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PERIODONTAL DISEASE: SELF-ASSESSMENT TEST

1) HOW OLD ARE YOU?

The risk of developing periodontal disease increases as you get older
Under 40
Between 40 and 65
Over 65

2) ARE YOU MALE OR FEMALE?

Some studies suggest that there is a difference between males and females in terms of the risk of developing periodontal disease. The hormone fluctuations during a woman’s life can also cause problems to gingival health even though women tend to take more care of oral hygiene.
Male
Female

3) ARE YOU A SMOKER?

Smoking is one of the risk factors most frequently associated with periodontitis. Smokers tend to form more plaque, have deeper pockets, and respond less to treatment.
Non smoker
Light smoker (<10 cigarettes/day)
Heavy smoker (>10 cigarettes/day)

4) DO YOUR GUMS OFTEN BLEED WHEN YOU BRUSH YOUR TEETH?

The presence of bleeding gums during brushing is one of the signs of this disease, especially gingivitis. Smoking can often conceal this clinical sign.
No
Every now and then
Yes

5) HAVE YOU NOTICED THAT YOUR TEETH ARE BECOMING LOOSE?

Periodontitis causes a loss of bone support of the teeth. In time, this process causes teeth to become more and more mobile.
No
Yes

6) HAVE YOU NOTICED THE PRESENCE OF RECEDING GUMS OR DO YOUR TEETH SEEM TO BE "LONGER"?

The presence of receding gums is one of the signs of periodontitis due to the loss of the bone that supports your teeth.
No
Yes, in a few teeth
Yes, in many teeth

7) DO YOU HAVE REGULAR CHECKUPS (AT LEAST ONCE A YEAR) AT YOUR DENTIST’S FOR NORMAL PROFESSIONAL CLEANING OF YOUR TEETH?

Yes
I don’t go that often
No

8) DO YOU USE DENTAL FLOSS AND/OR INTERDENTAL BRUSHES ON A REGULAR BASIS?

Yes, every day
Once in a while
Hardly ever

9) DO YOU SUFFER FROM HEART DISEASE, OSTEOPOROSIS, OR DIABETES?

No
No, but I feel very stressed
Yes

10) HAS YOUR DENTIST EVER TOLD YOU THAT YOU SUFFER FROM GINGIVAL PROBLEMS, GUM INFECTIONS, OR INFLAMMATION?

No
Yes, but I am having treatment
Yes, but I am not doing anything about it

11) HAVE ANY OF YOUR TEETH EVER BEEN EXTRACTED FOR PERIODONTAL REASONS OR BECAUSE THEY WERE TOO LOOSE?

No
Yes

12) DOES ANYONE IN YOUR FAMILY HAVE, OR HAVE THEY HAD, PROBLEMS WITH THEIR GUMS (PYORRHOEA)?

No
I don’t know
Yes

13) DO YOU THINK YOU HAVE, OR HAVE YOU BEEN TOLD THAT YOUR BREATH IS NOT PLEASANT?

No
Yes, every now and then
Yes

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