All-on-4 Consultation Quiz

All-on-4 questionnaire

Take the consultation quiz

This is designed to be quick. Your answers help the office understand your goals before reaching out.

Step 1 of 12

How many teeth are you currently missing?

Choose one answer below.

All

4-5

3 Or Less

Step 2 of 12

What is your age?

Choose one answer below.

60+

50-59

40-49

Under 40

Step 3 of 12

Do you currently have any of these dental solutions?

Choose one answer below.

Denture or Partial Denture

Bridge, Crown

Dental Implant

None of the above

Step 4 of 12

How long have you been missing your teeth? (The longer teeth are missing the more the jaw bone shrinks)

Choose one answer below.

I Still Have Them

1-6 Months

7-12 Months

1+ Years

Step 5 of 12

Are you currently unable to eat certain foods or have to modify the way you chew?

Choose one answer below.

Yes

Step 6 of 12

Are you currently trying to find relief from any kind of pain or discomfort?

Choose one answer below.

Yes

Step 7 of 12

Are you currently experiencing a lack of confidence in social situations or find yourself hiding your smile?

Choose one answer below.

Yes

Step 8 of 12

Have you had a dental implant consultation with another dentist?

Choose one answer below.

Yes

Step 9 of 12

How ready do you feel to do something about your situation?

Choose one answer below.

Somewhat Ready

Very Ready

I Need Something FAST!

Step 10 of 12

Dental Implant procedures are not covered by insurance. However, many affordable payment plans are available. Are you interested in a payment plan option?

Choose one answer below.

Yes. I'm interested in affordable payment plan options

No. I've been saving for this type of procedure and will not need a payment plan

Step 11 of 12

National averages for dental implant procedures can range from $22,000 to $55,000. Payment plans start at $300/mo. Would you like to see if you qualify for payment plans, or still continue without?

Choose one answer below.

Yes, please tell me if I might qualify for a payment plan

No, I don't need a payment plan

Step 12 of 12

Payment plans are available based on credit approval of the patient or a co-signer. Which best describes your credit?

Choose one answer below.

(Poor) Under 660

(Fair) 660-699

(Good) 700-739

(Excellent) 740+

Step 12 of 12

Let's match you to our closest office

Enter your information below so our team can contact you.

Let's match you to our closest office

What is your first name

What is your last name

What is your best email?

What is your best phone number?

This page is for consultation requests only. If you are having a dental emergency, please call the office directly at (704) 246-7677.

Take the consultation quiz

How many teeth are you currently missing?

What is your age?

Do you currently have any of these dental solutions?

How long have you been missing your teeth? (The longer teeth are missing the more the jaw bone shrinks)

Are you currently unable to eat certain foods or have to modify the way you chew?

Are you currently trying to find relief from any kind of pain or discomfort?

Are you currently experiencing a lack of confidence in social situations or find yourself hiding your smile?

Have you had a dental implant consultation with another dentist?

How ready do you feel to do something about your situation?

Dental Implant procedures are not covered by insurance. However, many affordable payment plans are available. Are you interested in a payment plan option?

National averages for dental implant procedures can range from $22,000 to $55,000. Payment plans start at $300/mo. Would you like to see if you qualify for payment plans, or still continue without?

Payment plans are available based on credit approval of the patient or a co-signer. Which best describes your credit?

Let's match you to our closest office

Hours