Cosmetic Dentistry by Exclusive Smiles – Paul Mandon-Gassman, a cosmetic and restorative dentist, based near Canterbury, Kent.

PLEASE FILL THE SMILE ASSESSMENT ON-LINE FORM AND CLICK ON SEND:

Name:

E-mail:

Phone number:

City:

1: Would you like to feel more confident when you smile? ----------------------------------------------

2: Would you like to have whiter or brighter teeth? --------------------------------------------------------

3: Do you have old or stained fillings that show when you smile? -------------------------------------

4: Do you have silver fillings that you would like replacing with tooth coloured restorations?

5: Do you have any missing teeth that you would like to replace? -------------------------------------

6: Are your teeth awkward to clean? ----------------------------------------------------------------------------

7: Do your gums bleed when you floss or brush them? ---------------------------------------------------

8: Do you have bad breath or get a bad taste in your mouth? -------------------------------------------

9: Do you use a manual toothbrush? ----------------------------------------------------------------------------

10: Do you use an electric toothbrush? ------------------------------------------------------------------------

11: Are you worried about the cost of treatment? ----------------------------------------------------------

11: Would you like to discuss payment options? -----------------------------------------------------------

MAKE AN ENQUIRY - Tel: