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6248

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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

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

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

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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
    Back to the top of the page

    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)
    Back to the top of the page 

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