1 · Bleeding on probing (%)
2 · Is there attachment loss in at least 2 non-adjacent teeth?

Exclude distal of 2nd molar, root fracture, recession from trauma, endo lesion, cervical caries.

3 · Age
4 · Smoking
5 · Diabetes
6 · Has the patient completed SRP?
7 · Teeth lost due to periodontitis?
8 · Deepest probing depth

Exclude distal of 2nd molar.

9 · How many teeth have attachment and/or bone loss?
10 · Greatest radiographic bone loss

Exclude distal of 2nd molar.

11 · Modifiers

Select all that apply. Exclude distal of 2nd molar.

12 · Greatest interproximal attachment loss

Exclude distal of 2nd molar.

CEJ to pocket base
13 · How much additional bone loss or attachment loss occurred over the last 5 years?

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