Do You Have Gum Disease

1. Do You Have Pain in Your Mouth?

I never have mouth pain.
I rarely have mouth pain.
I sometimes have mouth pain.
I frequently have mouth pain.

2. How Often Do Your Gums Bleed While Brushing Your Teeth or Eating Hard Food?

I never have bleeding gums
I rarely have bleeding gums.
I sometimes have bleeding gums.
I frequently have bleeding gums.

3. Are You Aware of Spaces Developing Between Your Teeth?

Yes
No

4. How Often Do Your Gums Feel Swollen or Tender?

I never have swollen or tender gums.
I rarely have swollen or tender gums.
I sometimes have swollen or tender gums.
I frequently have swollen or tender gums.

5. Does It Look Like Your Gums Are Pulling Away From Your Teeth (Receding) Or As If Your Teeth Are Getting Longer?

Yes
No
Not Sure

6. How Often Do You Have Bad Breath?

I never have bad breath.
I rarely have bad breath.
I sometimes have bad breath.
I frequently have bad breath.

7. How Often Do You See Pus Between Your Teeth and Gums?

I never see pus between my teeth and gums.
I rarely see pus between my teeth and gums.
I sometimes see pus between my teeth and gums.
I frequently see pus between my teeth and gums.

8. Is There Any Change In The Way Your Teeth Fit Together When You Clamp Them?

Yes
No
Don't Know

9. How Often Do You Get Mouth Sores?

I never get mouth sores.
I rarely get mouth sores.
I sometimes get mouth sores.
I frequently get mouth sores.