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Online consultation
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1
Choose the service
2
Step 1
3
Step 2
4
Step 3
bracket or implant
Brackets/OLA
Dental implants
Dental veneers
Implant or permanent denture
*
Missing from 1 to 5 teeth
All-On-4, All-On-6
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Are you currently wearing a dental prosthesis?
*
Yes
No
How many dental facets (veneers) do you need?
*
4
6
8
Choose 1 image that represents your dental situation
*
An upper or front tooth
Space between teeth
Reverse bite
Open bite
Deep bite
Dental crowding
What problem do you have?
*
Cracked teeth
Small teeth
Abrasion teeth
Discolored teeth
Pigmented teeth
How long have you had a dental prosthesis or been dealing with your current oral condition?
*
1-5 years
5-10 years
10-15 years
15-20 years
20+ years
How many upper teeth do you still have?
*
1-4
4-8
More than 8
How many missing teeth do you have?
*
1
2
3
More than 3
Have you previously consulted a dentist?
*
Yes, recently
Yes, some time longer
No
For which age category is the treatment intended?
*
Child (6-10 years)
Adolescent (11-18 years)
Adult
Have you been to the orthodontist before?
*
Yes
No
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Have you received a treatment plan from another dentist or clinic?
*
Yes
No
Have you been told that you have to extract your teeth?
*
Yes
No
Have you searched for fixed dental prostheses online?
*
Yes
No
Have you been told that you have to extract your teeth?
*
Yes
No
Have you used dental or deck prostheses before the implant?
*
Yes
No
Have you been told in the past that you are not the right candidate for dental implants?
*
Yes
No
Which treatment method do you opt for?
*
Orthodontic plates for children
Brackets
No brackets (alignments)
I'm not sure, I want a consultation
If you are eligible for treatment, how soon would you like to start treatment?
*
ASAP
In a month or two
I'm not sure, it depends on the price of the treatment
When were you the last time at the dentist?
*
1 month ago
6 months ago
1 year ago
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Phone
*
Email
Additional message If you want to provide more details?
TOS
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