Take this short quiz to see if you’re a good candidate for dentures and what your best options might be.

Do you currently have missing teeth? *

Yes

Are you experiencing pain, discomfort, or difficulty chewing? *

Yes

Are your remaining teeth loose, broken, or decayed? *

Yes

When was your last visit to the dentist? *

Less than 6 months ago

6–12 months ago

Over a year ago

I can’t remember

Are you currently wearing dentures? *

Yes, and they’re uncomfortable

Yes, and they fit fine

No, but I think I need them

What are you hoping to improve with dentures? *

My appearance/smile

My ability to eat

My confidence

All of the above

Do you have dental insurance that may help cover dentures? *

Yes

Not sure

If your insurance doesn’t cover dentures, would you be interested in flexible payment plans? *

Yes, definitely

Maybe, depends on the cost

No, I’d need full coverage

What is your estimated monthly household income? *

Under $2,000

$2,000–$3,999

$4,000–$5,999

$6,000 or more

What’s your estimated credit score? *

Excellent (750+)

Good (650–749)

Fair (600–649)

Poor (below 599)

Not sure

Do you own or rent your home? *

Own

Rent

Other

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First Name *

Last Name *

Enter your best email *

Phone *

Your information is kept private and secure. By completing this form, you consent to receive calls and SMS messages from Smile Center so our AI tool-assisted front desk can follow up about your eligibility and provide helpful next steps. For full details, please see our Privacy Policy.