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Checklist for Root Canal Treatment
Are you having difficulty chewing food?
Yes
No
Are your gums swollen?
Yes
No
Deep decay or darkening of the gums
Yes
No
Do you have bad breath?
Yes
No
Do you have persistent pain in or around a tooth?
Yes
No
Do you have pimples on the gums/swelling around the tooth
Yes
No
Do you have redness on the corners of the mouth?
Yes
No
Do you have scaly mouth corners?
Yes
No
Do you have sensitivity to hot or cold?
Yes
No
Do you have tooth pain that radiates to the head and ears?
Yes
No
Does your gums bleed easily?
Yes
No
Does your tooth wiggle or feel loose?
Yes
No
Is one of your teeth chipped or cracked?
Yes
No
Is one of your teeth discolored?
Yes
No
Pain that worsens when you lie down
Yes
No
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Checklist for Extraction Treatment
Are you suffering from extensive tooth decay?
Yes
No
Are your teeth damaged beyond repair?
Yes
No
Are your teeth overcrowded?
Yes
No
Are your teeth starting to feel loose from advanced periodontal disease?
Yes
No
Do you have a infection on your teeth?
Yes
No
Do you have a prolonged bleeding?
Yes
No
Do you have a sinus perforation?
Yes
No
Do you have a tooth at risk for impaction?
Yes
No
Do you have dry socket?
Yes
No
Do you have jaw fracture?
Yes
No
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