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Tooth Sensitivity Questionnaire (PO1) NCT00867997

- 2015-06-03 - 1 Formulär, 2 Item-grupper, 7 Dataelement, 1 Språk
Item-grupper: Tooth Sensitivity Assessment, Date Form Completed
Tooth Sensitivity Questionnaire (PO1) NCT00867997 Noncarious Cervical Lesion Treatment Outcomes Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=23E09830-4E68-45B0-E044-0003BA3F9857

Demographic - MetLife - Dental Survey 01 - 2448788v1.0 - MetLife - Dental Survey 01

- 2021-09-20 - 1 Formulär, 11 Item-grupper, 69 Dataelement, 1 Språk
Item-grupper: 1. Contact Information, A. Post Operative Hypersensitivity with Composite Resin Restorations , B. Dental Care For Pregnant Women, C. Porcelain Repair, D. Deep Carious Dentin, E. Smoking Cessation, F. Visual Classification Of Caries, G. Cracked Tooth, H. Leaking Sealant Detection, II. Professional Information, III. Description Of Your Practice
MetLife - Dental Survey 01 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0C367FF0-9A1C-3FCD-E044-0003BA3F9857

Dental Caries NCT01268605 Demographic - PRL1013 - Demographics Form - 3134118v1.0 - PRL1013 - Demographics Form

- 2021-09-17 - 1 Formulär, 2 Item-grupper, 11 Dataelement, 1 Språk
Item-grupper: Header, Demographics
PRL1013 - Demographics Form Postoperative Hypersensitivity Randomized Comparative Effectiveness Research Trial (POH RCERT) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8F23FC3B-D3B5-13C1-E040-BB89AD434902

SOUTHWEST ONCOLOGY GROUP DENTAL EXAMINATION FORM (S0307) NCT00127205

- 2015-06-12 - 1 Formulär, 8 Item-grupper, 42 Dataelement, 1 Språk
Item-grupper: Header, Examination Date, PERIODONTAL EXAMINATION, DENTITION EXAMINATION, ENDODONTIC EXAMINATION, REMOVABLE DENTURES, OSTEONECROTIC JAW LESIONS, Comments
SOUTHWEST ONCOLOGY GROUP DENTAL EXAMINATION FORM (S0307) NCT00127205 Zoledronate, Clodronate, or Ibandronate in Treating Women Who Have Undergone Surgery for Stage I, Stage II, or Stage III Breast Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DF04A14D-7376-575B-E034-0003BA12F5E7

Dental Caries NCT01268605 Eligibility - PRL1013: Enrollment Form (ENR) - 3246000v1.0 - PRL1013: Enrollment Form (ENR)

- 2015-01-09 - 1 Formulär, 8 Item-grupper, 41 Dataelement, 1 Språk
Item-grupper: Header Module, Header, Hypersensitivity/Gingival Index Measures, Inclusion Criteria , Inclusion Criteria (cont.1), Inclusion Criteria (cont.2) , Exclusion Criteria (All responses must be checked "No" to be eligible), Footer Module
PRL1013: Enrollment Form (ENR) Postoperative Hypersensitivity Randomized Comparative Effectiveness Research Trial (POH RCERT) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A63D65F7-CD34-5822-E040-BB89AD4372DF

Dental Caries NCT01268605 Demographic - PRL1013 - Baseline Evaluation Form - 3153809v1.0 - PRL1013 - Baseline Evaluation Form

- 2015-01-09 - 1 Formulär, 6 Item-grupper, 30 Dataelement, 1 Språk
Item-grupper: Header, Header, Evaluation of Caries, Cavity Measurements, Treatment, Footer Module
PRL1013 - Baseline Evaluation Form Postoperative Hypersensitivity Randomized Comparative Effectiveness Research Trial (POH RCERT) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=93FFF84B-84F7-2161-E040-BB89AD4349B9

Dental Caries Treatment - PRL0501 - Path NE (No pulp exposure anticipated) - 2444306v1.0 - PRL0501 - Path NE (No pulp exposure anticipated)

- 2014-12-18 - 1 Formulär, 5 Item-grupper, 73 Dataelement, 1 Språk
Item-grupper: Deep Caries Patient Scenario, Path NE (No pulp exposure anticipated), Path NE-A -- Remove all decay, Path NE-B -- Do not remove all decay, Path NE-C -- Refer for Endodontic Treatment
PRL0501 - Path NE (No pulp exposure anticipated) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0B58CA14-D33D-40B8-E044-0003BA3F9857

Dental Caries Pre-Study - PRL0501- Deep Caries in Your Practice - 2444305v1.0 - PRL0501- Deep Caries in Your Practice

- 2014-12-18 - 1 Formulär, 1 Item-grupp, 8 Dataelement, 1 Språk
Item-grupp: Deep Caries in Your Practice
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

Dental Caries null Treatment - PRL0501 - Path EX (Pulp exposure anticipated) - 2445308v1.0 - PRL0501 - Path EX (Pulp exposure anticipated)

- 2014-12-18 - 1 Formulär, 5 Item-grupper, 74 Dataelement, 1 Språk
Item-grupper: Deep Caries Patient Scenario, Path EX (Pulp exposure anticipated), Path EX-A -- Remove all decay, Path EX- B -- Do not remove all decay, Path EX-C -- Refer for Endodontic Treatment
PRL0501 - Path EX (Pulp exposure anticipated) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0BB00EFC-C814-6C5D-E044-0003BA3F9857

Eligibility Periodontal Disease NCT01201746

- 2021-09-20 - 1 Formulär, 2 Item-grupper, 41 Dataelement, 1 Språk
Item-grupper: Inclusion Criteria, Exclusion Criteria
Influence of Periodontal Treatment on Systemic Inflammatory Mediators; ODM derived from: https://clinicaltrials.gov/show/NCT01201746

Eligibility Periodontitis NCT01964833

- 2021-06-22 - 1 Formulär, 2 Item-grupper, 14 Dataelement, 1 Språk
Item-grupper: Inclusion Criteria, Exclusion Criteria
PDT and Periodontal Treatment in DMT2 Patients; ODM derived from: https://clinicaltrials.gov/show/NCT01964833

Eligibility Periodontal Disease NCT01798225

- 2018-08-26 - 1 Formulär, 2 Item-grupper, 16 Dataelement, 1 Språk
Item-grupper: Inclusion Criteria, Exclusion Criteria
Relationship of Periodontal Disease Treatment and Type 2 Diabetes Mellitus in the Gullah Population; ODM derived from: https://clinicaltrials.gov/show/NCT01798225

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