The Periodontal Screening Form is used as a detailed screening device and may not be sufficient to plan complex periodontal procedures.
Doctors or hygienists perform the screening according to definitions of probing, bleeding, mobility, furcation, and recession. There are three exams per sheet.
Tablets of 100 double-sided sheets, pre-punched and cut to fit.
Duplicate information on both sides of this form. Image only displays the front side of this form.