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John W. Hart, DDS
Benjamin Relis, DMD
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John W. Hart, DDS
Benjamin Relis, DMD
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Home
About Us
John W. Hart, DDS
Benjamin Relis, DMD
Meet Our Team
Our Office
Our Purpose
Employment Opportunities
Our Services
Virtual Consultation
Home Care Instructions
Same Day Crowns
Dental Implants
Invisalign
3D Dental Imaging
Sleep Apnea Solutions
View all services
Smile Gallery
Reviews
Patient Financing
Contact Us
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Smile Assessment
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Smile Assessment
Invisalign® Smile Assessment
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I'm a
A teen considering Invisalign Teen for yourself?
A adult considering Invisalign for yourself?
Your primary goal for treatment is:
Fixing my overbite/ deep bite
Fixing my underbite
Fixing my open bite
Fixing my cross bite issue
Fixing my overjet issue
Fixing a spacing issue
Fixing a crowding issue
Generally straighter teeth
How do you feel about the spacing of your teeth?
Widely spaced with gaps
More tightly crowded
Tell us about your dental history - do you have or have you had any of the following?
I still have baby teeth
I had braces
I had teeth pulled (e.g., wisdom teeth)
I currently have missing teeth/gaps
I currently have false teeth
I currently have a bridge, fillings and/or crowns
I currently have braces
I had cosmetic work done (veneers, implants, etc.)
Acute periodontal disease
None of the above
When it comes to straightening your teeth, which of the following is most important to you?
Maintaining a healthy mouth and teeth during treatment
Minimal impact on my schedule with a low number of dental visits
Continuing to eat whatever I want
Having minimal mouth and gum irritation
Straightening my teeth without anyone noticing
Do you have orthodontic insurance and/or access to Flexible Spending Account (FSA)?
Yes, I have dental/orthodontic insurance and an FSA
I don’t know
Yes, I have an FSA
I don’t have either
Yes, I have dental/orthodontic insurance
How much research have you done?
I’ve talked to a dentist/orthodontist about Invisalign, but I haven’t been evaluated yet
I’ve made an appointment for an Invisalign consultation with a dentist/orthodontist
I’ve just started my research
I’d like to set up an appointment with an Invisalign Provider
If Invisalign is the right choice for me, I intent to start treatment:
Immediately
In 1 to 3 months
In 4 to 6 months
In 7 to 9 months
In 10 to 12 months
Sometime next year
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