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VERY: 02/2014PATIENT SMILE EVALUATION Patient Name: Date: To aid in our diagnosis and treatment of your esthetic concerns, please take a moment and answer the following questions. Please circle your

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How to fill out patient smile evaluation

01

To fill out the patient smile evaluation, follow these steps:

02

Begin by asking the patient to rate their satisfaction with their current smile on a scale of 1 to 10, with 1 being very unsatisfied and 10 being very satisfied.

03

Ask the patient to describe any specific concerns or issues they have with their smile, such as tooth discoloration, misalignment, or missing teeth.

04

Inquire about the patient's desired outcome for their smile enhancement. Ask them what changes they would like to see and how they envision their improved smile.

05

Evaluate the patient's oral health by examining their teeth, gums, and bite. Take note of any existing dental problems that may impact the smile evaluation.

06

Discuss potential treatment options with the patient, taking into consideration their concerns, desired outcome, and overall oral health.

07

Provide the patient with a detailed treatment plan that outlines the recommended procedures, associated costs, and expected timeline.

08

Address any questions or concerns the patient may have regarding the treatment plan or the smile evaluation process.

09

Finally, ask the patient to provide their feedback and any additional comments they may have about the smile evaluation experience.

Who needs patient smile evaluation?

01

Patient smile evaluation is beneficial for individuals who are seeking to improve the appearance of their smile or address specific concerns related to their teeth or gums.

02

It can be recommended for those with dental issues such as tooth discoloration, misalignment, crooked teeth, missing teeth, or bite problems.

03

Additionally, individuals who are considering cosmetic dentistry procedures like teeth whitening, dental veneers, orthodontic treatment, or dental implants may need a patient smile evaluation to determine the most suitable treatment options.

04

In general, anyone who wants to achieve a more confident and aesthetically pleasing smile can benefit from a patient smile evaluation.

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What is patient smile evaluation?

Patient smile evaluation is a method used to assess and record a patient's smile, including factors such as tooth alignment, color, and overall aesthetics.

Who is required to file patient smile evaluation?

Dentists or orthodontists are required to file patient smile evaluations for their patients.

How to fill out patient smile evaluation?

Patient smile evaluations can be filled out by recording observations on a form or entering information into a digital system.

What is the purpose of patient smile evaluation?

The purpose of patient smile evaluation is to track changes in a patient's smile over time, assess treatment progress, and identify areas for improvement.

What information must be reported on patient smile evaluation?

Patient smile evaluations typically include details about tooth alignment, color, gum health, and any corrective treatments being used.

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