Category and assessment basis
Confirm the examination and clinic criteria supporting the moderate-treatment item.

UNDERSTAND YOUR QUOTATION
Confirm each service below in your written quotation. This checklist does not mean that every stage is included in the listed item.
Confirm the examination and clinic criteria supporting the moderate-treatment item.
Identify the areas covered by the per-mouth quotation.
Clarify the subgingival care and number of initial sessions proposed.
Ask whether anaesthesia, medication or other adjuncts are needed and how they are charged.
Record how the clinician will review the response after initial care.
Check maintenance charges and the separate scope of any later or surgical treatment.
Educational illustrations. Components, clinical suitability and the agreed service scope require an individual plan.
BEFORE YOU DECIDE
Regions, sessions, anaesthesia, medicines, review and maintenance need explicit confirmation. Any periodontal surgery requires a separate assessment and quote.
Ask how initial visits and follow-up fit your availability. Dates and further care must follow the individual clinical plan.
Illustrative planning scenes. Your written quote and clinical plan define the scope and appointments.
YOUR NEXT STEP
Ask about the moderate-treatment assessment, subgingival-care scope, initial visits and continuing periodontal care.
Clinical suitability and appointment dates require confirmation. This form is not for emergencies.
Moderate Periodontal Treatment in China