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"The Friendly Probe"
Screening System
Technique Screening Record Screening Report
Patient Education Guide
THE SCREENING REPORT
Easy To Use Prescriptionpad Style! The Screening Report is a unique patient "periodontal report card". It comes as a "tear-off" sheet, in prescription pad size and format and allows the patient to leave with information about his or her own periodontal condition.
The Screening Report should be marked with the patient's periodontal status, either Health, Gingivitis or Periodontitis, including which sextants have gingivitis, plus any recommendations for treatment. This report should be reviewed with and then given to the patient. This "take-home" screening report will give the patient an opportunity to think about any problems or recommendations indicated on it by reviewing the pictures of probing and the educational information on the backside. The report will also enable the patient to share the information with a spouse or family member in an unhurried and non-threatening environment.
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Screening Report

About the width of a pen
Left and right are reversed on this form for better patient understanding.
The back side of the screening report contains educational information about the causes and ramifications
of periodontal diseases.
Back of Screening Report
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