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econs.questions
econs.images
econs.information
Do you have milk teeth?
Yes
No
Do you have any wobbly teeth?
Yes
No
Where is your fixed retainer ?
On my upper teeth
On my lower teeth
On my upper and lower teeth
Do you have a fixed retainer ?
Yes
No
On which tooth (teeth)? Select the number that corresponds:
13
12
11
21
22
23
43
42
41
31
32
33
Do you have any bridges, implants, crowns or veneers on the 6 front teeth (upper and lower)?
Yes
No
Do you have any inflammation or gum diseases ?
Yes
No
Have you seen a dentist for a dental exam during the last 6 months and been declared healthy?
Yes
No
Do you have a recent panoramic x-ray of your teeth ?
Yes
No
Panoramic X-ray
Pour un meilleur diagnostic téléchargez votre radiographie ici ou prenez la en photo.
Front on smile
Smile widely and make sure your upper and lower teeth touch each other as below.
Smile right side
Capture your profile smile and make sure your upper and lower teeth touch each other. Tip: spread your cheek with one of your fingers.
Smile left side
Capture your profile smile and make sure your upper and lower teeth touch each other. Tip: spread your cheek with one of your fingers.
Open upper smile
Open your mouth widely and capture your upper arch.
Open lower smile
Open your mouth widely and capture your lower arch.
Information
Title
Mr
Mme
Mlle
First Name
Last Name
Date of Birth
Email
Dialing Code
+32
+33
+34
+39
+41
+44
+49
+352
+353
+351
Phone Number
Country
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Belgique
Luxembourg
Irlande
Royaume-Uni
Espagne
Portugal
Italie
Germany
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