6. What would you like to change about your smile?

 

For the Objective Analysis, the best thing is for you to stand in front of a mirror mounted on a wall. Now, smile at yourself using ‘normal’ smile. Next, look at the mirror and think of hilarious moment in your life and give a big, laughing smile. The big smile is probably a much larger smile than you feel comfortable using much of the time you are not happy with your teeth.

When your smile is improved, however, you big smile appears much more spontaneously because you look (and feel) great! SO let us figure out what is holding you big smile back – what is it that bothers you about your teeth?

7. Are all of your teeth brilliant white or are they somewhat yellow, dark, or stained?	Yes No
8. Are there spaces between any of your teeth?	Yes No
9. Are you missing any of your teeth?	Yes No
10. Do you have teeth that are crooked, uneven, or out of line?	Yes No
11. Do the biting edges of your upper teeth follow the curvature of your upper lip?	Yes No
12. Do any of your teeth appear short and fat or too small or too large?	Yes No
13. Do your teeth (as a group) slant one way or another?	Yes No
14. Is the midline of your two front teeth centered with your face and nose?	Yes No
15. Do you grind you teeth or are any of the biting edges on your teeth chipped or worn down?	Yes No
16. Have your gums receded or do they appear red or puffy?	Yes No
17. Do you have any grey, black or silver (mercury) dental fillings in your teeth?	Yes No
18. Do you have any old crowns that have dark edges at the top or that do not really look natural?	Yes No

To download a printable version of this form, please click here & complete at your leisure before your next visit to CDC.