Discover Your Dental Implant Eligibility

Dive into our quick and interactive questionnaire, tailored to guide you towards the best dental solution. Your path to a brighter smile starts here!

Name(Required)

First Last

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Phone(Required)

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How many teeth do you have that are missing or broken?(Required)

3 or less

4-5

6+

All

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Age?(Required)

Less than 40

40-49

50-59

60+

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Which dental solutions are you currently using?(Required)

Bridge or Crowns

Dental Implant

Dentures or Partial Dentures

None of the above

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How many years have you had missing teeth?(Required)

1-6 months

6-12 months

1+ years

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Do you face challenges eating certain foods or need to adjust how you chew?(Required)

Yes

No

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Are you seeking relief from any dental pain or discomfort?(Required)

Yes

No

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Have you previously consulted another dentist about dental implants?(Required)

Yes

No

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Dental implant procedures aren't typically covered by insurance. Would you be interested in exploring affordable payment plans?(Required)

Yes

No

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Preferred Location(Required)

Flushing, New York

Bayside, New York

Manhattan, New York

Dallas, Texas

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