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A SMILE BY DESIGN DR. DANIELLA PHILLIPS, D.M.D. Specialist in Orthodontics PATIENT INFORMATION CHILD PATIENT Name: Last First Nickname: Rebirth date: / / Females: Home Address: City, State, Zip: Home
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How to fill out a smile by design

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Begin by selecting a professional dental clinic that offers smile design services.
02
Schedule an initial consultation with a dentist who specializes in smile design.
03
Discuss your concerns and goals for your smile, and provide any relevant dental history.
04
The dentist will conduct a thorough examination of your teeth and evaluate your facial features.
05
Based on the examination results, the dentist will create a personalized treatment plan for your smile design.
06
The treatment plan may include various procedures such as teeth whitening, dental veneers, orthodontic treatment, or gum reshaping.
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Follow the dentist's instructions for each step of the treatment plan and attend regular check-ups.
08
After the completion of the smile design procedures, maintain good oral hygiene practices to keep your smile healthy and vibrant.
09
Enjoy your new smile and the boost in confidence it brings!

Who needs a smile by design?

01
Smile design is beneficial for anyone who wants to improve the appearance of their smile.
02
It is especially helpful for individuals with cosmetic dental concerns such as discolored teeth, chipped or misaligned teeth, or uneven gum line.
03
People who want to enhance their self-confidence and overall aesthetics of their smile can benefit from smile design.
04
It is recommended for those who want to achieve a more harmonious and pleasing smile that complements their facial features.
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A smile by design typically refers to a strategic approach in dental aesthetics that aims to enhance an individual's smile through various cosmetic procedures or treatments tailored to their specific needs.
Individuals or dental professionals involved in implementing major cosmetic changes to a patient's smile are required to file a smile by design.
To fill out a smile by design, one must provide detailed information about the patient's dental history, aesthetic goals, proposed treatments, and any relevant diagnostic records.
The purpose of a smile by design is to create a customized plan that addresses the patient's cosmetic desires while ensuring functional and health considerations in dental care.
A smile by design must report information including patient demographics, specific aesthetic objectives, treatment modalities, expected outcomes, and any applicable consent forms.
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