SMILE ANALYSIS

 

 

When I see a picture of myself, the first thing I notice about my smile is____________________________________________________________________________.

 

 

Something I often notice about other smiles I consider attractive is____________________________________________________________________________.

 

 

Please mark an X by any statement you agree with.

 

_____I wish the color of my teeth were whiter.

 

_____I wish I had a broader smile.

 

_____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 my smile shows too much space between some of my teeth.

 

_____Because I am not totally pleased with my smile, I sometimes hesitate to            

             smile.

 

_____I have often wished I could change some of the features of my smile.

 

_____I feel as though I don’t really know all of the options available for

            enhancing my smile.

 

_____Concerns over what the end result might look like, have been a factor 

             in my not having aesthetic dentistry in my own mouth.

 

_____Concerns over fees have prevented me from taking advantage of some

             of the available options to enhance my smile.

 

 _____I feel as though I could do a better job protecting the health of my

             teeth and gums, and therefore, the longevity of my own smile. J

 

 

 

 

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