Quiz form with a calculated number of correct answers (1)
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Periodontal Health Assessment (select the description that best describes present condition) 1. Tissue Appearance 2. Bleeding 3. Calculus Deposits Pink firm No bleeding Light to none Slightly red Slight bleeding Slight Supragingival Moderate Redness Moderate Bleeding Moderate supra and sub Magenta Profuse bleeding Heavy subgingival 4. Pocketing 5. Bone Levels 6. Mobility Under 3 mm No bone loss No Mobility 3-4 mm pocketing Early crestal bone loss Class I Mobility 4-5 mm pocketing Moderate bone loss Class II Mobility 5-6 mm pocketing Advanced bone loss Class III Mobility 6 mm + Total of all points 7. Patients Management Issues 0-3 pts = Healthy Smoking Habit 4-5 pts = Gingivitis 4346/4355 Diabetes 6-9 pts = Stage I Initial Periodontitis Difficult management 9-14 pts = Stage II Moderate Periodontitis Heavy stain 14+pts = Stage III/IV Severe Periodontitis Result