Oral Hygiene Index

Are the teeth of the upper right posterior segment present?

Yes

Are the teeth of the upper anterior segment present?

Yes

Are the teeth of the upper left posterior segment present?

Yes

Are the teeth of the lower right posterior segment present?

Yes

Are the teeth of the lower anterior segment present?

Yes

Are the teeth of the lower left posterior segment present?

Yes

Extent of Debris and Staining on Teeth Surface in
	percent of exposed tooth showing debris (from 0 to 100)	percent of exposed tooth showing stain (from 0 to 100)
upper right posterior segment, buccal side			percent
upper right posterior segment, lingual side			percent
upper anterior segment, buccal side			percent
upper anterior segment, lingual side			percent
upper left posterior segment, buccal side			percent
upper left posterior segment, lingual side			percent
lower right posterior segment, buccal side			percent
lower right posterior segment, lingual side			percent
lower anterior segment, buccal side			percent
lower anterior segment, lingual side			percent
lower left posterior segment, buccal side			percent
lower left posterior segment, lingual side			percent

Extent of Calculus on Teeth Surface in a Dental Se
	percent of exposed tooth with supra-gingival calculus (0 to 100)	percent of subgingival tooth circumference with calculus (0 to 100)
upper right posterior segment, buccal side			percent
upper right posterior segment, lingual side			percent
upper anterior segment, buccal side			percent
upper anterior segment, lingual side			percent
upper left posterior segment, buccal side			percent
upper left posterior segment, lingual side			percent
lower right posterior segment, buccal side			percent
lower right posterior segment, lingual side			percent
lower anterior segment, buccal side			percent
lower anterior segment, lingual side			percent
lower left posterior segment, buccal side			percent
lower left posterior segment, lingual side			percent

Purpose: To classify the oral hygiene status for a patient using the oral hygiene index.