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Patient Self-Evaluation Test
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Three out of four Americans have some form of Periodontal Disease.  If you answer YES to two or more questions below, you may be at risk or may already have Periodontal Disease.
Call 269-683-6461 today to begin your Pathway to a Healthy Smile.

 

Are You At Risk?

  1. Do you smoke?
    Yes
    No

     
  2. Are you pregnant?
    Yes
    No

     
  3. Do you have Diabetes?
    Yes
    No

     
  4. Do you have bad breath?
    Yes
    No

     
  5. Do you grind and clench your teeth?
    Yes
    No

     
  6. Are you currently taking oral contraceptives?
    Yes
    No

     
  7. Are your gums red and/or swollen?
    Yes
    No

     
  8. Are you under a great deal of stress?
    Yes
    No

     
  9. Do your gums bleed when brushing and/or flossing?
    Yes
    No

     
  10. Do you have teeth that appear to be loosening?
    Yes
    No

     
  11. Have you recently lost a tooth?
    Yes
    No

     
  12. Have you noticed any change in the way your teeth fit together?
    Yes
    No

     
Click the link below to find out if you're at risk!

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