Periodontal Maintenance Questionnaire
What a periodontal maintenance questionnaire asks, why each part matters, and how periodontal practices can collect it.
A periodontal maintenance questionnaire records what has changed since the last visit for a patient in ongoing gum care. The questions here are a typical set on health, medicines, gum symptoms, tobacco, and home care, drawn from periodontal guidance and history update forms.
Periodontal maintenance questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a periodontal maintenance questionnaire in the patient's own language, strictly following the practice's instructions.
- Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
- Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
- Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
- Key details at a glance. The care team sees what matters up front and decides who needs attention first.
The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.
Sample periodontal maintenance questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Has your general health changed since your last visit?Health changes
- Have you been diagnosed with diabetes since then?Health changes
- Have you started or stopped any medicines?Medications
- Do you now take a blood thinner?Medications
- Do your gums bleed when you brush?Gum symptoms
- Is any tooth loose or drifting?Gum symptoms
- Do you smoke or vape now?Tobacco
- Has your tobacco use changed?Tobacco
- How often do you clean between your teeth?Home care
- Which interdental brushes or floss do you use?Home care
- Have you had dental treatment elsewhere since last visit?Dental changes
- Do you have any new pain or swelling?Dental changes
These are examples to read, not a form to fill in.
Periodontal maintenance questionnaire: FAQ
What does a periodontal maintenance questionnaire ask?
A typical set covers six areas: health changes, medications, gum symptoms, tobacco, home care, and dental changes since the last visit.
Who fills in a periodontal maintenance questionnaire, and when?
Patients who have finished active gum treatment and come back at set intervals. Scottish SDCEP guidance notes that pre-appointment questionnaires can be used to update the history.
Why ask these questions again at each maintenance visit?
A 1998 parameter from the American Academy of Periodontology lists a history update among the items a maintenance visit may include. The answers show the practice what has changed.
Is it the same as a dental health history update form?
They overlap. A health history update covers general health and medicines for any returning patient. The periodontal version adds gum symptoms, tobacco use, and home care since the last visit.
Is there a standard periodontal maintenance questionnaire?
The sample questions on this page show a typical set. SDCEP guidance lists history items worth updating, such as smoking, medicines, and gum symptoms.
What happens after the patient answers?
The hygienist or periodontist reviews the answers, examines the gums, and compares the findings with earlier records. If disease has come back, the patient may return to active treatment.
Does AI Doctor give medical advice?
No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.
Can patient answers stay on our own servers?
Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.
Set up your AI Doctor in Genesis AI Avatar Studio
Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.
- 01Choose the AI Doctor avatar.
- 02Add your practice's FAQs and visit information.
- 03Talk to it, then publish it.
