Topeka, Kansas | Implant Survey

Are Dental Implants Right for You?

Which best describes your dental condition?

Missing 1 Tooth

Missing Multiple Teeth

My Dentures Don’t Fit

Most Of My Teeth Are In Pretty Bad Shape

How long have you been missing teeth?

I still have all of my teeth

Less than 1 Year

1-5 Years

5+ Years

What dental treatments have you tried?

Crown or Bridge

Partial Denture or Denture

Dental Implant(s)

None of the above

Does the current condition of your teeth affect any of the following? (check all that apply)

Personal Life

Professional Life

Enjoyment of Food

Physical Comfort

Physical Health

Oral Health

Smile/Appearance

Self Confidence

Which of the following has been the main cause for not getting your teeth fixed?

Cost of the dental procedure

Fear of the dental procedure

Time involved with the dental procedure

Nothing! I am ready now

The national average for a single tooth implant is $4,000 and full arch dental implants average $22,000 to $55,000 (or as low as $300/mth with approved financing).

Will you be interested in payment plan options?

No, I will pay out of pocket.

Yes, I am interested in affordable payment plan options.

Payment Plans Are Available Based On Credit Approval Of The Patient Or A Co-Signer. Which Best Describes Your Credit?

(Poor) Under 580

(Fair) 580-650

(Good) 650-720

(Excellent) 720+

Do You Have Someone With Good Credit History Who Could Co-Sign With You?

Yes

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

Very ready!

Somewhat ready (within 1-3 months)

Not sure yet

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