Anyone can start here · Telehealth / national (self-audit + coached professional referral)
Periodontal health self-audit + cardiovascular-risk-informed dental referral -- telehealth / national.
Fund it for $160. Proof lands onchain when it's done.
$160 proposed
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What the work involvesPeriodontitis is a chronic inflammatory disease that most adults never get screened for outside a dental chair, yet it independently tracks cardiovascular disease, stroke, and mortality risk (Sanz 2020 EFP/World Heart Federation consensus; Sen 2018 Stroke, ARIC cohort). A validated five-item self-report catches the people who need a professional periodontal exam years before a filling-level problem forces the visit.
How this work is done
A documented method, so this packet comes out the same whoever does it.
Bring
- a private space with a mirror and adequate lighting
- the validated self-report item set (bleeding on brushing/flossing, gum recession, loose/mobile teeth, persistent bad breath, date of last professional cleaning)
- a soft-bristle toothbrush, for a normal-brushing bleeding observation
- a referral directory / locator for low-cost dental access (FQHC dental clinic, dental- or dental-hygiene-school teaching clinic, sliding-scale program)
- a secure note for the result and referral
Steps
- 1. Set a private, well-lit space with a mirror; confirm this is a self-audit screen, not a dental exam or diagnosis.
- 2. Administer the validated self-report items (Blicher 2005): gums bleed when brushing or flossing (yes/no + frequency), any visible gum recession or teeth 'looking longer', any loose or shifting teeth, persistent bad breath or bad taste, and the date of the last professional dental cleaning or exam.
- 3. Screen for urgent red flags up front, before continuing: facial or gum swelling, fever, severe or throbbing tooth pain, or pus/drainage near a tooth — any positive routes immediately per the decision rules.
- 4. Visually inspect the gums in the mirror under good light for redness, swelling, or recession at the gumline, and note any single tooth or region that looks different from the rest.
- 5. Score the audit: any bleeding on brushing, any tooth mobility, or more than 12 months since a professional cleaning are each an independent flag; sum the flag count.
- 6. Record smoking status and diabetes status (both major periodontitis risk multipliers and part of the cardiovascular-risk context — Sanz 2020), the flag count, and one concrete named low-cost dental-access route (FQHC dental clinic, dental/dental-hygiene-school teaching clinic, or a sliding-scale program) with a next booking step; sign the record.
What counts as done
- All five validated self-report items answered (bleeding, recession, mobility, halitosis, months since last professional cleaning) with the flag count computed
- Urgent red-flag screen (facial/gum swelling with fever, severe pain, pus/drainage) completed before the record closes, with any positive routed per the decision rules
- Smoking status and diabetes status recorded as periodontitis and cardiovascular-risk multipliers
- A dentist/periodontist referral recommended with a named low-cost access route and a next booking step recorded
Proof is measured against these, not judged by taste.
What is promised, and what is not.
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