Smile Analysis

Call: (801)225-2310

(801)225-2310

(801)225-2310

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Patient Reviews

W. Michael Black, DDS

Creating Beautiful Smiles

(801) 225-2310

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 any gray, black or silver (mercury) fillings in your teeth?

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

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

Testimonials

Dr. Black is the best and so gentle. My family has been visiting him for over 5 years.

Mark D

My wife and I have been patients of Dr. Black's for over three years and have been very satisfied with all our dental work. We highly recommend him and his staff to treat you and your family. We always leave laughing.

Lynn S.

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