CHECK LIST

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CHECKLIST FOR OSA



    1. Do you snore while sleeping?

      Yes

      No

    2. Do you feeling drowsy during day time even after long hours of sleep?

      Yes

      No

    3. Do you awaken with headaches?

      Yes

      No

    4. Do you clench/grind during night?

      Yes

      No

    5. Do you feel dizzy or faint?

      Yes

      No

    6. Does find breathless after climbing stairs?

      Yes

      No

    7. Is your BMI >28 ?

      Yes

      No




CHECKLIST FOR TMD



1. Do you have clicking/popping sound in your joint?

    Yes

    No

2. Do you have pain/ soreness in and around the joints?

    Yes

    No

3. Do you feel itching/ blockage in the ear

    Yes

    No

4. Do you have ringing/ hissing/buzzing sound in the ear

    Yes

    No

5. Do you have difficulty in chewing?

    Yes

    No

6. Do you have missing teeth?

    Yes

    No

7. Have you had excessive crown/bridge work

    Yes

    No

8. Do you have pain in the neck/shoulder muscles

    Yes

    No

9. Do you chew exclusively on one side

    Yes

    No




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