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Dental Office of Cosmetic Dentist in San Francisco
San Francisco Dental Office Esthetic Dentist
Dr. Jorg-Peter Rabanus DDS San Francisco, Email
Email Dr. Jorg-Peter Rabanus San Francisco
Dr. Jorg-Peter Rabanus DDS San Francisco, Phone
Call Dr. Jorg-Peter Rabanus San Francisco
415-999-6194
Your Smile Analysis
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Your Smile Analysis
Please look into the mirror and evaluate your smile
How many teeth do you show with your best smile?
My teeth seem too dark
Yes
No
How would you describe their color and shade?
- None -
very white
moderate - white
light - yellow
moderate - yellow
dark - yellow
light - brown
dark - brown
moderate - grey
dark grey
How are color and shade distributed?
Even
Even
Do you have white or discolored spots on your teeth?
Yes
No
Do you see any pitting or defects on the surface of your teeth?
Yes
No
Do your front teeth have any visible fillings and/or crowns?
Yes
No
Are your teeth crowded?
Yes
No
Do you have spaces between your teeth?
Yes
No
How many?
Section 1
- None -
Long
Short
Normal
Section 2
- None -
Narrow
Wide
Normal
Section 3
- None -
Large
Small
Normal
Section 4
- None -
Square
Round
Tapered
Section 5
- None -
Irregular
Regula
I see significant differences between neighboring teeth.
Yes
No
I show my gums when I smile.
Yes
No
I like the amount of gums that I show.
Yes
No
How would you describe your lips?
Very full
Full
Normal
Narrow
Is there anything you would like to mention about your smile? How did you find us?
I want to stay current on all latest advances in smile improvement technology, so please send me more information
Yes
No
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