Questionnaire on the Risk of Systemic Periodontal Disease

The questionnaire is designed to identify personal risk factors for periodontal diseases. Please answer each question by selecting one of the provided options.

შედეგები საჯაროდ ხელმისაწვდომია

I do not brush my teeth at least twice a day

I eat sweet food or drink sweetened beverages every day between meals

My gums bleed every time I brush my teeth

My parents (one or both) had periodontitis (lost teeth early)

I constantly feel dry mouth

I often bite my nails

I often grind my teeth

I forget to brush my teeth every day due to stress

I have never visited a dentist for a check-up

I use medications for tooth and gum pain without a doctor's recommendation

I smoke at least one cigarette every day

I drink fruit juice or sweetened beverages more than once a day

I do not take care of my oral health

I am dependent on alcohol

I feel very sleepy every day

I have been diagnosed with diabetes

I do not use dental floss

I do not use interdental cleaning products

I never have good oral health

I consume food that has a lower vitamin C content

I consume food that has a lower calcium content

I drink less water

Dental care is expensive

It is difficult to access dental care

I have no knowledge about dental hygiene