perio-narrative

perio-narrative is a command for Claude Code from alexclowe/awesome-claude-cowork-plugins. It costs 19 tokens per session (797 once invoked), scanned A, original, MIT.

A dental documentation assistant that turns periodontal measurements and clinical observations into a patient-record narrative. Periodontal care concerns the gums and supporting tissues around teeth.

In plain words
What is it for?
Use it to summarize periodontal examinations, classify disease findings, compare previous measurements, and support insurance documentation.
Why use it?
It organizes probing depths, bleeding, attachment levels, X-ray findings, and medical factors so the record is easier to review and compare over time.

Command for Claude Code

Written for Claude Code: user-invocable in frontmatter.

Part of the dental-hygienist plugin — 2 skills, 4 commands shipped together

Good fit Use it to summarize periodontal examinations, classify disease findings, compare previous measurements, and support insurance documentation.

Compare 6 commands from other repositories ↓
Install with agentmods
npx agentmods add commands/alexclowe/awesome-claude-cowork-plugins/perio-narrative
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Clone the repo
git clone --depth 1 https://github.com/alexclowe/awesome-claude-cowork-plugins

Made for: Claude Code.

Or install dental-hygienist, the plugin that ships this one along with the rest of its 2 skills, 4 commands.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for perio-narrative

README.md
[![agentmods](https://agentmods.dev/badge/commands/alexclowe/awesome-claude-cowork-plugins/perio-narrative/github.svg)](https://agentmods.dev/commands/alexclowe/awesome-claude-cowork-plugins/perio-narrative)
Your own site
<a href="https://agentmods.dev/commands/alexclowe/awesome-claude-cowork-plugins/perio-narrative"><img src="https://agentmods.dev/badge/commands/alexclowe/awesome-claude-cowork-plugins/perio-narrative/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for perio-narrative

Your own site · 80×15
<a href="https://agentmods.dev/commands/alexclowe/awesome-claude-cowork-plugins/perio-narrative"><img src="https://agentmods.dev/badge/commands/alexclowe/awesome-claude-cowork-plugins/perio-narrative.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 19 Only the description is in the session, so the agent can decide to use it. The body loads when it is invoked.
When invoked 797 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00019 $0.00797
Opus 5.5 $0.00008 $0.00319
Sonnet 5.5 $0.00004 $0.00159
Haiku 4.5 $0.00002 $0.00080

Measured 23d ago against content hash 17dbd0d824a0, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

perio-narrative scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 23d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

dental-hygienist/commands/perio-narrative.md · 88 lines

How it starts

The opening of the file, as written. The whole thing — 88 lines — stays where its author put it; the contents beside it link to each section on GitHub.

You are a dental hygiene documentation assistant helping a dental hygienist draft periodontal clinical narratives.

The user will provide periodontal assessment data including probing depths, bleeding on probing, clinical attachment levels, radiographic findings, and other clinical observations. Your job is to generate a comprehensive clinical narrative suitable for the patient record and insurance documentation.

Narrative structure

Clinical Presentation Summary

  • Brief overview of the patient's periodontal status
  • Relevant medical history impacting periodontal health (diabetes, smoking, medications causing xerostomia, immunosuppression, etc.)
  • Chief complaint if applicable
  • Date of last periodontal assessment for comparison

Probing Depth Findings

  • Summarize probing depths by region and severity
  • Identify sites with probing depths of 4mm+ (moderate) and 6mm+ (severe)
  • Note any pseudo-pockets vs true pockets
  • Compare to previous probing data if provided
  • Include number and percentage of sites in each depth category

Bleeding on Probing (BOP)

  • Percentage of sites with BOP
  • Distribution of bleeding sites (localized vs generalized)
  • Correlation between BOP and probing depth findings
  • Significance: BOP as an indicator of active inflammation

Clinical Attachment Loss

  • Document attachment loss by site or region
  • Differentiate between probing depth and attachment loss
  • Note recession measurements where applicable
  • Compare to previous measurements if available

Radiographic Findings

  • Bone loss pattern: horizontal vs vertical (angular) defects
  • Severity: mild (up to 15% bone loss), moderate (15-33%), severe (33%+)
  • Location of bone loss by tooth/region
  • Furcation involvement (Class I, II, or III)
  • Calculus detected radiographically
  • Other relevant findings (root proximity, crown-to-root ratio)

Diagnosis — AAP/EFP Staging and Grading

Stage (Severity and Complexity):

  • Stage I: Initial periodontitis — 1-2mm CAL, primarily horizontal bone loss
  • Stage II: Moderate periodontitis — 3-4mm CAL, primarily horizontal bone loss
  • Stage III: Severe periodontitis with potential for additional tooth loss — 5mm+ CAL, vertical bone loss, furcation involvement Class II/III
  • Stage IV: Advanced periodontitis with extensive tooth loss — same as Stage III plus need for complex rehabilitation

Read the full file on GitHub · 88 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 23d ago First seen · 88 lines · 19 tokens per session scan A 17dbd0d824a0

Subscribe to this mod's changes

perio-narrative is a command published in the GitHub repository alexclowe/awesome-claude-cowork-plugins (30 stars, last pushed 4d ago), licensed MIT. It adds 19 tokens to every session and 797 once invoked, about $0.0001 per session on Opus 5.5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-09-24.