Thousand Oaks Smile Check up

The following Smile Check up is for your convenience, should you have interest in improving the appearance of your smile. Most people are unaware of the many innovations available in cosmetic dentistry today…from professional teeth whitening to the instant glamour of veneers. A Clinical Instructor in Restorative Dentistry at the acclaimed Clifton Institute, Dr. Burton is well qualified to suggest available options.

Trouble-free and affordable cosmetic dentistry can make a difference in one's life, business and social. More and more people are taking advantage of these amazing options. Cosmetic dentistry used to be for celebrities only... not anymorel

Fill out the Smile Check up form below by checking all that apply.

Please note that all fields followed by an asterisk must be filled in.
How do you want to be addressed?
First Name*
Last Name*
E-mail Address*
City
State
Zip Code
Phone Number
Please check appropriate boxes:
I wish the color of my teeth were whiter.
I think some of my teeth are too small.
I think some of my teeth are too large.
I wish my teeth were straighter.
I think my gums show too much when I smile.
I think there is too much space between some of my teeth.
My concern for how the end result would appear has kept me from having cosmetic procedures done.
My concern about the cost of cosmetic treatment has kept me from having cosmetic procedures done.
I would like to learn more about the options available for enhancing my smile.
I sometimes hesitate to smile because:
Additional Comments or Concerns

If any of these are your thoughts or concerns, and you would like to discuss options, please e-mail or call us at 877-SMILE-06 (1-877-764-5306).

Schedule a Free Consultation at our Thousand Oaks office

Thank you for considering the Conejo Valley Dental Institute. We will be getting back to you with the results of your Smile Check Up. It is our goal to exceed your expectations for dental care and comfort...always.

The perfect smile awaits you!



 

Schedule a Free Consultation at our Thousand Oaks office
Thousand Oaks Smile Makeover at Conejo Valley Dental Institute
   
  Beautiful Smile Beautiful Smile