Are the teeth crowded, or is there a lack of space between teeth?

Yes

No

Is there frequent breathing through the mouth during the day or while asleep?

Yes

No

Is there frequent tossing, turning, or restless movement during sleep?

Yes

No

Is there significant daytime fatigue or difficulty concentrating?

Yes

No

Are the edges of the teeth worn down, flat, or chipped?

Yes

No

Is snoring or heavy breathing present during sleep?

Yes

No

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