The Primary iD

One mouth. Five dimensions of you.

The Primary iD is a reading of five parts of your health, taken from the one place they all show: your mouth.

Forty questions, about six minutes. Below is every one of them, why we ask it, and what your answers tell Dr. Gabi before he meets you.

Why these five

Not how you are doing. What is building.

Most health scores tell you how you are doing today. The Primary iD looks for what is building: the slow, quiet signals that research links to many long-term conditions, years before you would feel them.

Inflammation

Low-level inflammation that does not switch off. It often shows first in the gums, and research links it with heart disease, diabetes and other chronic conditions.

Toxic load

What you are exposed to and carry: tobacco, alcohol, sugary drinks, and the materials already in your mouth, which Dr. Gabi checks at your visit.

Each of the five dimensions is a place where those signals show up, in or through your mouth. And each one is something you can act on.

Oral healthSleep & airwayNutritionFamily historyLongevityInflammationquiet, and it does not switch offToxic loadwhat you are exposed to, and carry

Five places we look. Two things we are looking for.

A snapshot, or a direction.

A biological age gives you one number for where your body seems to be today. It is interesting, but it does not say what is driving it or what to change first.

The Primary iD reads which way things are heading: where inflammation and toxic load are building, across five places you can act on, and the one change that would matter most.

Directional, not a diagnosis, and not a measure of biological age.

Years agoTodayYears ahead
Biological age · one reading, todayWhat is building · and where it is headingYour clearest lever · where acting matters most

An illustration, not your data. The line is what has been building; the green is what acting on your lever can look like.

A sample Primary iD72/ 100
Oral health72Sleep & airway68Nutrition81Family history75Longevity64

Where this sample patient starts. Bleeding gums make oral health the clearest lever.

An illustration of how a Primary iD can move, not a promise. Oral health is often the first lever, and as it improves the others tend to follow.

Where would you like to start?

01 / Oral health

Where it all starts.

Oral health is the state of your teeth, your gums and the saliva that protects them.

A cavity is not really the problem. It is the sign that the balance in your mouth has tipped, and that balance is what we read.

Oral health
72/ 100
SampleOral health
Eight answers72 avg
sugary snacking48
a recent cavity90
fluoride habit88
bleeding gums40Your lever here · Yes
time since a cleaning48
dry mouth88
grinding or clenching85
smile confidence92

A sample oral health score, and the eight answers behind it. The weakest, bleeding gums, is where the first visit starts.

What we look at

  • Pocket depth, at six points on every tooth
  • Bleeding on probing, where, and how much
  • Bone level, against the root, on radiograph
  • Decay, , and the pattern it lands in
  • Calculus, above and below the gumline

The eight questions, and why we ask

  1. How often do you have sugary drinks or snacks between meals?How often you snack matters more than how much sugar you eat. Each snack starts a new acid attack.
  2. Have you had a new cavity in the last 3 years?A recent cavity is the best single guide to whether more are on the way.
  3. Do you use fluoridated toothpaste twice a day?Twice-daily fluoride toothpaste is one of the best-proven ways to prevent decay.
  4. Do your gums bleed when you brush or floss?Gums that bleed are inflamed. It is the earliest visible sign of gum disease.
  5. When was your last professional cleaning?Tartar and inflammation build up when cleanings are far apart.
  6. Do you often feel like your mouth is dry?Saliva neutralizes acid. A dry mouth leaves your teeth with less protection.
  7. Do you grind or clench your teeth?Grinding wears teeth down, and it is often connected to how you breathe at night.
  8. How confident do you feel about your smile?How you feel about your smile shapes whether you look after it, and whether you see a dentist at all.

What your answers tell Dr. Gabi

Where decay and gum inflammation are most likely to start, so your first visit begins in the right place.

Every other dimension shows up here first.

02 / Sleep & airway

How you breathe, how you heal.

Sleep and airway is how well you breathe at night, read from the parts of your airway a dentist can see.

Snoring is not just noise. It can be a sign that your airway narrows while you sleep, and some of the signs show up in your mouth first.

