Wisdom Teeth Problems Assessment Form

Kigo Dental - Self Assessment form for wisdom teeth problems.

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

Wisdom teeth 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. Are you experiencing any pain or discomfort, or swelling in the back of your mouth, near your molars where your wisdom teeth are located?
Yes No

2. Have you noticed any swelling, redness, bleeding or other signs of infection in the area around your molars where wisdom teeth are located?
Yes No

3. Do you have trouble opening your mouth fully or experience difficulty while eating or chewing?
Yes No

4. Have you noticed any unusual sensations in your mouth or tongue, such as tingling or numbness?
Yes No

5. Have you noticed any changes to your bite or the alignment of your teeth?
Yes No

6. Have you been experiencing bad breath or a persistent bad taste in your mouth?
Yes No

7. Have you noticed any bumps or lumps in the back of your mouth or on your gums?
Yes No

8. Have you had any previous imaging studies, such as X-rays or CT scans, showing any problem with the location and orientation of your wisdom teeth?
Yes No

9. Have you noticed any pus or discharge from your gums near your wisdom teeth?
Yes No

10. Have you had any previous dental procedures performed on your wisdom teeth? Have you had any previous problems with your wisdom teeth, such as infections or abscesses?
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 wisdom teeth problems or other health conditions; it is developed to give you approximate knowledge about wisdom teeth problems so that you can get appropriate consultation. Consulting with a qualified healthcare professional is mandatory to get a definitive diagnosis.

Wisdom Teeth Problems Assessment Form

Kigo Dental - Self Assessment form for wisdom teeth problems.

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