Main reason for the query
Expectations regarding care at the clinic
Have you had dental anaesthesia before?
Have you got any problem?
Do you have an infection in any of your teeth?
Do your gums bleed when chewing, brushing or at any other time?
Have you noticed any injury, wound, lump, stain, etc in your mouth?
Did your parents lose their teeth at a young age?
Have you had orthodontic treatment?
Do you usually notice your face is tired when chewing or at the end of the day, or after speaking a lot?
Are you experiencing earache or pain near the ears?
Do you bite your fingernails, any other objects or smoke a pipe?
Do you have difficulty opening your mouth fully?
Do you clench your teeth during the day?
Have you been told you make a noise with your teeth when you sleep?
Do you notice clicking or noise when you open or close your mouth?
Have you received blood transfusions?
Have you received radiation for any problem in your head, face or mouth?
Have you ever suffered a heart attack (angina or infarction)?
Have you ever suffered or do you suffer from rheumatic heart disease, artificial valves, congenital heart disease?
Do you wake up with headaches?
Do you feel sleepy during the day?
Do you suffer from high blood pressure?
* If you are pregnant or could be, please let us know.
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