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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