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Answer These Questions to Assess Your Gum Disease Risk
How old are you?
< 40
40 - 65
> 65
Are you female or male?
Male
Female
Do your gums ever bleed?
No
Yes
Are your teeth loose?
No
Yes
Don't know
Have your gums receded, or do your teeth look longer?
No
Yes
Don't know
Do you smoke or use tobacco products?
No
Yes
Have you seen a dentist in the last two years?
Yes
No
Don't remember
How often do you floss?
Daily
Weekly
Seldom
Do you currently have any of the following health conditions?
i.e. Heart disease, osteoporosis, osteopenia, high stress, or diabetes
No
Yes
Don't know
Have you ever been told that you have gum problems, gum infection or gum inflammation?
No
Yes
Don't remember
Have you had any adult teeth extracted?
No
Yes
Have any of your family members had gum disease?
No
Yes
Don't know
Are you pregnant?
No
Yes
Don't know