Anyone can start here · Home self-audit + referral network, Alexandria, VA
Periodontal health self-audit + cardiovascular-risk-informed dental referral -- Alexandria, VA.
Fund it for $180. Proof lands onchain when it's done.
$180 proposed
Not funded yet. Settles as earned credit, $180 proposed.
- Proof5 validated self-report items answered + flag count computed + urgent red-flag screen completed + smoking/diabetes status recorded + a dentist/periodontist referral route named with a next booking step
- Open until2027-03-02
- Levelentry
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What the work involvesAlexandria, VA is the headquarters of the International Association for Dental Research (IADR) -- founded 1920, 9,600+ members across five global regions -- whose official journal, the Journal of Dental Research (JDR), is the exact journal this standard's foundational citation (Blicher 2005) appeared in, confirmed via WebFetch to Wikipedia. No honesty-limit caveat needed: the JDR is IADR's own official journal, not a third-party publication. Distinct from the existing Nashville tile, which is built on Meharry Medical College's own historically-Black dental-school referral network rather than the citation's issuing research association. Untreated periodontal disease is both a leading cause of adult tooth loss and an independent cardiovascular/stroke risk factor (Sanz 2020; Sen 2018 Stroke), offered here where the research association whose own journal carries the foundational self-audit evidence is headquartered.
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 low-cost access route (an FQHC, sliding-scale clinic, or dental-school clinic) named 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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