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Type Date Dry Mouth Periodontal Treatment. Type Bleeding Gums Wisdom Teeth Removed Orthodontics Clenching/Grinding Dental Implant s Date Removable Appliance Denture Partial Nightguard Retainer Sleep Apnea Date of last dental examination Are you experiencing any dental discomfort Yes or No If yes please describe Are you fearful of dental treatment Yes or No If yes please describe Please list any other comments or concerns regarding teeth mouth TMJ dental history. Mark J. Andrews DDS reserves...
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