A Parent's Guide to Orthodontic Treatment: Understanding Preventive, Interceptive, and Comprehensive Care by Dr.Sneha Poeghal - HTML preview

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Chapter 27: Parent Worksheets and Checklists

The following pages are designed to be used directly at appointments or copied into your own notes — feel free to adapt them to your family's needs.

Worksheet 1: First Evaluation Prep Checklist

• Write down any habits you've noticed (thumb-sucking, mouth breathing, snoring, grinding).
• Note any family history of jaw or bite issues (yours, your partner's, siblings').
• List any current medications or medical conditions to mention.
• Bring a list of your top three questions so you don't forget them in the moment.

Worksheet 2: Appliance Wear-Time Tracker (Weekly)

Day

Hours Worn

Any Issues Noted

Monday

 

 

Tuesday

 

 

Wednesday

 

 

Thursday

 

 

Friday

 

 

Saturday

 

 

Sunday

 

 

Worksheet 3: Questions to Bring to the Next Visit

• _________________________________________________
• _________________________________________________
• _________________________________________________

Worksheet 4: Emergency Quick Reference

• Clinic phone number: ______________________
• After-hours contact (if any): ______________________
• Orthodontic wax location at home: ______________________
• Nearest pharmacy for pain relief, if needed: ______________________

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