pounds or kilograms
Are you allergic to anything? If so, please explain:
Have you had previous surgeries? If so, please explain? ( Dental and Non-dental )
Do you have any metals in your body ( ex. Knee Prosthesis, hip, etc )
Do you have any diseases or patologies ( Ex. Diabetes, Cancer, etc )
Please explain briefly your symptoms ( if any )?
Do you have problems chewing?
How long ago have you had problems with your teeth?
Does your family have dental issues?
Where do you live?
Do you have a dental panoramic Xray that you can share with us?
How often do you brush your teeth?
Do you have dental insurance?