First consultation

Survey:

Tooth shape:

Too shortToo wideToo narrowFrated

Teeth color:

Too darkThere is discoloration or other defects on the tooth surfaceUnsightly fillings/prosthetic works

Teeth setting:

Crowding/Improper overlappingGaps between teeth

Have you ever whitened your teeth?

YesNo

Are your teeth sensitive when eating hot or cold food?

So very oftenYes, occasionallyNoI don't know / It's hard to say

Do you have bleeding/painful gums?

Yes, every time I brush my teethYes, occasionallyNoI don't know / It's hard to say

Have you undergone orthodontic treatment or bite correction?

YesNo