Dental Implant Questionnaire

Do you have any loose or damaged teeth?

Do you have any missing teeth?

If yes how many?

How long have you had missing teeth?

Have you had dental implants before?

Do you struggle to eat?

Do you avoid smiling?

Do you have difficulties talking?

Do you currently wear dentures?

Do you have a dental bridge?

How healthy are your existing teeth?

Are you interested in one or more dental implants?

Why do you think dental implants is the right treatment for you?

What type of dental implants are you interested in?

Have you had a dental consultation before about your loose or missing teeth?

If so, did you see a dentist or implantologist? And what advice was given?

Would you like to set-up a consultation?

If yes what is your preferred date and time?

Your Details

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