Periodontal Ecology Score Answer a few questions to estimate the balance of your gum microbiome. Gum Health Do your gums bleed when brushing or flossing? No Yes Have you ever had a deep cleaning? No Yes Do you have gum recession? No Yes Do you frequently have bad breath? No Yes Oral Hygiene How many times per day do you brush? 2 or more 1 Rarely How often do you floss? Daily Rarely Never Oral Ecology Do you notice heavy plaque buildup? No Yes Do you often develop tartar? No Yes Systemic Health Do you have diabetes or insulin resistance? No Yes Do you smoke or vape? No Yes Do you experience dry mouth? No Yes Have you been diagnosed with sleep apnea? No Yes Diet How often do you consume sugary snacks or drinks? Rarely Several times per day Constant snacking Calculate My Score