Free Smile Analysis

Are any of your teeth yellow, stained or somewhat discolored?

Yes

Would you like your teeth to be whiter?

Yes

Do you have any gaps or spaces between your teeth?

Yes

Are any of your teeth turned, crooked, or uneven?

Yes

Are you missing any teeth?

Yes

Do you see any pitting or defects on the surfaces of your teeth?

Yes

Are the edges of any teeth worn down, chipped or uneven?

Yes

Do any of your teeth appear too small, short, large or long?

Yes

Do you have any prior dental work that appears unnatural?

Yes

Do you have any crowns or bridges that appear dark at the edge of your gums?

Yes

Do you have any gray, black or silver (mercury) fillings in your teeth?

Yes

Do you have a “gummy” smile (too much of your gums show when smiling)?

Yes

Are your gums red, sore, puffy, bleeding or receded?

Yes

Does the appearance of your smile inhibit you from laughing or smiling?

Yes

When being photographed, do you smile with your lips closed instead of flashing a full smile?

Yes

Are you self-conscious about your teeth or smile?

Yes

Would you like to change anything about the appearance of your teeth or smile?

Yes

If you answered YES to ANY of the questions above, there are often several alternatives to improve your teeth and smile. Submit the form to our team by filling in the contact form below. We will contact you within 48 hours with a thorough response.

To schedule a FREE, no obligation office consultation, contact us to schedule an appointment.

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

5775 Yonge St Suite #1000, Floor 10 Toronto, ON

drklaiman.office@gmail.com

(289) 815-5385

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