Caries Control EngineA prevention-first clinical decision support tool.CCE v5ca 1 · Patient2 · Disease3 · Challenges4 · Protection5 · Plan Patient & self-assessmentStart with the score completed by the patient on their phone. Patient name Assessment date Provider Patient self-assessment score (0–20) Patient's main interestNot selectedPreventing cavitiesFresher breathWhiter teethDry-mouth comfortLess sensitivityHealthier gums The self-score informs the assessment but cannot override definite current disease or severe biologic vulnerability. Continue Evidence of current disease & lesion assessmentRecord objective findings separately from the biologic factors that guide preventive intensity and monitoring. Evidence of current disease New or recurrent cavitated lesionClinically confirmed or highly probable. Root caries presentCavitated or non-cavitated root-surface lesion. Recent caries treatmentRestoration/extraction due to caries within 36 months. Convincing radiographic progressionDocumented after considering projection geometry and image comparability. Lesion inventory E1 count E2 count D1+ count Prior-image comparisonUnavailable / not comparableNo convincing changePossible progressionProbable progression Early lesion surfaces (select all that apply) Proximal Occlusal Cervical/root Other smooth surface Radiographic stage is evidence, not an exact physical measurement. The engine does not equate E2 or D1 automatically with cavitation. BackContinue Biologic challengesGrouped by whether the clinical team can change the factor, compensate for it, or monitor it. Nonmodifiable or persistent predispositions Generalized exposed roots Developmental enamel/dentin defect Substantial lifetime caries history Many plaque-retentive restorations/prostheses Partially modifiable biologic challenges Salivary vulnerabilityNone identified todayPotential: CPAP or xerogenic medication exposure without symptoms/signsSuspected: repeated symptoms, multiple xerogenic medications, or multiple exposuresProbable: symptoms plus clinical signsConfirmed/severe: measured low flow, Sjögren, radiation, profound dysfunction Orthodontic/plaque-retentive applianceLimited dexterity or dependent oral care Modifiable challenges Heavy/tenacious plaque Frequent fermentable carbohydrate exposure Frequent acidic drink/food exposure Irregular preventive care / uncertain follow-through BackContinue Protective factorsRecord what is already working. Protection may reduce susceptibility but does not erase definite disease. Fluoride toothpaste twice daily 5,000 ppm fluoride already used as directed Professional fluoride varnish program Effective daily biofilm control Reliable preventive visits Adequate saliva clinically/measurably supported Low frequency of sugar exposure Clinician adjustmentUse engine classificationSet LowSet ModerateSet High Adjustment rationale BackCreate plan Edit assessmentPatient plan PDF SmartDoc clinical PDF Clinical decision support only. This locally defined rule set is not presented as a validated risk-prediction instrument and does not replace diagnosis, informed consent, product instructions, contraindication review, or individualized treatment planning.