Healthy Mouth Baseline
Do you have any of these? Check all that apply . . .
*
Oral Cancer
Lumps and/or Sores
Infections/Abscess
Missing/Loose teeth
Crowded Teeth
Large Gaps/Spaces
Bad Breath/Taste
Food Traps
Dry Mouth
Ice Chewing
Frequent Headaches
Clenching/Grinding
Excessive Tooth Wear
Jaw Pain/Clicking/Popping in Joint
Deep Gum Pocket Depths
Bleeding/Swollen/Red Gum
Plaque/Tartar
Receding Gums
Gum Disease
Smoking
Chronic Fatigue
Sleep Disorder/Snoring
Cavities
Old Fillings
Acid Reflux
Discolored Teeth
Hot/Cold Sensitivity
Cracked/Broken Teeth
Biting/Pressure Sensitivity
A Healthy Mouth Protects Your Brain, Heart & General Health
Submit
Should be Empty: