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SERVING THE SAN DIEGO METRO AREA
Why Trusmile
About us
Dental Implants
Full Mouth Dental Implants
All-on-4 Dental Implants
Single Dental Implants
Dental Implant Bridge
Patient Resources
Patient Information
Take The Quiz
Free Guide
Dental Implant Cost
Financing & Dental Insurance
Referring Doctors
Contact us
Free Consultation
Contact Us
Dental Implants San Diego
Dental Implants Chula Vista
Menu
Why Trusmile
About us
Dental Implants
Full Mouth Dental Implants
All-on-4 Dental Implants
Single Dental Implants
Dental Implant Bridge
Patient Resources
Patient Information
Take The Quiz
Free Guide
Dental Implant Cost
Financing & Dental Insurance
Referring Doctors
Contact us
Free Consultation
Contact Us
Dental Implants San Diego
Dental Implants Chula Vista
LEADERS IN FULL-MOUTH DENTAL IMPLANTS
Call (619) 485-9991
Schedule Online
(619) 485-9991
Schedule Online
Why Trusmile
About us
Dental Implants
Full Mouth Dental Implants
All-on-4 Dental Implants
Single Dental Implants
Dental Implant Bridge
Patient Resources
Patient Information
Take The Quiz
Free Guide
Dental Implant Cost
Financing & Dental Insurance
Referring Doctors
Contact us
Free Consultation
Contact Us
Dental Implants San Diego
Dental Implants Chula Vista
Menu
Why Trusmile
About us
Dental Implants
Full Mouth Dental Implants
All-on-4 Dental Implants
Single Dental Implants
Dental Implant Bridge
Patient Resources
Patient Information
Take The Quiz
Free Guide
Dental Implant Cost
Financing & Dental Insurance
Referring Doctors
Contact us
Free Consultation
Contact Us
Dental Implants San Diego
Dental Implants Chula Vista
Questionnaire
Need Help? We’re Here for You
Complete this quick form and we’ll follow up with you
"
*
" indicates required fields
How Many Missing Or Broken Teeth Do You Have?
*
All
4 Or More
3 Or Less
Have You Been Diagnosed With Periodontal Disease or Have Several Loose Teeth?
*
Yes
No
Select the option below that best fits your situation
*
I want to replace ALL my teeth with new permanent teeth
I want to replace my upper or lower set of teeth
I only want to have a couple teeth replaced
I don't want any of my teeth replaced
What Is Your Age?
*
55 and older
40-54
Under 40
Do you currently have any of these dental treatments?
*
Dentures
Crowns and/or Bridges
Dental Implant
None of the above
How Long Have You Been Missing Your Teeth?
*
I Still Have Them
1-4 Months
4-12 Months
1 or more Years
Do you Have To Modify The Way You Chew or Are You Currently Unable To Eat Certain Foods?
*
Yes
No
Are You Currently Trying To Find Relief From Any Kind Of Pain Or Discomfort?
*
Yes
No
Are You Embarrassed Or Hiding Your Smile?
*
Yes
No
Have You Had A Dental Implant Consultation With Another Dentist?
*
Yes
No
How Ready Are You To Do Something About Your Situation?
*
I am ready NOW!
Very ready
Not sure I am ready
Dental Implant procedures are not covered by insurance. However, many affordable payment plans are available. 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
Dental Implant procedures are not covered by insurance. Our full arch implants begin around $17,500. We have payment plans averaging $300/mo. Would you like to see if you qualify for a payment plan, or continue without?
*
Yes, please tell me if I might qualify for a payment plan
No. I've been saving for this type of procedure and will not need a payment plan
Do you live near San Diego, CA?
*
Yes
No
What region of the country do you live in?
*
Northeast Region
Midwest Region
West Region
Southeast Region
Southwest Region
None of the above
What Is Your First Name?
*
What Is Your Last Name?
*
What Is Your Zip Code?
*
Please enter a number from
1000
to
99999
.
What Is Your Email?
*
What Is Your Phone Number?
*
Name
This field is for validation purposes and should be left unchanged.