Are you currently under medical treatment? *
Do you have any medical condition? *
Have you ever had surgery? *
Do you have any allergy to medication? *
Are you currently taking any medication? *
Have you ever had problems with anaesthesia? *
Gum bleeding? *
Tooth sensitivity? *
Have you had toothache recently? *
Do you smoke? *
Do you consume alcohol? *
Do you grind or clench your teeth? *
Are you pregnant?
Are you breastfeeding?
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