Dental treatment needs for Airway Problems Assessment Form

Kigo Dental -Self Assessment form for dental treatment needs for Airway / Breathing Problems.

The following is a self-assessment to help you identify factors that may put you in need of dental or orthodontic treatments for airway/breathing disorders. The assessment is meant to be informative but does not substitute for a comprehensive orthodontic evaluation by your dentist or orthodontist to determine your actual risk and condition.

Airway problems Assessment

Be sure to answer all the questions honestly to obtain an accurate score. Hereafter "you" can be related to you, your child, or any person in need of taking this test.

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Note: Please note that this self-assessment form does not intend to provide a definitive diagnosis if you / your child has airway/breathing disorders or other health conditions; it is developed to give you approximate knowledge about you / your child’s jaw growth discrepancies so that you / your child can get appropriate consultation. Consulting with a qualified healthcare professional is mandatory to get a definitive diagnosis. 


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