Personal Dental Treatment Plan.

(Please print and send by email to bollywoodsmilz@gmail.com with selfie type photo/s of mouth open.)

Patient details.

Surname      ……………………….........

Forenames   ………………………………………….

Date             …………………………….

Please list what teeth you have by the numbers on the chart and state whether they are missing, filled or loose etc.

Separate each number with a comma so that the dentist can fully understand the present condition of your mouth.

Upper jaw.

  .18…………17…………16…………15…………14………13……… 12……… 11……             21………22………..23……24………25………26………27………..28……………..  ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………Lower jaw…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………48………… .47…………46…………45……………44………43……….42………41…..             31……….32……….33………34……..35……..36……….37………..38……………

It is a good idea to also upload a “Selfie” type photo of your mouth in different modes, smiling, yawning and open wide, whatever way that shows what you would like to have done.

Oral Health Assessment.

Date of examination…………………….......................................................

Care and Treatment required

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Bollywoodsmilz in association with…………………………………………….

Bollywoodsmilz provides all the treatment necessary to secure and maintain your oral health. There are many treatments you can have as described and priced on the price comparison page on the website up to the maximum value of your dental voucher, 50,000 rs. Dependant upon what package you have booked. In addition, for example in the case of dental implants or full mouth reconstruction there will additional charges over and above the value of your voucher for completion of treatments.


THERE ARE NO LEATHER SOFAS OR POTTED PALMS HERE, AND YOU WAIT ON A BENCH!  A NICE BENCH THOUGH ... BUT! I'LL TELL YOU WHAT, YOU ARE BEING SEEN BY A PROFESSOR NO LESS AND A LEADING PROSTHODONTIST WHO ALONG WITH THEIR TEAM ARE PURE ARTISANS OF THE DENTISTRY PROFESSION. THEY WORK FROM THE HEART AND MONEY IS NOT THE MOTIVATING FACTOR, AND THEY ONLY WANT YOU TO FEEL AND LOOK YOUR BEST! AND AT FANTASTIC PRICES WHICH YOU, THE MAN ON THE STREET SO TO SPEAK CAN EASILY AFFORD!....

Price Comparison