(780) 413.6126

Smile Analysis

Your smile affects your self-image, and can greatly influence the quality of your interactions with others. Many people hold back from laughing or smiling because they are uncomfortable with their smile. The following questions are designed to honestly appraise your smile. Go to a mirror, smile as wide as you can, and ask yourself the following questions:

	Have you found yourself avoiding certain foods?		Yes No
	Do you experience pain in your jaw?		Yes No
	Has your appearance changed such as more wrinkles around your mouth, or your chin moving closer to your nose?		Yes No
	When you press on different points of your denture does it rock?		Yes No
	Do your dentures make your mouth sore?		Yes No
	Is there any discoloration of the pink denture acrylic or teeth?		Yes No
	Have cracks formed behind the teeth or in other areas of the denture?		Yes No
	Do you need to use poly grip to hold your dentures in?		Yes No
	Do you hold back now and again showing your true smile?		Yes No
	Are your dentures older than five years old?		Yes No
	Have you lost any teeth since the denture has been made?		Yes No
	Are your gums red, sore, puffy, bleeding or receded?		Yes No
	Does the appearance of your smile inhibit you from laughing or smiling?		Yes No
	Are you missing any teeth?		Yes No
	When being photographed, do you smile with your lips closed instead of flashing a full smile?		Yes No
	Are you self-conscious about your teeth or smile?		Yes No
	Would you like to change anything about the appearance of your teeth or smile?		Yes No
	Do any of your teeth appear too small, short, large or long?		Yes No
	Are your dentures loose with a lot of food collecting under them?		Yes No

If you answered YES to ANY of these questions, there are often several alternatives to improve your teeth and smile. To receive a personalized response to your smile analysis, please complete the following form.

You can have the smile you’ve always wanted! To schedule a FREE, no obligation office consultation, contact us today to schedule an appointment.

*


Name Required. Email or Phone Required Invalid Email Address

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.