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What is your current dental situation?

1 or 2 missing teeth
3 or more missing teeth
Loose, cracked or broken teeth
Many missing and damaged teeth
Periodontal (gum) disease
None of the above

What dental solutions do you currently have?

Dentures, partial denture, flipper
Bridges
Crowns or caps
Root canals
Dental implant
Veneers
None of the above

What do you hope to gain from dental implants?

Better chewing/eating, talking
Improve health
Feel more confident
Improve appearance
Improve ability to smile
Repair accident or injury
Feel comfortable at upcoming event
Enhance personal relationships
Enhance work/career
Suggested by spouse/family/friend
Recommended by dentist or doctor
Other