Questionnaire

  • Q1
  • Q2
  • Q3
  • Q4
  • Q5
  • Q6
  • Q7
  • Assessment

Based on the findings, score each item and calculate the total score of disease profile

Base data

Gender

Q1

Age

Q2

Smoking

Q3

Diabetes

Q4

Tooth loss due to periodontal diseases

Q5

Heavy plaque depositis covering

Q6

Bleeding on probing

Q7

Probing depth