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Now answer the following questions to see your risk of oral disease.

1.     I brush my teeth after
        Each meal 1x day 2x day Weekly

 
2.     I floss my teeth
        After each meal 1x day 2x day Weekly

 
3.     I use a fluoride toothpaste when I brush my teeth.
        Yes No

 
4.     I visit my dentist
        Regularly Rarely or never

 
5.     The last time I had a cavity filled was
        Within the last year Within the last 12-36 months
        Over 5 years ago   As a kid or never

 
6.     The water I drink is fluoridated.
        Yes No

 
7.     I have sealants on my teeth.
        Yes No

 
8.     I wear braces or partial dentures.
        Yes No

 
9.     I eat or drink sugary foods (hard or chewy candy, antacids, breath mints,
       dried fruit, cakes, caramel, soda, energy drinks, juices, non dairy creamer,
       flavored yogurt, etc.)
        1x day Often between meals Rarely

 
10.    I regularly eat or drink acidic items like citrus fruits or sports/energy drinks.
        1x day Often Rarely

 
11.    My gums are puffy, sensitive and bleed when I brush my teeth.
        Yes No

 
12.    I think my gums are receding (shrinking).
        Yes No

 
13.    I have diabetes.
        Yes No

 
14.    I take prescriptions or over the counter medications.
        Yes No

 
15.    I smoke cigarettes, a pipe, cigar or chew tobacco.
        Yes No

 
16.    I am pregnant.
        Yes No

 
17.    I use products with Xylitol (chewing gum, mints, rinse).
        Daily Occasionally Never

 
18.    I have lost a tooth because of decay or gum disease.
        Within the last year 12-26 months
        More than 3 years Never

 

 

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