Patient form
Patient Evaluation Form
Five Questions to Bring to Your Dentist
Dental decisions are easier when you know what question you are really asking. This form gives you five simple questions to bring to your dentist. Each one connects to the Keep Your Teeth Framework: Structure, Force, Time, Stability, and Timing.
1. How much healthy tooth is actually left?
Why to ask: This helps you understand the Structure lens, because the amount of remaining tooth affects whether a filling, crown, or other treatment is likely to hold up.
2. Is my bite creating extra risk on this tooth?
Why to ask: This helps you understand the Force lens, because grinding, clenching, or heavy bite pressure can make a weakened tooth less stable over time.
3. Is this tooth stable, or is it getting worse?
Why to ask: This helps you understand the Time lens, because a tooth that has not changed for years is different from one that is actively cracking, leaking, or becoming more sensitive.
4. How is this option expected to hold up over the next 5 to 10 years?
Why to ask: This helps you understand the Stability lens, because a good dental decision should consider long-term tooth stability, not just today's repair.
5. What happens if we watch it compared with treating it now?
Why to ask: This helps you understand the dental threshold, because the right timing depends on whether monitoring preserves options or waiting makes the next step harder.