Advanced Dental Concepts, P.C.
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Questionnaire
What do you enjoy about your visits with the dentist?
What would you like to change about your smile?
Tell me about your past dental experiences.
How healthy do you feel your mouth is on a scale of 1 - 10? Please tell me more about this. [1 = poor health, 10 = perfect health]
If you could wave a magic wand and change anything about your teeth or smile, what would it be?
In your opinion, why is it important to save your teeth?
What if any concerns do you have regarding the dental experience?
Has dentistry ever been presented to you that you chose not to complete?
Our goal is to provide you with the finest and most state of the art dentistry. In so doing, we hope to keep you as a patient for a lifetime. What would help us accomplish this goal?
What are your long-term goals regarding your dental health? How would you like your teeth to look and feel?
What are your short-term goals?
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