Are Dental Implants Right For You? "*" indicates required fields Step 1 of 10 10% Which best describes your current situation?* I'm missing a SINGLE tooth I'm missing MULTIPLE teeth I have loose or uncomfortable dentures Most of my teeth are damaged or decayed Do you currently have any of these dental solutions?* I have a denture or partial denture I have a bridge or crown I have a dental implant None of the above How long have you been missing teeth?* I still have all my teeth 6 months More than 1 year More than 5 years Do you have trouble chewing certain foods?* Yes No Are you currently having pain or discomfort?* Yes No Do you lack confidence in your smile?* Yes No Are you interested in financing options?* Yes, I need financing options No, I don't need a payment plan How ready are you to restore your smile?* I'm exploring options I'm ready to make a decision I'd like to get started right away! Are you already a New Smiles patient?* Yes No Please let us know how to reach you:Your Name Full Name Email* Phone*
