The Comprehensive Periodontal-Systemic Risk Assessment is a tool for progressive dentists and dental hygienists who are looking for a credible and effective way to assess patients’ risk for periodontal disease (a cornerstone of contemporary periodontal therapeutics) and a way to “connect-the-dots” between inflammatory driven, chronic disease states which are complicated by periodontal disease.

This 4 page patient questionnaire, (11×17 inch bi-fold), begins on the first page with scientifically founded information (in layman’s terms) about periodontal-systemic links to help educate patients. The second and third pages ask patients who have already been diagnosed with coronary heart disease and diabetes, and women who are at risk for complications during pregnancy, to provide data that is highly relevant to long term dental care and treatment planning. The fourth page lists 13 evidence-based questions designed to identify risk factors for periodontal disease. This is an excellent tool to incorporate into new patient records, to update medical histories, and a way for dentists and dental hygienists to distinguish themselves as early adopters of models of care targeting periodontal-systemic health. Implementation of the Comprehensive Periodontal-Systemic Risk Assessment is also an effective and efficient way to educate patients about periodontal-systemic links, helping them to understand the impact of periodontal disease in compromising their overall health. This often translates into increased acceptance of periodontal treatment plans.

Each package includes 100 individual patient questionnaires.

Casey Hein & Associates holds the copyright on the patient questionnaire entitled, Comprehensive Periodontal-Systemic Risk Assessment, United States Copyright Office; all rights reserved. Reproduction or use of the Comprehensive Periodontal-Systemic Risk Assessment, or any verbiage or images contained on this patient questionnaire, is expressly forbidden without permission of Casey Hein & Associates.