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)
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Day |
Hours Worn |
Any Issues Noted |
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Monday |
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Tuesday |
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Wednesday |
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Thursday |
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Friday |
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Saturday |
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Sunday |
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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: ______________________
