 |
1. Are
there spaces between your teeth? |
| |
|
 |
2. Are your teeth dull, dark, or stained? |
| |
|
 |
3. Are
they crooked, misshapen, or out of line? |
| |
|
 |
4. Do
you show too much gum tissue? |
| |
|
 |
5. Are
your gums irregularly shaped, higher on some teeth, lower
on others? |
| |
|
 |
6. Are
your teeth too small? |
| |
|
 |
7. Are
the edges of your teeth too long? |
| |
|
 |
8. Do
your teeth slant inward? |
| |
|
 |
9. Is
the midline of your two front teeth centered with your
face and nose? |
| |
|
 |
10. Are
the edges of your canines too pointy? |
| |
|
 |
11. Are
the biting edges worn down? |
| |
|
 |
12. Are
any of your teeth missing? |
| |
|
 |
13.
Have your gums receded? |
| |
|
 |
14. Are
any ugly dental fillings showing? |
| |
|
 |
15. Do
any old or recently crowned teeth not match your natural
teeth? |
| |
|
 |
16.
Have any of your teeth turned dark from root canal
treatment? |
| |
|
 |
17. Are
any of your teeth damaged by stomach acid erosion? |
| |
|
 |
18. Do
your front teeth flare outward? |
| |
|
 |
19. Do
you have advanced dental decay? |
| |
|
 |
20. Do
you have old bonding restorations that need replacement? |
| |
|
 |
21. Do
you have over retained baby teeth? |
| |
|
 |
22. Do
you have white spots (hypocalcifications) on your teeth? |
| |
|
 |
23. Do
your front teeth overlap each other? |
| |
|
 |
24. Do
you have an underbite? |
| |
|
 |
25. Do
your teeth show signs of tooth brush abrasion? |
| |
|
 |
26. Are
any edges of your teeth chipped or worn? |
| |
|
 |
27. Do
you have mottled enamel? |
| |
|
 |
28. Are
any of your teeth congenitally missing? |
| |
|
 |
29. Are
the incisal edges of your front teeth very thin? |
| |
|
 |
30.
Would you like to replace old dark amalgam fillings with
natural tooth colored restorations? |
| |
|