Drone Dentistry



My ConcernsUnderstanding how you feel about dental treatment and visiting the dentist in general helps us to create the best possible experience for you. Please check any of your concerns.Name ______________________________________Date_________________ Sound or vibration of dental instruments. Not being numb enough. Feeling numb. Injection, needles ("Novocain"). Probing/Poking instruments. The sound or feel of scraping during teeth cleaning. Gagging, for example during impressions of the mouth. X-rays. The feeling of my teeth being polished. Sounds in the office. Jaw fatigue or locking up. Teeth sensitivity to cold air/water. Not knowing what’s going on during procedure. Root canal treatment. Extraction/pulling teeth. Having a panic attack. Not being able to stop the dentist if I feel pain or anxiety. Not feeling free to ask questions. Not being listened to or taken seriously. Being criticized, put down, or lectured. The smell of the dental office or products used. I am worried that I may need a lot of dental treatment. I am worried about the cost of the dental treatment I may need. I am worried about the number of appointments I may need. I am worried about finding transportation or childcare for my appointment. I am worried about being late to my appointments. Being judged by the dental staff. Being overwhelmed and not being able to complete my treatment plan. I am embarrassed about the condition of my mouth. I don't like feeling confined or out of control. If you have any additional concerns or questions, please describe them below:__________________________________________________________________________________________________________________________________________________________________________________Lastly, if you could change your teeth in any way, what would you change? _________________________ _________________________________________________________________________________________Michael Drone Dentistry and Prosthodontics ................
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