Smile Analysis

Your smile affects your self-image, and can greatly influence the quality of your interactions with others. Many people hold back from laughing or smiling because they are uncomfortable with their smile. The following questions are designed to honestly appraise your smile. Grab a mirror, smile as wide as you can, and reply to the following questions:

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

Yes No

Would you like your teeth to be whiter?

Yes No

Do you have any gaps or spaces between your teeth?

Yes No

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

Yes No

Are you missing any teeth?

Yes No

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

Yes No

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

Yes No

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

Yes No

Do you have any prior dental work that appears unnatural?

Yes No

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

Yes No

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

Yes No

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

Yes No

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

Yes No

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

Yes No

Are you self-conscious about your teeth or smile?

Yes No

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

Yes No

If you answered YES to ANY of these questions, there are often several alternatives to improve your teeth and smile. To receive a personalized response to your smile analysis, please complete the following form.

You can have the smile you’ve always wanted! To schedule a consultation with the dentist, contact us today and we will be happy to assist you!

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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.

Where to Find Us

Call: (613) 829-4636

3098 Carling Avenue
Ottawa, Ontario K2B 7K2

Email: reception@coliseumdental.ca

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Ottawa Dentist, Dr. Francois Dang is dedicated to cosmetic dentistry such as Exams, Teeth Whitening, Veneers and more. We are looking forward to your visit to our Ottawa, Ontario dental office.

3098 Carling Avenue|
Ottawa, Ontario K2B 7K2