncompleteCariesRemovalCariousDentinAdministeredAveragePercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass
C52576
UMLS 2011AA ObjectClass
C1708499
NCI Thesaurus ObjectClass
C32451
UMLS 2011AA ObjectClass
C0011399
NCI Thesaurus ObjectClass
C17941
UMLS 2011AA ObjectClass
C0332157
NCI Thesaurus Property
C49160
UMLS 2011AA Property
C0205257
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus Property
C52594
UMLS 2011AA Property
C1707305
NCI Thesaurus Property
C52571
UMLS 2011AA Property
C1707304
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain
C37917
UMLS 2011AA ValueDomain
C1510992
In the situation presenting in question 3 where you believe the caries extends to the pulp, what percentage of the time do you remove all caries and proceed with a direct pulp cap (the percentages for 6-A through 6-C must add to 100%)
Description

DentalPulpExposureDirectPulpCapTreatmentCariesRemovalCariousDentinAdministeredAveragePercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass
C52574
UMLS 2011AA ObjectClass
C0846817
NCI Thesaurus ObjectClass
C32451
UMLS 2011AA ObjectClass
C0011399
NCI Thesaurus ObjectClass
C17941
UMLS 2011AA ObjectClass
C0332157
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus Property
C52594
UMLS 2011AA Property
C1707305
NCI Thesaurus Property
C52571
UMLS 2011AA Property
C1707304
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain
C37917
UMLS 2011AA ValueDomain
C1510992
In the situation presenting in question 3 where you believe the caries extends to the pulp, what percentage of the time do you remove all caries and proceed with endodontic related procedures (the percentages for 6-A through 6-C must add to 100%)
Description

DentalPulpExposureEndodonticTreatmentCariesRemovalCariousDentinAdministeredAveragePercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C52575
UMLS 2011AA ObjectClass
C0700632
NCI Thesaurus ObjectClass
C32451
UMLS 2011AA ObjectClass
C0011399
NCI Thesaurus ObjectClass
C17941
UMLS 2011AA ObjectClass
C0332157
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus Property
C52594
UMLS 2011AA Property
C1707305
NCI Thesaurus Property
C52571
UMLS 2011AA Property
C1707304
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain
C37917
UMLS 2011AA ValueDomain
C1510992
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Similar models

There are three sections to the survey and we ask that you complete all three. This first section of the survey has to do with the incidence of deep caries in your practice and how you manage this problem.

