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Herts Dental

Herts Dental

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Book Hygiene Clean | New Patients Welcome

Book Teeth Hygiene Clean DIRECTLY

Disease Prevention

best dentist in watford

Benefits of teeth cleaning

Reduce the risk of gum disease & tooth decay

Fresh breath | Whiter teeth

Tartar and plaque removal

Service open for new & existing patients

How to book a teeth hygiene clean: YOU MUST FILL OUT THIS FORM

Are you a New or an Existing patient?*
- New patient
- Existing patient
We will assess your answers on this form and advise you to book accordingly.
Name*
Phone*
Email
Which hygiene clean would you like to book for?*
- £60 Simple Scale & Polish
- £80 Bicarbonate Jet Fresh clean
- £150 Deep clean
- £150 Extensive stain removal clean (coffee/tobacco)
- £45 Gum disease assessment/consultation
- I have gum disease. I want to discuss my options and book a £45 consultation assessment
- I am not sure. I want to book in a £45 consultation assessment to discuss my options
- I am not sure. Book me in for the simple £60 clean and I will discuss my future options at my cleaning appointment
When was the last time you had your teeth cleaned?*
- About 3 months ago
- About 6 months ago
- About 12 months ago
- About 18 months ago
- Over 2 years ago
- I am not sure
How often do your gums bleed?*
- Never
- On brushing
- My gums bleed quite easily
How often do you brush your teeth?*
- Never
- Once a day
- Twice a day
- Three times a day
- Four times or more a day
Which toothbrush do you use?*
- I don't brush my teeth
- Normal toothbrush
- Electric toothbrush
- Normal and electric toothbrush
How long do you spend cleaning your teeth each time you brush?*
- 1 minute maximum
- 2 minutes maximum
- 3 minutes maximum
- 4 minutes maximum
- More than 5 minutes
Do you floss...*
- Never
- Once a day
- More than once a day
- Most times after eating
- Once a week
- Few times a week
- Only when I feel like it
Would you like to whiten your teeth?*
- Yes
- No
- Maybe
- Let me see how clean they look after my hygiene clean session then I'll make a decision
When you had your teeth cleaned in the past...*
- I felt no pain
- I felt some pain, but I coped with it well
- It hurt a lot
When you had your teeth cleaned in the past...*
- my gums never bled
- my gums bled a little and the bleeding stopped after I rinsed my mouth
- I had prolonged bleeding
Do you suffer from loose teeth?*
- No
- Yes: 1-3 teeth are loose
- Yes: 3-6 teeth are loose
- Yes: more than 6 teeth are loose
- My teeth are super loose
If you are worried about loosing your teeth, did you want to discuss your gap replacement options?*
- No- this doesn't apply to me
- Yes, I want to know how my bad teeth can be replaced on the same day when they are removed
You may need multiple teeth cleaning sessions to remove all your tartar and stains if you have more than usual or if your teeth hygiene treatment has not been carried out to a high standard by your dentist/hygienist in the past. If you do not confirm this statement, then we will not see you directly for your clean and you will have to book the £45 assessment.
- I confirm this statement.
Aside from hygienic cleaning, are you looking at any other dental treatment options? If yes, please give us more details.
You need to reserve your time slot by paying in advance for your session. If you cancel/reschedule with less than 24 hours notice, no refund will be given. Deposits are taken to ensure your commitment to attending your appointment. This applies to new and existing patients.*
- I confirm I have read the above.
You need to follow the current guidance set out by the Government with regards to coronavirus.*
- I confirm
Do you have any questions?
Contact Permission*
- Herts Dental would like to contact you. Please see our Privacy policy for more details. YOUR DETAILS ARE SAFE WITH US.

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Contact info

Phone number:
01923 221039
Address:
34 Woodford Road | Watford | WD17 1PA
Mail:
[email protected]

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Latest Posts

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Last updated: Oct 14, 2020 @ 12:31 am

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