Medical and Dental History of the Patient
Patient has history of medical conditions?
Currently under any medical treatments?
Check all history medical condition that apply
Currently under any medications?
Do you need to be premedicated?
Is there a heart condition?
Is there a tendency to faint or become dizzy?
Is there any pain, clicking, and/or popping noise in the jaw?
Are you aware of either clenching or grinding teeth?
Is there frequent snoring and/or sleep apnea?
Are there any speech problems?
have there been any injuries to the teeth?