Sleep & airway
68/ 100
SampleSleep & airway
Eight answers68 avg
loud snoring45Your lever here · Yes
daytime tiredness85
witnessed pauses92
blood pressure52
build66
age range66
neck68
dozing off70

A sample sleep & airway score, and the eight answers behind it. The weakest, loud snoring, is where the first visit starts.

What we look at

  • Palate shape, , and how wide the arch grew
  • Tongue position, , and the room left for it
  • Wear facets, what clenching leaves behind
  • Airway volume, on 3D imaging
  • What you report, snoring, waking, sleepiness

The eight questions, and why we ask

  1. Do you snore loudly, loud enough to be heard through a door?Loud snoring is the most common sign that the airway narrows at night.
  2. Do you often feel tired or sleepy during the day?Feeling tired after a full night can mean your sleep is being interrupted without you knowing.
  3. Has anyone observed you stop breathing or gasp in your sleep?Pauses someone else notices are one of the clearest signs worth checking.
  4. Are you being treated for high blood pressure?High blood pressure and disrupted breathing at night often travel together.
  5. Which best describes your build?Body size is one of several things that shape the airway.
  6. What's your age range?Breathing problems at night become more common with age, so we weigh this gently.
  7. How would you describe your neck?Neck size is a simple guide to how much room the airway has.
  8. Sitting and reading, how likely are you to doze off?How easily you nod off in the day tells us how rested you really are.

What your answers tell Dr. Gabi

Whether a sleep test is worth a conversation with your physician. The Primary iD does not diagnose a sleep disorder.

Rest starts with how you breathe.

03 / Nutrition

Your diet reaches your gums first.

Nutrition is the pattern of what you eat and drink, which reaches your teeth and gums before anything else.

We do not count calories or prescribe a diet. We look for the one or two habits doing the most, to your mouth and to the rest of you.

Nutrition
81/ 100
SampleNutrition
Eight answers81 avg
olive oil88
vegetables92
fruit70
red & processed meat90
sugary drinks68Your lever here · 2–4
water68
alcohol88
whole grains86

A sample nutrition score, and the eight answers behind it. The weakest, sugary drinks, is where the first visit starts.

What we look at

  • Erosion, , and which surfaces it favors
  • Where decay lands, between, at the gumline, on the edge
  • Saliva, flow, and how well it buffers acid
  • Tissue response, how the gums answer inflammation
  • How often, you eat — frequency beats quantity here

The eight questions, and why we ask

  1. Do you use olive oil as your main cooking fat?Olive oil as your main fat is a hallmark of the Mediterranean pattern, one of the best-studied ways of eating.
  2. How many servings of vegetables do you eat per day?Vegetables bring fiber and protective compounds. More servings means a stronger pattern.
  3. How many servings of fruit per day?Whole fruit adds fiber and nutrients to the pattern.
  4. How often do you eat red or processed meat?A lot of red and processed meat pulls the overall pattern the wrong way.
  5. How many sugar-sweetened beverages do you have per week?Sugary drinks are the strongest single dietary signal for both tooth decay and metabolic health.
  6. How many glasses of water do you drink per day?Water keeps saliva flowing, and saliva protects your teeth.
  7. How often do you drink alcohol?Alcohol dries the mouth and relaxes the airway at night, so it touches two dimensions at once.
  8. Are most of the grains you eat whole-grain?Whole grains change how quickly sugar reaches your bloodstream.

What your answers tell Dr. Gabi

Which one or two changes would matter most, so any advice is specific to you rather than general.

Everything you eat starts in your mouth.

04 / Family history

The part you didn't choose.

Family history is the part of your risk you were born with, and the habits that came with it.

Your history is not your fate. It is an early warning, and the earlier we know it, the earlier we can watch for it.

Family history
75/ 100
SampleFamily history
Eight answers75 avg
family gum disease88
family diabetes84
early family heart disease84
smoking history46Your lever here · Current — light
tooth loss to gum disease88
autoimmune history82
pregnancy gum changes62
current stress68

A sample family history score, and the eight answers behind it. The weakest, smoking history, is where the first visit starts.

