Since periodontal disease is produced by a combination of many complex elements, it is necessary to resolve every possible contributing factor. The success of therapy is most dependent upon this. Though some of the following questions may seem unrelated to your gum condition, they are associated with proper management of your oral health. Your answers are for our records only and will be considered confidential.
5. Are you allergic to any of the following?
7. Indicate which of the following you have had or have at the present:
9. In order to prevent complications associated with heart disease, heart murmur, artificial heart valves or artificial joint replacement. it is often necessary to take antibiotics prior to any dental appointment. Please contact your physician or our office before your first appointment if you have any questions regarding premedication.