The Omaha Dental

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More about cosmetic appearance

1. How do you like the appearance of your teeth on a scale of 1-10 where one means totally unacceptable to 10 they are perfect?
   
2. What is it about your smile that you do not like?
   
3. How do you like the color of your teeth?
   
4. Are you missing teeth?
   
5. Do your teeth look worn to you or have you been told they are worn
   
6. Have you had braces?
   
7. have you bleached or whitened your teeth? Were you happy with the results?
   
8. What if anything would you like to change about your teeth and smile?
   

Dental Questions to Consider

When you were at the dentist last what did you have done?

What did your previous dentist say about your teeth?

What did you like about your favorite dentist?

On a scale of 1-10 with one being dreadful and 10 being you love it, how  you feel about going to the dentist?

What are your concerns regarding going to the dentist?

Do you have an over active gag reflex?

Do you experience dental anxieties?

Do you have dental implants?

Are you satisfied with them?

What other issues or concerns do you have?

1. Are you in any pain or discomfort at this time?
   
2. Does it come and go?
   
3. On a scale of 0-10 where 0 is no pain and 10 is the worst pain you ever had what is it when it is at its worse?
   
4. Are you having to take pain meds or antibiotics for your teeth?
   
5. Does it hurt to bite on your teeth?
   
6. Do you grind or clench your teeth?
   
7. Does your bite feel off?
   
8. Are you missing teeth? Do you have trouble swallowing or chewing food?
   
9. How often do you brush
   
10. How often do you floss?
    
11. How often do you have your teeth cleaned and polished?
    
12. Have you ever been told you have gum disease?
13. Have you been treated for gum disease?
    
14. Did the dentist explain to your satisfaction why you have gum disease?
    
15. Do you have bad breath?
    
16. Do you snore?
    
17. Are you diabetic? If so are you in control?
    
18. Have you had a bad experience at the dentist? What happened?
    
19. Are you a perfectionist?
    
20. Have you had braces?
    
21. Have you had your wisdom teeth removed?
    
22. Have you ever had dental sedation?
    
23. Do you have any jaw joint problems? Have you been treated for this problem and how successful was it?
    
24. Do you suffer from sleep apnea?
    
25. Do you suffer from dry mouth problems?
    
26. If so do you know the cause of your dry mouth; what is it?
    
27. Do any of your teeth feel loose
    
28. Do your gum bleed when you brush or floss them?
    
29. Are your teeth sensitive to hot or cold
    
30. Are you a mouth breather?
    
31. Do you wear a denture or removable partial?
    
32. How satisfied are you with your removable teeth?
33. How long have you worn partials? Dentures?
    
34. Have you noticed any bone loss?
    
35. Do you smoke or use tobacco? If so for how long and how frequently?
    
36. What do you like to drink? Soda? If so how much soda do you drink per day? What is the name of your favorite?
    
37. Do you have an adult beverage? How often?
    
38. How much exercise would you estimate you get per week?
    
39. How would you describe your diet? Healthy? Do you like sweets?
    

Your Dental History , your main dental concern, secondary problems, and your desired goals.

The better you can articulate your dental problems, concerns, desires, needs the better the dentist can help you develop treatment options that you feel would be most beneficial for you and result in a more optimum outcome.

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Anesthesia Surgery Center

      Master, College of Conscious Sedation American Dental Society of Anesthesiology           

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