Ballantyne Family Dental - Smile Analysis Quiz

Are any of your teeth yellow, stained, or discolored?*

YesNo

Would you like your teeth to be whiter?*

YesNo

Are any of your teeth turned, crooked, or uneven?*

YesNo

Are you missing any teeth?*

YesNo

Do you see any pitting or defects on the surfaces of your teeth?*

YesNo

Are the edges of any teeth worn down, chipped, or uneven?*

YesNo

Do any of your teeth appear too small, short, large, or long?*

YesNo

Do you have any prior dental work that looks unnatural?*

YesNo

Do you have any crowns or bridges that look dark at the edges of your gums?*

YesNo

Do you have any gray, black, or silver fillings in your teeth?*

YesNo

Do you have a gummy smile where too much of your gums show when you smile?*

YesNo

Are your gums red, sore, puffy, bleeding, or receding?*

YesNo

Does the way your smile looks ever make you hesitant to laugh or smile?*

YesNo

When you take photos, do you smile with your lips closed instead of showing your teeth?*

YesNo

Are you self-conscious about your teeth or smile?*

YesNo

Would you like to change anything about the way your smile looks?*

YesNo

Schedule Your Consultation

If you answered yes to any of these questions, there are plenty of ways to improve your smile and boost your confidence. Just fill out the form below, and we’ll send you a personalized response based on your results.

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

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Notes for the Doctor