- Your chief dental complaint or the main reason you want to be
seen?
- Have you seen any other dentist about this problem? What did
they say?
- When you were at the dentist last what did you have done?
- How do you feel about going to the dentist?
- Have you ever had a bad experience at the dental office? What
was it?
- What bothers you most about going to the dentist?
- What did you like about one of your past dentists?
- Are you in pain
now?
- Have you had
orthodontics (braces)?
- Do you drink pop,
diet pop and or coffee with sugar? How much a day?
- Do you brush daily?
- Do you floss daily?
- What would make
your dental visits more comfortable?
- Do you drink
alcohol? How many drinks a day?
- Do you experience
headaches or ringing in the ears?
- Do you grind or
clench your teeth?
- Do you have bad
breath?
- Do you use tobacco
products?
- Do you want to save
your teeth?
- Are you happy with
the appearance of your teeth?
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