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Check any of the boxes that apply to you: Previous Orthodontic TreatmentGums bleeding when brush or flossPrevious Periodontal Treatment (Deep Cleanings)Loose or Missing TeethSmoke/use tobaccoGrind teethComplications following dental workDry mouth
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Previous Orthodontic TreatmentGums bleeding when brush or flossPrevious Periodontal Treatment (Deep Cleanings)Loose or Missing TeethSmoke/use tobaccoGrind teethComplications following dental workDry mouth
