Pregnancy Dental Questionnaire
What a pregnancy dental questionnaire asks, why each part matters, and how dental and prenatal programs collect it.
A pregnancy dental questionnaire records how far along a patient is, dental symptoms, morning sickness, diet, and what stands in the way of dental care during pregnancy. It's also called a prenatal oral health information form or a dental health survey.
Pregnancy dental questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a pregnancy dental questionnaire in the patient's own language, strictly following the practice's instructions.
- Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
- Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
- Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
- Key details at a glance. The care team sees what matters up front and decides who needs attention first.
The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.
Sample pregnancy dental questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Are you pregnant, and how many weeks?Pregnancy
- What is your estimated delivery date?Pregnancy
- When did you last see a dentist?Dental care
- How often do you floss?Dental care
- Do you have bleeding gums?Symptoms
- Do your teeth ache?Symptoms
- Since becoming pregnant, have you been vomiting?Morning sickness
- What do you do after morning sickness?Morning sickness
- What do you usually drink during the day?Diet, tobacco
- Do you smoke or use tobacco products?Diet, tobacco
- Do you have dental insurance?Access
- Do you need help finding a dentist?Access
These are examples to read, not a form to fill in.
Pregnancy dental questionnaire: FAQ
What does a pregnancy dental questionnaire ask?
A typical one covers six areas: pregnancy status, recent dental care and home routine, gum and tooth symptoms, morning sickness, diet and tobacco, and access to dental care.
Who fills in a pregnancy dental questionnaire, and when?
A pregnant patient, at a dental visit or when a prenatal program hands it out. The Montana survey also asks what makes it hard to get to a dentist, such as cost, time, or transport.
Is it the same as a prenatal oral health information form?
Yes. That is the name the American Academy of Pediatrics uses for its version, and the Montana health department's version is called a Dental Health Survey.
Why does the form ask about morning sickness?
It asks whether the patient has been vomiting and what they do afterwards, for example rinsing with water or brushing. The answer helps the team give advice that fits.
Is there a standard pregnancy dental questionnaire?
The American Academy of Pediatrics publishes a Prenatal Oral Health Information Form. The sample questions on this page show a typical set.
What happens after the patient completes the questionnaire?
The dentist reads the answers before the visit and decides what care fits this stage of pregnancy. Questions about medicines or x-rays are for the dentist and the prenatal provider to answer.
Does AI Doctor give medical advice?
No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.
Can patient answers stay on our own servers?
Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.
Set up your AI Doctor in Genesis AI Avatar Studio
Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.
- 01Choose the AI Doctor avatar.
- 02Add your practice's FAQs and visit information.
- 03Talk to it, then publish it.
