Sigurd Ramfjord introduced the Periodontal Disease Index
a clinical tool that used a periodontal probe , with marks at 3, 6 and 8 mm, to measure the distance from the cemento–enamel junction to the bottom of the pocket (i.e. attachment loss)
Ramfjord recommended the assessment of six ‘index teeth’ that soon became known as the ‘Ramfjord teeth’ These teeth were: maxillary right first molar (tooth 16), maxillary left central incisor (tooth 11), maxillary left first bicuspid (tooth 24), mandibular left first molar (tooth 36), mandibular right central incisor (tooth 41) and mandibular right first bicuspid (tooth 44).