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Deep Caries In Your Practice
Item
On average over the past year, how often each week do you feel you treat lesions that are close to the pulp
text
C15368 (NCI Thesaurus ObjectClass)
C52594 (NCI Thesaurus ObjectClass)
C1707305 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
CL.1
Code List
On average over the past year, how often each week do you feel you treat lesions that are close to the pulp
CL Item
Less Than Once (Less than once)
CL Item
1-2 Times (1-2 times)
CL Item
2-4 Times (2-4 times)
CL Item
5 Times Or Greater (5 times or greater)
Item
On average over the past year how often each week have you had to make a decision as to whether to continue removing caries or expose the pulp
text
C15368 (NCI Thesaurus ObjectClass)
C52594 (NCI Thesaurus ObjectClass)
C1707305 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C17941 (NCI Thesaurus Property)
C0332157 (UMLS 2011AA Property)
C0011399 (NCI Metathesaurus Property)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
CL.2
Code List
On average over the past year how often each week have you had to make a decision as to whether to continue removing caries or expose the pulp
CL Item
Less Than Once (Less than once)
CL Item
1-2 Times (1-2 times)
CL Item
2-4 Times (2-4 times)
CL Item
5 Times Or Greater (5 times or greater)
Item
In a patient with deep caries (occlusal) & a possible mild pulpitis on a posterior tooth where the caries does not radiographically appear to be close to the pulp, what % of the time do you find that the caries, upon excavation, may involve the pulp
text
C52591 (NCI Thesaurus ObjectClass)
C0447303 (UMLS 2011AA ObjectClass)
C52594 (NCI Thesaurus ObjectClass)
C1707305 (UMLS 2011AA ObjectClass)
C52595 (NCI Thesaurus ObjectClass)
C0034103 (UMLS 2011AA ObjectClass)
C52666 (NCI Thesaurus ObjectClass)
C1709609 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
C32451 (NCI Thesaurus Property)
C0011399 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
C37917 (NCI Thesaurus ValueDomain)
C1510992 (UMLS 2011AA ValueDomain)
CL.3
Code List
In a patient with deep caries (occlusal) & a possible mild pulpitis on a posterior tooth where the caries does not radiographically appear to be close to the pulp, what % of the time do you find that the caries, upon excavation, may involve the pulp
CL Item
Almost Never (Almost never)
CL Item
About 5% Of The Time (About 5% of the time)
CL Item
About 10% Of The Time (About 10% of the time)
CL Item
About 15% Of The Time (About 15% of the time)
CL Item
About 20% Of The Time (About 20% of the time)
Item
In pt w/ deep caries assoc. w/ an existing Class I resin-based comp rest & evidence of a possible mild pulpitis but radiographically the caries doesn¿t appear to be close to pulp, what % time do you find that caries, upon excavation may involve pulp (In a patient with deep caries associated with an existing Class I resin-based composite restoration and evidence of a possible mild pulpitis but radiographically the caries does not appear to be close to the pulp)
text
C52586 (NCI Thesaurus ObjectClass)
C1711229 (UMLS 2011AA ObjectClass)
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C52595 (NCI Thesaurus ObjectClass)
C0034103 (UMLS 2011AA ObjectClass)
C52572 (NCI Thesaurus ObjectClass)
C1707399 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
C32451 (NCI Thesaurus Property)
C0011399 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
C37917 (NCI Thesaurus ValueDomain)
C1510992 (UMLS 2011AA ValueDomain)
CL.4
Code List
In pt w/ deep caries assoc. w/ an existing Class I resin-based comp rest & evidence of a possible mild pulpitis but radiographically the caries doesn¿t appear to be close to pulp, what % time do you find that caries, upon excavation may involve pulp (In a patient with deep caries associated with an existing Class I resin-based composite restoration and evidence of a possible mild pulpitis but radiographically the caries does not appear to be close to the pulp)
CL Item
Almost Never (Almost never)
CL Item
About 5% Of The Time (About 5% of the time)
CL Item
About 10% Of The Time (About 10% of the time)
CL Item
About 15% Of The Time (About 15% of the time)
CL Item
About 20% Of The Time (About 20% of the time)
Item
If the restoration in question 4 was dental amalgam, would your experience of caries involving the pulp
text
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C52583 (NCI Thesaurus ObjectClass)
C0440138 (UMLS 2011AA ObjectClass)
C52595 (NCI Thesaurus ObjectClass)
C0034103 (UMLS 2011AA ObjectClass)
C52572 (NCI Thesaurus ObjectClass)
C1707399 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
C32451 (NCI Thesaurus Property)
C0011399 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C37917 (NCI Thesaurus ValueDomain)
C1510992 (UMLS 2011AA ValueDomain)
CL.5
Code List
If the restoration in question 4 was dental amalgam, would your experience of caries involving the pulp
CL Item
Increase In Percentage (Increase in percentage)
CL Item
Remain The Same (Remain the same)
CL Item
Decrease In Percentage (Decrease in percentage)
DentalPulpExposureIndirectPulpCapTreatmentIncompleteCariesRemovalCariousDentinAdministeredAveragePercentageValue
Item
In the situation presenting in question 3 where you believe the caries extends to the pulp, what percentage of the time do you stop before removing all caries and perform an indirect pulp cap (the percentages for 6-A through 6-C must add to 100%)
text
C15368 (NCI Thesaurus ObjectClass)
C52576 (NCI Thesaurus ObjectClass)
C1708499 (UMLS 2011AA ObjectClass)
C32451 (NCI Thesaurus ObjectClass)
C0011399 (UMLS 2011AA ObjectClass)
C17941 (NCI Thesaurus ObjectClass)
C0332157 (UMLS 2011AA ObjectClass)
C49160 (NCI Thesaurus Property)
C0205257 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C52594 (NCI Thesaurus Property)
C1707305 (UMLS 2011AA Property)
C52571 (NCI Thesaurus Property)
C1707304 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C37917 (NCI Thesaurus ValueDomain)
C1510992 (UMLS 2011AA ValueDomain)
DentalPulpExposureDirectPulpCapTreatmentCariesRemovalCariousDentinAdministeredAveragePercentageValue
Item
In the situation presenting in question 3 where you believe the caries extends to the pulp, what percentage of the time do you remove all caries and proceed with a direct pulp cap (the percentages for 6-A through 6-C must add to 100%)
text
C15368 (NCI Thesaurus ObjectClass)
C52574 (NCI Thesaurus ObjectClass)
C0846817 (UMLS 2011AA ObjectClass)
C32451 (NCI Thesaurus ObjectClass)
C0011399 (UMLS 2011AA ObjectClass)
C17941 (NCI Thesaurus ObjectClass)
C0332157 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C52594 (NCI Thesaurus Property)
C1707305 (UMLS 2011AA Property)
C52571 (NCI Thesaurus Property)
C1707304 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C37917 (NCI Thesaurus ValueDomain)
C1510992 (UMLS 2011AA ValueDomain)
DentalPulpExposureEndodonticTreatmentCariesRemovalCariousDentinAdministeredAveragePercentageValue
Item
In the situation presenting in question 3 where you believe the caries extends to the pulp, what percentage of the time do you remove all caries and proceed with endodontic related procedures (the percentages for 6-A through 6-C must add to 100%)
text
C52575 (NCI Thesaurus ObjectClass)
C0700632 (UMLS 2011AA ObjectClass)
C32451 (NCI Thesaurus ObjectClass)
C0011399 (UMLS 2011AA ObjectClass)
C17941 (NCI Thesaurus ObjectClass)
C0332157 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C52594 (NCI Thesaurus Property)
C1707305 (UMLS 2011AA Property)
C52571 (NCI Thesaurus Property)
C1707304 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C37917 (NCI Thesaurus ValueDomain)
C1510992 (UMLS 2011AA ValueDomain)
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