Periodontal Family · Flagship Panel

Comprehensive Panel.

Our most complete gum-health test. Alongside the core seven, it looks at fifteen bacteria and yeast in total - the full ecosystem of the mouth, not just the usual suspects - so nothing clinically important slips by.

Our flagship periodontal panel: fifteen organisms — the six core periodontal pathogens plus five bridging organisms, two early colonizers, Candida, and F. nucleatum total — adding the Ecological Profile and 0–100 Bridging Burden Score on top of the full PRS reading.

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What this panel is

Built for a specific clinical question.

The Comprehensive Panel is our most complete gum-health test, built for cases where the basic picture isn't the whole story. The core seven bacteria still drive the gum-disease risk score and pattern - but several important signals live in the wider community of bacteria, and Comprehensive reads that whole layer too.

The big addition is the Ecological Profile. Beyond the core seven, it measures the 'bridging' bacteria, early colonizers, and yeast, sums them into a Bridging Burden Score, and matches the overall makeup to a catalog of known patterns. A patient with only middling gum scores can still show an ecosystem pattern that meaningfully changes the plan - which is exactly what this panel is designed to catch.

The Comprehensive Panel extends the core periodontal reading with an ecological scoring layer for cases where the six-organism picture is insufficient. The core organisms still drive PRS and pattern identification.

The Ecological Profile quantifies the bridging organisms (Pi, En, Cr, Pm, Pa), early colonizers, F. nucleatum total, and Candida, sums them into the 0–100 Bridging Burden Score, and matches the configuration to the verified ecological pattern catalog. A case with only moderate core scores can still present an ecological pattern — focal orange-complex burden, polymicrobial dysbiosis — that materially changes management.

Clinical fit

When the Comprehensive Panel is right.

Patients with established or more complex gum disease
Tracking treatment when the wider ecosystem matters
Cases where a basic gum score alone would understate what's going on
Practices using saliva testing as a core part of their care
Situations where the 'bridging' bacteria carry a meaningful signal

Practices typically start with Essentials and upgrade to Comprehensive when the clinical conversation requires the ecological scoring layer.

Report contents

What the report contains.

A simple 1-5 gum-disease risk score, explained in plain terms
A 0-100 'pressure' score that catches smaller changes between visits
The specific bacterial pattern, matched to 14 research-backed patterns
Clear flags for specific findings, like two key bacteria showing up together
An Ecological Profile - the bigger-picture balance of the mouth, as its own named pattern
A 0-100 score for the 'bridging' bacteria that link early and advanced disease
A full per-bacteria readout across the bridging organisms, early colonizers, and yeast
A reference reading for F. nucleatum, a common marker bacterium
A short, prioritized list of what to focus on for this patient
An easy guide to how the bacteria levels are reported
The research and references behind every result

Sample reports

How the panel reads across clinical scenarios.

Four real examples showing how the report shifts depending on what's driving the problem, and how it tracks change from visit to visit.

Core-pathogen-driven case

The main gum-disease bacteria are elevated while the wider ecosystem looks clean. The bacterial pattern tells the story here.

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Bridging-driven case

The core bacteria are only moderate, but the wider community is busy and forms a recognized pattern. The ecosystem picture - not the core score - is the main signal.

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Mixed-profile case

Both the core bacteria and the wider community are active. The report sorts a multi-part problem into separate, related signals.

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Treatment response case

A re-test after treatment. The 1-5 risk band hasn't dropped yet, but the 'pressure' score, the individual bacteria, and the pattern have all improved - early proof the treatment is working.

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See all sample reports

The details

What to know about this test.

Panel: Comprehensive Panel
Family: Periodontal
Sample: A quick saliva sample, collected chairside in under two minutes; A simple saliva sample you collect at home in under two minutes
How it works: A DNA-based saliva test that identifies the bacteria present and how much of each
What's measured: 15 (6 core perio + 5 bridging + 2 early colonizers + Candida + F. nucleatum total)
Report: Comprehensive (with on-demand Antibiotic Considerations Report)
Results: Back in two business days, posted to your OraPath account
Where it's run: In our own CLIA- and COLA-accredited lab (IMMYLabs), under the standards that govern clinical testing
Reading the levels: Each organism is reported on a clear scale — from not detected to high — so you can see what's driving the result at a glance
Price (chairside): $145 per test

Volume and group pricing is available for multi-provider practices and DSOs. Talk to our team.

How we read it

How we turn the results into a clear clinical picture.

The Comprehensive Panel runs the full reading. It scores the core gum bacteria for the 1-5 risk score and pattern, adds the 0-100 'pressure' score, and then reads the wider community separately - producing the Bridging Burden Score and naming the ecosystem pattern. Those layers feed the prioritized focus areas, so the recommendations reflect the whole mouth, not just the usual suspects.

Comprehensive runs the full reading. The six core organisms produce the 1–5 PRS, pattern call, and 0–100 PPS; the wider community is scored independently into the Bridging Burden Score and ecological pattern.

Both layers feed the prioritized Clinical Focus Areas, so recommendations reflect the complete subgingival ecology rather than the core pathogens alone. Methodology deep-links document each scoring component.

Compare across the panel family