swuten GMCONA “ome YX DIAT Gy A score of 1 will be given if no significant errors are identified. A score of % will be given if 1-3 significant errors are identified. A score of O will be given if required information is missing of deemed inaccurate by the instructor. nA lL. . medica History findings are present. 1. Patient information is present. (Poss. sedi History risks are identi. LA. Social and Dental history findings are present LL 5. social and Dental history ris are identified. _F. 6. vental Examinations findings are present ‘aa. ventat examination risks are present Ls. Plaque score calculated correctly _L 9, Bleeding score calculated correctly. £10. Periodontal information assessed correctly. _L_ 11. dental hygiene diagnosis problems stated correctly. _L12. ental hygiene diagnosis risk factors or etiology stated. _L.23. Planned intervention education stated clearly or each clinical finding. 114, Planned intervention oral hygiene is appropriate for each clinical finding. 145. 1161 stated clearly. _[ 16. st6 3 goats stated appropriate for LTG 1 117. i162 stated clearly, _L 18. ste 3 goals stated appropriate for L1G 2 119.1163 stated clearly. 1 20 sta 2 goals stated appropriate for L7G 3Lax. prognosis -LL22. Prognosis explanation, 4(2.03.ropcintnent—plnned treatment L_ 24, appointment plan education, counseling or OHI 4.25. neferasiisteditnecessary. 126. recallinterval £27. tunedin on time Points QS. Grate Possible points (27) 92-100-A, 83-91-B 75-82 -C 74 and below F