DR THIERRY MEYER
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Adresse - Horaires
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Esthetique
Un beau sourire
>
Quizz sourire
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Facette dentaire
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Facettes Lumineers
Emax ou Lumineers
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Blanchiment des dents
>
Questions-Réponses sur le blanchiment des dents
Blanchiment des dents - Aix en Provence
Simuler votre sourire avec une application iPhone
Photos avant-apres
Les Soins
Urgence dentaire
Parcours de soins
Prevention
>
Sante bucco-dentaire
Conséquences sur l' état général
Parodontite
>
Quizz Paro
Couronne dentaire
Bridge dentaire
Appareil dentaire
Rehabilitation totale
Inlays et Onlays
Bruxisme
Bouche sans metal
Implant dentaire
Implant Dentaire Aix en Provence
Implant dentaire Avantages
Implants Dentaires Informations
ENGLISH
Dentist Aix en Provence
Contact us
Practice Tour
Porcelain veneers
Teeth Whitening
Inlays & Onlays
Periodontal Disease
Dental Implant
Teeth Grinding
English Speaking Dentist Aix en Provence
Contact
Appointment Form
In order to plan an appointment and dental cares in the current sanitary context, please complete this regulation form first for the safest workflow.
New patients are welcome but we have to prioritize requests as we receive patients whose treatments have been interrupted by confinement and the pending emergencies. Clean Up are postponed for at least for 10 weeks because they are the biggest aerosols producers and we 'd like the sanitary crisis to be stabilized.
In case of special request we can consider a teleconsultation. The processing times for emails are currently being extended.
Many thanks for your understanding.
*
Champ(s) obligatoire(s)
First Name - Last Name
*
Prénom
Nom
[object Object]
Birth date mm/dd/aaaa
*
English date format mm/dd/aaaa month/day/year
Phone
*
E-mail
*
Your last appointment with us ?
*
Less than one year
More than one year
I am a new patient
Cancelled by confinment
Your expectations
How can we help you ?
*
Main concerns
*
Check Up
Clean Up
Dental cares
Implants
Prosthondontics
Smile bleaching
Smile veneers
Gums
Emergency
Is it an emergency ?
*
Yes
No
1. Pain
Is it painful ?
*
Yes
No
Which tooth or area ? Upper or lower jaw ? Right or left side ?
*
When is it painful ?
*
24 hours a day ?
Sometimes ?
When eating ?
Evaluate your pain on a scale from 1 to 10 ? [ 1 is a very light pain , 5 average , 10 intolerable]
*
1
2
3
4
5
6
7
8
9
10
What kind of pain ?
*
To pressure ?
To heat ?
To cold ?
Does it pulse like a heart beating ?
You can't sleep ?
Swelling ?
*
None
A little
Big
Gum
Cheek
Do you take some pain killers ?
*
Yes
No
Which one ?
*
2. Function & aesthetics
What's the issue ?
*
Filling gone
Crown fallen
Bridge fallen
Aesthetic issue
Denture full or partial broken
Comments
*
3. Trauma / Accident
If a natural tooth is fractured or expelled, keep it in a small, clean bottle with mineral water.
Comments
*
Envoyer
Accueil
Le cabinet
Dentiste Aix en Provence
Adresse - Horaires
Notre approche
Photos
Honoraires
Play Lists
Esthetique
Un beau sourire
>
Quizz sourire
Citations sur le sourire
Facette dentaire
Facettes ceramiques
Facettes Lumineers
Emax ou Lumineers
Facettes immediates
Blanchiment des dents
>
Questions-Réponses sur le blanchiment des dents
Blanchiment des dents - Aix en Provence
Simuler votre sourire avec une application iPhone
Photos avant-apres
Les Soins
Urgence dentaire
Parcours de soins
Prevention
>
Sante bucco-dentaire
Conséquences sur l' état général
Parodontite
>
Quizz Paro
Couronne dentaire
Bridge dentaire
Appareil dentaire
Rehabilitation totale
Inlays et Onlays
Bruxisme
Bouche sans metal
Implant dentaire
Implant Dentaire Aix en Provence
Implant dentaire Avantages
Implants Dentaires Informations
ENGLISH
Dentist Aix en Provence
Contact us
Practice Tour
Porcelain veneers
Teeth Whitening
Inlays & Onlays
Periodontal Disease
Dental Implant
Teeth Grinding
English Speaking Dentist Aix en Provence
Contact