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Please fill in all questions to the best of your ability. At the end when you "Submit Patient Profile", you will receive an explanation as to how each of the medical factors affect the dental implants. These explanations are not absolute but only the best explanations based upon recent medical literature and the clinical experience of several leading implantologists.
* Patients Name, Age , Sex and Weight must be entered.
*
Indicates required field
Name
*
First
Last
age
*
weight
*
Allergies
*
NONE
MILD
SEVERE
History of Periodontal Disease
*
NO
YES
Submit
HOME
SOLUTIONS
PROJECTIONS
SAVVY BLOG
ABOUT US
CONTACT US
New Page