Consultation Form

Dental Abscess Antibiotics For Tooth Infection

Are you experiencing any pain around the affected tooth or gum?	Yes No
Please provide more information
Which part of the gum/mouth is the suspected infection located? (For example, left upper, right lower , rear or front)
Do you have any episodes of sharp pain with exposure to hot or cold food and drink?	Yes No
Please provide more information
Do you have any diffuse swelling around the affected tooth or gum?	Yes No
Please provide more information
Have you noticed any swollen or tender glands under your jaw or in your neck?	Yes No
Please provide more information
Do you have any new redness on your face?	Yes No
Please provide more information
Do you have a fever or feel feverish?	Yes No
Please provide more information
Do you feel generally unwell?	Yes No
Please provide more information
Are you experiencing bad breath or an unpleasant taste in the mouth?	Yes No
Please provide more information
Have you been treated for a dental infection within the last 6 months?	Yes No
Please provide more information