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YOUR DENTAL SCORE
Oral health self-assessment will offer you with an on the spot estimate of your oral health. The assessment will show you a series of pictures displaying certain conditions. You have to answer, "yes" or "no" depending upon your oral health experience The score will be sent to your email or WhatsApp number submitted.
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* Indicates required question
Email
*
Your email
Full name
*
Your answer
What is your age?
*
15 to 30
30 to 50
50 plus
Have you had a major health change (like diabetes, a heart attack, stroke, diagnosis of disease such as cancer, Parkinson's, etc.) during the past 12 months?
*
Yes
No
Do you do any of the following - drink fluoridated water, brush your teeth daily with fluoride toothpaste, or use a nonprescription or prescription fluoride product such as a rinse or gel on a daily basis?
*
Yes
No
Are any of your teeth filled or crowned (capped)?
*
Yes
No
Do you have any false teeth?
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Yes
No
Have you had any pain from chewing, aching, or sensitivity to hot or cold in your mouth during the past year?
*
Yes
No
Do you have missing teeth that you think should be replaced but have not been replaced yet?
*
Yes
No
Does your mouth frequently feel dry?
*
Yes
No
Do you frequently snack on sugary or starchy snacks or drink sugared beverages between meals?
*
Yes
No
Have you done the professional teeth cleaning in the past six months with your dentist?
*
Yes
No
Do your gums bleed when you brush your teeth?
*
Yes
No
Do you feel food gets stuck in your teeth gaps after having food?
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Yes
No
Sometimes
Do you use dental floss or another device to clean between your teeth?
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Yes
No
Do you smoke cigarettes?
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Yes
No
Do You start feeling bad breath after a few hours of brushing?
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Yes
No
Do you have a routine dental checkup visit twice per year
*
Yes
No
How many times you brush your teeth daily?*
*
Once a Day
Twice a Day
Do u have fear to go to the dentist?
*
Yes
No
Contact Number ( preferably whats AAP)
*
Your answer
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