Dental Infection Assessment Form

Kigo Dental - Self Assessment form for dental infection.

The following is a self-assessment to help you identify factors that may indicate you have a dental infection. The assessment is meant to be informative but does not substitute for a comprehensive dental evaluation by your dentist or orthodontist to determine your actual risk and condition.

Tooth infection 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.

1. Do you have pain in or around a tooth that seems to worsen over time and doesn’t even go after taking painkillers?
Yes No

2. Do you have difficulty biting or chewing food due to pain?
Yes No

3. Do you have a persistent bad taste or unpleasant smell in your mouth?
Yes No

4. Do you have visible swelling or bump on your gum near the painful tooth?
Yes No

5. Have you noticed any pus draining from the area around the affected tooth?
Yes No

6. Have you experienced any recent trauma to the affected tooth?
Yes No

7. Have you noticed any sensitivity to hot or cold foods or drinks?
Yes No

8. Have you experienced any difficulty opening your mouth or jaw?
Yes No

9. Have you noticed any discolouration of the affected tooth?
Yes No

10. Have you experienced any facial swelling or redness, particularly around the affected tooth?
Yes No

11. Have you experienced any difficulty sleeping due to this pain or discomfort?
Yes No

12. Have you experienced other dental issues like bleeding gums, gum disease or cavities?
Yes No

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Note: Please note that this self-assessment form does not intend to provide a definitive diagnosis if you have a tooth infection or other health conditions; it is developed to give you approximate knowledge about tooth infection so that you can get appropriate consultation. Consulting with a qualified healthcare professional is mandatory to get a definitive diagnosis.

Dental Infection Assessment Form

Kigo Dental - Self Assessment form for dental infection.

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