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Conservative

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Porcelain Fillings

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Surgery

Dental Implants

Bone Grafting Application

Sinus Lift

Wisdom Tooth Surgery

Cosmetic Dentistry

Hollywood Smile

Digital Smile Design

E-max Laminate

Zirconium Crown

Porcelain Veneers

Teeth Whitening

Dental Bonding

Periodontology

Gingival Esthetics

Implant Peripheral Treatments

Flap Surgery

Scaling & Polishing
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Dt. Sevgi Budancamanak
Contact

Treatments
Conservative

Dental Fillings

Porcelain Fillings

Endodontics

Surgery

Dental Implants

Bone Grafting Application

Sinus Lift

Wisdom Tooth Surgery

Cosmetic Dentistry

Hollywood Smile

Digital Smile Design

E-max Laminate

Zirconium Crown

Porcelain Veneers

Teeth Whitening

Dental Bonding

Periodontology

Gingival Esthetics

Implant Peripheral Treatments

Flap Surgery

Scaling & Polishing
Gaia’s Patients
Our Clinic
Dt. Sevgi Budancamanak
Contact
Book Online
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Are you...* *MaleFemale

Please select your age range:* *18-2425-3435-4445-5455-6465+

How would you rate your smile?* *12345

Do you suffer from any of the following:* *Sensitive teethBad breathMouth ulcersYellow tonguePainful teethStained teethCrooked teethGaps or spacesBleeding gumsWobbly teeth

Do you have any other concerns? Please describe below:

What is your reason for wanting to improve your smile?* *For improved self confidenceI would like to eat with more easeFor my career reasonsFor a special eventAnother

What don't you like about your teeth?*

The treatment I am interested in is:* *Whiter teethRepair chipped teethClose spaces and gapsReplace old dental treatmentTooth coloured fillingsStraighter teethReplace missing teethStabilise my dentureReplace wobbly & loose teethHelp with my eatingRemove stainsTreat bleeding gumsAnother reason

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From right side

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Firs name *

Surname *

Email Adress *

Phone *

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