Learning with laughter

Quick TMD Questionnaire for Dental Hygenists

February 20th, 2012

TEAMWORK IS IMPORTANT !

Questions every patient needs to answer.  Yes or No

Do you have…

1.  Any soreness in your head or neck?

Yes_______                                      No______

2. Chronic headaches or intermittent neck pain?

Yes_______                                      No______

3. Ears: Click, Ringing, stuffiness or ache

Yes_______                                      No______

4. Limited jaw opening (less than 3 fingers)

Yes_______                                      No______

5. Chronic Sinusitis (post-surgery)

Yes_______                                      No______

If any answers are yes…please refer to a physio…for a solution.

 

 

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