Accepting New Patients!
©2004-2010 Joan Werleman, DDS PC
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If you answer "yes" to ANY of the following questions, we can help give you a better, more beautiful smile.
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to learn more about our dental services available to you.
Subjective
Yes
No
1.
Do you ever turn your face when smiling or hold your hand up in front of your mouth when talking to others?
2.
Do you shy away from showing a full smile in front of other people, especially strangers?
3.
When taking pictures, do you tend to smile with your lips closed instead of flashing a happy smile?
4.
Have you ever held back a laugh because you felt uncomfortable about your smile?
5.
Would you like to change your smile?
Objective
6.
Are your teeth somewhat yellow, dark or stained?
7.
Do you have teeth that are crooked, uneven or out of line?
8.
Are the edges of any of your teeth not even with the rest of your teeth or are they too long or too short?
9.
Do you grind your teeth or are any of the biting edges on your teeth chipped or worn down?
10.
Do you have a "gummy" smile -- showing too much gum tissue or having gums that are too thick?
11.
Do you have any gray, black or silver (mercury) dental fillings in your teeth?
12.
Do you have any old crowns that have dark edges at the top or that don't look natural?
Totals
