Do you have a grating,
clicking, cracking or popping sound in either or both jaw
joints when you chew?
Do you have sensations
of stuffiness, pressure or blockage in your ears? Is
there excessive wax production?
Do you ever have a
ringing, roaring, hissing or buzzing sound in your ears?
Do you ever feel dizzy
Is your jaw painful or
locked when you get up in the morning?
Are you ever nauseous
for no apparent reason?
Do you fatigue easily
or consider yourself chronically fatigued?
Are there imprints of
your teeth on the side of your tongue?
Does your tongue go
between your front teeth when you swallow?
Do your fingers
sometimes go numb?
Do you have pain or
soreness in any of the following areas: jaw joints,
upper jaw or teeth, lower jaw or teeth, side of neck, back
of head, forehead, behind eyes, temples, tongue or chewing
Is it hard to move your
jaw from side to side or forward and backward?
Do you have difficulty
in chewing your food?
Do you have any missing
Have you had extensive
dental crowns of bridgework?
Do you clench your
teeth during the day?
Do you grind your teeth
Do you awaken with a
Have you ever had
Have you ever worn a
cervical collar or had neck traction?
Have you ever
experienced a blow to the chin, face or head?
Have you reached the
point where prescription drugs no longer relieve your
Does chewing gum start
Is it painful, or is
there soreness, when you press on your jaw joints or on the
cheek just below them?
Is it painful to stick
your little finger into your ears with your mouth open wide
and then close your mouth while pressing forward with those
Does your jaw deviate
to the left or right when you open wide? (check in a mirror)
Are you unable to
insert your first three fingers vertically into your mouth
when it is opened wide?