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Copyright 1995 Michael JR SullivanClient No.: ___Age: __Sex: M(_) F(_)Predate: ___Everyone experiences painful situations at some point in their lives. Such experiences may include headaches, tooth
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Identify the location of the toothache.
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Note the severity of the pain.
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Check for any visible signs of tooth decay or damage.
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Keep track of any triggers that worsen the pain.
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Consult with a dentist for proper diagnosis and treatment.

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Toothache symptoms include persistent or intermittent pain in the teeth, sensitivity to hot or cold, swelling in the gums, bad breath, or fever. The causes may range from dental cavities, gum disease, tooth grinding, or dental abscess.
Individuals experiencing toothache symptoms that require medical attention should seek a dental evaluation; filing is typically not applicable in the traditional sense like a form or application.
If seeking treatment, report your symptoms and history to your dental care provider instead of filling out a formal document. They will assess and document your condition.
The purpose is to identify underlying dental health issues and to facilitate informed treatment by a dental professional.
Individuals should report pain level, duration of symptoms, location of pain, any noticeable changes in teeth or gums, and previous dental history.
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