Please tell me what your goals are with your teeth.
List the date of your last dental visit and when you had a full mouth set of x-rays?
Do you have mercury (silver) fillings in your mouth? If so, how many?
Do you ever have a metallic taste in your mouth?
Do you have any root canals? If so, how many? Did you notice any changes with your health after endodontic treatment?
Have you ever been told that you have periodontal disease? Have you ever had a "deep" cleaning? If so, when was the last time and did you maintain your cleanings?
Are any of your teeth loose or have you noticed a bad taste or odor in your mouth?
Does gum disease run in your family?
Do you have any missing teeth?
Are your teeth sensitive to heat, cold, sweets, bite pressure or aching for no reason?
Do your gums bleed?
Do you floss regularly?
Do you get food caught between your teeth?
What dental aids do you use? Electric toothbrush, waterpik, rubbertip, etc.
Have you tried oil pulling?
Have you ever seen a homeopathic doctor, acupuncturist, chiropractor, herbalist, nutritionist or any other form of natural therapy?
Any popping or clicking in the jaw? Do you wear an appliance for it or a CPAP?
Do you have any problems with your TMJ hurting? If so, explain what treatment you've had and if you've had any serious injuries to your neck or head.
Are you allergic to black walnut hulls, any food, cleaning products or specific scents? If so, please list.
Do you smoke or use smokeless tobacco? If so, how much?
Have you ever had any dental implants? If so, are they titanium?
Would you be open to hearing about the spiritual roots of disease?
How many times a day do you have a bowel movement? Do you get constipated or have diarrhea?
Do you sip on coffee, soda or sports drinks? If so, how many of each do you have in one day?
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