Worn out teeth Assessment Form

Kigo Dental -Self Assessment form for worn-out teeth.

The following is a self-assessment to help you identify factors that may indicate you have worn-out teeth. 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.

worn out teeth

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 experience sensitivity, pain or discomfort when eating or drinking hot, cold, sweet, or acidic foods & drinks or biting down on hard or crunchy foods?
Yes No

2. Do you notice that your teeth appear shorter, flatter, or more worn down than they used to be? Do you have any visible cracks, chips, or fractures in your teeth?
Yes No

3. Do you experience pain or discomfort in your jaw or face, especially when chewing or talking?
Yes No

4. Do you frequently bite your nails, chew on pens or pencils, or engage in other habits that put excessive pressure on your teeth? Do you grind or clench your teeth, especially at night?
Yes No

5. Have you noticed any changes in the shape or position of your teeth, such as overlapping or gaps between teeth?
Yes No

6. Do you have any history of dental trauma or injury to the teeth or jaw?
Yes No

7. Have you noticed any changes in your bite or how your teeth fit together when you chew or speak?
Yes No

8. Do you have difficulties chewing or biting, such as feeling like your teeth are not meeting properly?
Yes No

9. Have you ever had a dental crown or filling fall out due to a weakened tooth structure?
Yes No

10. Have you noticed any changes in the colour or texture of your teeth, such as yellowing or pitting?
Yes No

11. Have you been diagnosed with medical conditions, like acid reflux, that may cause teeth sensitivity??
Yes No

12. Have you had any recent surgeries or treatments that may affect your oral health, such as radiation therapy or chemotherapy?
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 concerns about worn-out teeth or other health conditions; it is developed to give you approximate knowledge about your worn-out teeth symptoms so that you can get appropriate consultation. Consulting with a qualified healthcare professional is mandatory to get a definitive diagnosis.

Worn out teeth Assessment Form

Kigo Dental -Self Assessment form for worn-out teeth.

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