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VIRTUAL CONSULT

How A Virtual Consult Works:


1) Let us know the treatment you are interested in along with your questions and concerns.

2) Send us a selfie of your smile and/or teeth  HERE  

2) Fill out the questionnaire below. 

3) We will send you a customized response addressing your questions, concerns, and recommendations. 

4) After reviewing our response, you can schedule an in-person visit with us. 

  Are any of your teeth yellow, stained or somewhat discolored?      
  Would you like your teeth to be whiter?      
  Do you have any gaps or spaces between your teeth?      
  Are you missing any teeth?      
  Do you see any pitting or defects on the surfaces of your teeth?      
  Are the edges of any teeth worn down, chipped or uneven?      
  Do any of your teeth appear too small, short, large or long?      
  Do you have a "gummy" smile (too much of your gums show when smiling)?      
  Are your gums red, sore, puffy, bleeding or receded?      
  Do you have problem with sleep or snoring?      
  Are any of your teeth turned, crooked, or uneven?      
  Have you had previous orthodontic treatment or braces?      
  Does your jaw pop,lock, click or make noises?      
  Do you have headaches, migraines, or facial pain?      
  Do you have any crowns or bridges that appear dark at the edge of your gums?      
  Would you like to change anything about the appearance of your teeth or smile?      

For In-Office Consultation please call (808)988-6919 or  contact us 




Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

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