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Dental Consent Solutions

Dental Emergency Triage

Professional dental assessment tool by SmileConsent

Professional guidance for dental teams - No registration required

Patient Assessment Form

Please provide details about your dental symptoms for accurate triage assessment.

Professional Information

Your details for the assessment report

Primary Symptoms

Tell us about your main concern

😊 0 - No pain😐 5 - ModerateðŸ˜Ŧ 10 - Severe

Pain Details

When and where is the pain occurring?

Additional Symptoms

Tell us about any other symptoms you're experiencing

Additional Questions

Additional questions for accurate triage

Bleeding?
Recent trauma?
Previous episodes?

Advanced Symptoms (Optional)

Is the pain triggered by cold?
Is there heat sensitivity?
Is there pain on biting?
Had a tooth extracted recently?
Is the pulp (nerve) visibly exposed?
Is the tooth tender to biting or tapping?
Soft tissue trauma (cut, laceration)?
Is your orthodontic appliance poking into your mouth?
Jaw muscle pain or clenching?
Do you clench your jaw?
Is the pain electric-shock-like or triggered by touch/wind?

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This tool provides guidance only and does not replace professional dental consultation.