What we look at

  • Bone loss pattern, even, or localized
  • Stage and grade, , by the current international system
  • Rate of progression, measured against your age
  • Teeth already lost, , and what took them
  • What ran in your family, , and how early

The eight questions, and why we ask

  1. Did a parent or sibling lose teeth to gum disease?Gum disease in a parent or sibling is the strongest inherited signal we know of.
  2. Does diabetes run in your immediate family?Diabetes and gum disease affect each other, so a family history of one matters to the other.
  3. Heart attack or stroke in a parent or sibling before 65?An early heart attack or stroke in the family changes how carefully we read the rest.
  4. What's your smoking history?Smoking is the biggest risk you can change, for your gums and for the rest of you.
  5. Have you lost any teeth to gum disease?Teeth already lost to gum disease tell us how far it has progressed.
  6. Do you or a close relative have an autoimmune condition?Some autoimmune conditions share inflammatory pathways with gum disease.
  7. Did you have gum problems during pregnancy?Gum changes during pregnancy show how your tissues respond to inflammation.
  8. How would you rate your current stress?Long-term stress affects how your body handles inflammation.

What your answers tell Dr. Gabi

How closely to watch your gums, and how often you should be seen.

Knowing it early is how you get ahead of it.

05 / Longevity

The habits that compound.

Longevity is the everyday habits that shape how strong your next decades feel.

There is no single pill or test for this. It is the basics, repeated, and your mouth shows how they are going.

Longevity
64/ 100
SampleLongevity
Eight answers64 avg
tobacco48Your lever here · Occasional
exercise72
sleep hours70
weight66
knowing your labs60
blood sugar50
blood pressure90
overall diet52

A sample longevity score, and the eight answers behind it. The weakest, tobacco, is where the first visit starts.

What we look at

  • Teeth remaining, and what took the ones that are gone
  • Total inflammatory load, you are carrying
  • Tobacco, movement, sleep, the three that compound
  • How the other four are trending, , year over year
  • What actually changed, since your last read

The eight questions, and why we ask

  1. What's your tobacco or vaping exposure?Tobacco and vaping are the largest single habit to change.
  2. Minutes of moderate exercise per week?The first hour or so of movement each week does the most.
  3. Average hours of sleep per night?Too little sleep and too much are both worth a closer look.
  4. Your weight feels…Where your weight is heading matters more than any one number.
  5. Do you know your current cholesterol numbers?Not knowing is not a mark against you. It tells us what to check next.
  6. Do you have pre-diabetes or diabetes?Blood sugar and gum disease affect each other.
  7. Your blood pressure is…Blood pressure connects to sleep, stress and diet.
  8. Overall, how would you rate your diet?How you rate your own diet tells us which changes are likely to stick.

What your answers tell Dr. Gabi

Which habit has the most room to move, read alongside your mouth, so what we find there has context.

The basics compound. So does knowing where you stand.

How it adds up

Five scores, one starting point.

Each dimension, 0 to 100.Built from its eight answers. Higher means more protective.
Your Primary iD.The average of the five. One number for the whole picture.
Your clearest lever.The dimension with the most room to move. It is where your first visit starts.

Your Primary iD is directional. It is not a diagnosis, and it is not a measure of biological age. Dr. Gabi confirms it with you at your visit.

The science

Built on published, validated questionnaires.

Each dimension adapts questions from screening tools used in dental and medical research. The scoring is ours, and it is directional. These are the sources.

Oral healthFeatherstone JDB, J Calif Dent Assoc 2007 · Eke PI et al., J Periodontol 2013 · Slade GD, Community Dent Oral Epidemiol 1997
Sleep & airwayChung F et al., Anesthesiology 2008 · Johns MW, Sleep 1991
NutritionMartínez-González MA et al., PLoS One 2012 · Hedrick VE et al., J Am Diet Assoc 2012
Family historyJepsen S et al., J Periodontol 2018 · Nibali L et al., 2019
LongevityLloyd-Jones DM et al., Circulation 2022
Start here

You have read the questions. Now answer them.

Request your visit in about two minutes, then build your Primary iD in about six more. Your iD Guide calls you to confirm a time.