American Dental Association - ProSites, Inc.
American Dental Association
Warning Signs
Of Periodontal Disease
Don't Wait Until It Hurts. Let Us Help
Periodontal disease is painless.
It affects 75% of the population, and often victims are unaware.
Patient Name: _________________________ Date: ______________________
1. Gums that bleed when you
brush your teeth? Yes No
2. Gums are red, swollen or tender? Yes No
3. Gums have pulled away
(receded) from teeth? Yes No
4. Pus between teeth and gums
when gums are pressed? Yes No
5. Permanent teeth are loose or
separating? Yes No
6. Change in the way your teeth
fit when biting? Yes No
7. Any change in fit of partial
dentures? Yes No
8. Persistent bad breath? Yes No
If one or more of these warning signs apply to you,
Bring it to the attention of your dentist or hygienist.
Act now and keep your teeth for a lifetime.
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