Invisalign with Dental Holistix

Invisalign with Dental Holistix

Please fill in this form and answer the questions to see if you're a good candidate for Invisalign treatment.
Your Name*

First NameLast Name
Email*
example@example.com
Your phone number (please include area code if not a cellphone)*
City*
Are you experiencing any of the following? Please tick as many as are relevant.*

PainCavitiesBleeding gumsLoose teethBad breathNo, I am not experiencing any of these issues

Based on your responses, you do not meet the requirements for Invisalign Clear Aligners just yet. If you'd like to get your mouth back in shape & ready for Invisalign Clear Aligners, the first step is to book in for a comprehensive dental exam (the cost for this is $132). From there, we'll create a personalised treatment plan to suit your needs. This may consist of a range of dental treatments and hygiene treatments to get your mouth healthy. The cost for a single hygiene treatment is between $215-$248. Once your teeth and gums are healthy, we can then consider Invisalign Clear Aligners & book you in for your free consultation.

If you require emergency dental care, please give the clinic a call on 07 858 0750
Yes, I'd like to book in for a comprehensive dentistry consult.

What are your main concerns? (Please select as many as applicable)

Crooked TeethOverbite (when the upper teeth close too far in front of the bottom teeth)Underbite (when bottom teeth are in front of upper teeth)Crossbite (when some upper teeth sit inside lower teeth rather than outside)Open Bite (when upper and lower teeth don’t meet)Crowded Teeth

Thank you for completing our form. If you'd like to submit your form & have one of our staff call you to book you in for an appointment, please provide us with a suitable time to call and then click on "submit".
What's the best day and time to call you?
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