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Before we begin, tell us a bit about yourself
Question 1 of 15
Are you missing one or more teeth, or have you been told a tooth needs to be extracted?
Question 2 of 15
Do you currently have a gap, denture, or bridge that you're unhappy with?
Question 3 of 15
Does your missing tooth affect your ability to eat or chew comfortably?
Question 4 of 15
Do you feel self-conscious about your smile because of a missing tooth?
Question 5 of 15
Have you been thinking about replacing your missing tooth for more than 3 months?
Question 6 of 15
Are you a non-smoker, or would you be willing to quit during the healing period?
Question 7 of 15
Do you see a dentist for regular check-ups at least once a year?
Question 8 of 15
Are you in generally good health with no uncontrolled conditions (e.g. diabetes)?
Question 9 of 15
Do you brush and floss daily?
Question 10 of 15
Are you over 18 years of age?
Question 11 of 15
Which best describes your current situation?
Question 12 of 15
What would replacing your missing tooth mean to you in the next 90 days?
Question 13 of 15
What has stopped you from getting an implant until now?
Question 14 of 15
How would you like to move forward?
Question 15 of 15
Is there anything else you'd like us to know?
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Compass Dental Care · 102/12 Salonika St, Parap NT 0820
