What type of dental treatment are you interested in?

What Best Describes Your Current Condition?

Missing 1 tooth

Missing multiple teeth

All or most of my teeth are missing

I struggle with traditional denutres

I have failing dental work (broken crowns, fillings, etc.)

I need cosmetic changes

Are You Currently Experiencing a Lack of Confidence in Social Situations or Finding Yourself Hiding Your Smile?

Yes

Are You Currently Unable to Eat Certain Foods or Have to Modify the Way You Chew?

Yes

Do You Have Any Of The Following Dental Solutions?

Dental Implants

Denture or Partial

Bridge or Crown

None of the Above

Have You Had a Consultation With Our Office or Another Dental Office in the Past?

Yes, with Texas Sedation Dental

Yes, with Another Office

How Ready Do You Feel to Do Something About Your Situation?

Somewhat

Very Ready

I Want Something NOW

Dental Implant Procedures Are Not Covered by Insurance. However, We Offer Many Affordable Payment Plans. Are You Interested in a Payment Plan Option?

Yes, I’m Interested in Affordable Payment Plan Options

No, I’ve Been Saving for This Type of Procedure and Will Not Need a Payment Plan

Payment Plans Are Available Based on the Credit Approval of the Patient or a Cosigner. Which Best Describes Your Credit?

(Building Credit) Under 600

(Growing Credit) 660-699

(Strong Credit) 700-739

(Excellent Credit) 740+

Many patients who believed they would not qualify for financing were still able to move forward with their smile transformation. We guide you through every option so you never feel discouraged!

Which Best Describes Your Current Household’s Monthly Income?

Under $5,000

$5,000 to $8,000

Over $8,000

Your Information

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