Periodontal health self-audit + cardiovascular-risk-informed dental referral -- Nashville low-cost dental access.

Untreated periodontal disease is both a leading cause of adult tooth loss and an independent cardiovascular/stroke risk factor (Sanz 2020; Sen 2018 Stroke), yet dental-coverage gaps keep many Nashville-area adults from ever being screened. This packet pairs the validated self-audit with a coached referral into Meharry Medical College's dental clinic network -- a historically Black dental school built to serve underserved communities, whose graduates practice in underserved communities at an unusually high rate.

Where

Home self-audit + Meharry Medical College School of Dentistry referral network, Nashville, TN · Open the map

Pay

$180 proposed

This packet is not funded yet, so this figure is a proposed price and not money waiting in escrow. If a buyer funds it, approved proof settles that price onchain. If nobody funds it, approved proof earns provable credit toward the work instead of cash — recorded, and readable any time at vealth.net/labor/credit/(your wallet). You see which before you claim, never after.

Proof

5 validated self-report items answered + flag count computed + urgent red-flag screen completed + smoking/diabetes status recorded + the Nashville low-cost dental referral route named with a next booking step

This is exactly what gets it approved. Nothing settles without it.

Level

entry

Open until

2027-02-26

Posted by

0x034F…6c89

The creator wallet. Its signature is what approves proof and settles the wage.

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. 1. Set a private, well-lit space with a mirror; confirm this is a self-audit screen, not a dental exam or diagnosis.
2. 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. 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. 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. 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. 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 the Nashville low-cost access route (Meharry Medical College School of Dentistry, or an equivalent FQHC/sliding-scale clinic) named and a next booking step recorded

Proof is measured against these, not judged by taste.