Oasis Dental Care Ltd - Dental Health Test

1. Are you having any pain or discomfort with your teeth or mouth? No Occasionally Yes
2. Can you comfortably chew or eat anything you want? No Mostly Yes
3. Do you have enough teeth to chew your food adequately? No Yes

7. Do you gums ever bleed? Yes, even when I am eating an over-ripe banana! Yes, when I brush my teeth Never
8. Do the insides of your bottom front teeth feel ‘furry’ or ‘coated’? Yes No
9. Do your teeth look or feel worn down? Yes No
10. Are you happy with the way your teeth look? Yes Fairly No

4. Do you have loose or wobbly teeth? Yes, I am worried one or more of my teeth may fall out Yes, but only very slightly No
5. Are you aware of any holes in your teeth? Yes, from more than one place in my mouth Yes, from only one place in my mouth No
6. Do you have sore spots, ulcers or swelling anywhere inside your mouth? Yes No