(770) 535-8900

New Patient

Medical Forms & Insurance Information

It is our mission to provide you with affordable, high-quality treatment that fits your budget. We offer a variety of payment options to meet your needs. Our office accepts payments by cash, checks, and most major credit cards. We also accept low- and no-interest financing through third-party financing systems.

Insurance policies vary, so our office managers will review your insurance to determine the appropriate course of action. Once treatment has started, we will file your claims. To help us with your insurance filing, please complete the insurance questions on our medical forms below.

Download the Patient Information & Medical History form ahead of time. If you have any questions about payment, insurance, our our medical forms, contact us! We will thoroughly explain your choices and work hard to accommodate your needs.

Patient Information & Medical History Form

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About Teeth

Learn the basics about your teeth and why it is essential to maintain dental health.

Throughout your life, you will have two sets of teeth: primary (baby) teeth and secondary (permanent) teeth. At age 6-8 months, the primary teeth appear; all 20 are usually in place by age 3.

Permanent teeth will begin to grow around age 6, and except for wisdom teeth, are all present between ages 12 and 14. The next teeth to grow in are the 12-year molars and finally the wisdom teeth. Wisdom teeth typically begin breaking through from age 17 and on. The total number of permanent teeth is 32, though few people have room for all 32 teeth. This is why wisdom teeth are usually removed. Your front teeth are called incisors. The sharp “fang-like” teeth are canines. The next side teeth are referred to as pre-molars or bicuspids, and the back teeth are molars. Your permanent teeth are the ones you keep for life, so it is vital that they are brushed and flossed regularly and that periodic check-ups by a dentist are followed.

Dental Health

Our doctors and hygienists take great care to identify and prevent common problems to keep your mouth healthy.

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Tooth Decay

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Gum Disease

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Bad Breath (Halitosis)

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Canker Sores

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Orthodontic Problems

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Sensitive Teeth

Emergency Info

Emergency Info: Tooth Ache
Begin by cleaning around the sore tooth meticulously. Using warm salt water, rinse the mouth to displace any food trapped between teeth. UNDER NO CIRCUMSTANCES should you use aspirin on the aching tooth or on the gum. In the event of facial swelling, apply a cold compress to the area. For temporary pain relief, acetaminophen is recommended. See a dentist as soon as possible.
Cut or Bitten Tongue, Lip or Cheek
Ice can be applied to any bruised areas. For bleeding, apply firm (but gentle) pressure with sterile gauze or a clean cloth. If the bleeding does not stop with pressure or continues after 15 minutes, go to an emergency room.
Broken Braces and Wires
Remove a broken appliance only if it comes out easily. If it is lodged or painful to remove, cover any protruding edges with wax, cotton balls, gauze or chewing gum. DO NOT REMOVE any wire caught in the gums, cheek or tongue; see a dentist immediately. Emergency attention is usually not required for loose or broken appliances that cause no discomfort.
Broken Tooth
Rinse the area with warm water. Put a cold compress over the facial area of the injury. Recover any broken tooth fragments. Get immediate dental attention.
Knocked Out Permanent Tooth
Recover the tooth, making sure to hold it by the crown (top) and not the root end. Rinse, but do not clean or handle the tooth more than necessary. Reinsert the tooth in the socket and hold it in place using a clean piece of gauze or cloth. If the tooth cannot be reinserted, carry it in a cup containing milk or water. Because time is essential, see a dentist immediately.
Possible Broken Jaw
In the event of jaw injury, tie the mouth closed with a towel, tie or handkerchief. Go immediately to an emergency room.
Bleeding After a Baby Tooth Falls Out
Fold a piece of gauze and place it (tightly) over the bleeding area. Bite down on the gauze for 15 minutes; if bleeding continues, see a dentist.
Cold or Canker Sores

Over-the-counter medications may provide some temporary relief, although, if the lesion is detected early, prescribed medication may lessen the duration and severity of the breakout. Visit your dentist as soon as possible.

"The very best dental office that I have ever visited. Staff members are always very friendly and nice. Dentist is very gentle and accommodating to my needs, and works with me on a treatment plan that I can afford. I always highly recommend this dental office to my friends and family."

Tammy F.

"My recent visit for a cleaning and check up was as usual, exceptional. I have been a patient at Lanier Dental for 22 years which I feel attests to my faith in the staff to do their best for me."

Kurt S.

"Lanier Dental group has changed the way I feel about myself and my smile. The staff is kind and gentle and extremely talented. They have worked with me on payment and have given me good advice. I highly recommend them."

Barbara W.

FAQ

How often should I see a dentist?
The American Dental Association (ADA) guidelines recommend visiting a dentist at least twice a year for a checkup and professional cleaning. Our office also recommends a minimum of two visits per year.
What does “painless dentistry” mean?
Painless dentistry is a means of ensuring your total experience in our office is as stress-free and pain-free as possible. We will discuss treatment options that may require no local anesthetic and whenever possible, alleviate pain by the means most comfortable to you.
What should I expect during my appointment?
One of our staff members will compile your medical and dental history during your first visit. We will then examine your teeth and gums, screen you for oral cancer, make X-rays of your teeth as needed and complete a TMJ (temporomandibular or jaw joint) exam. After we review your dental profile, we will discuss a diagnosis with you. If treatment such as a root canal (endodontics), braces (orthodontics) or oral surgery is needed, we will plan to treat you in our office or refer you to a specialist. We will discuss your options for treatment and fee payment and help you determine the best plan to fit your needs.

During regular follow-up visits, we will examine your teeth and gums, screen you for oral cancer, clean your teeth and make plans for treatment, as needed. We will discuss any pain or problems you may be experiencing and answer any questions you may have.

What if I have a gap in my teeth, a chipped tooth or teeth that do not respond to normal bleaching methods?
Porcelain veneers are designed to look like your natural teeth and are individually and permanently attached to the fronts of your existing teeth. Bonding utilizes a composite material made of plastic to fill in areas of your teeth and correct chipping and shape problems. Both porcelain veneers and bonding are color-matched to the rest of your teeth.
Can the dentist whiten my teeth?

There are several methods available for bleaching the teeth: in office, overnight or daily. Brite Smile bleaching is done in our office. One session generally lasts one and a half to two hours, and you can read or relax during the treatment. For overnight bleaching, we make an impression of your teeth and create a mouthguard that fits your bite. Each day you fill the mouthguard with a small amount of bleaching gel and wear it overnight or for a few hours during the day. The overnight bleaching process takes approximately two weeks.

Other over-the-counter daily bleaching products are available, but it is important to use any bleaching product only under the supervision of a dentist. To achieve the whitening results you desire, the ADA recommends that you seek the professional advice of a dentist, including examination and diagnosis of the cause of tooth discoloration, before you begin any bleaching program.

What if I have an emergency?
Please call our office as soon as you determine that you have a dental emergency. We will be glad to work you in to our schedule if you have a dental emergency during regular business hours. After hours, over the weekend and during holidays, please call our office for the doctor’s emergency contact number.
Are payment plans available for my dental treatment?
Yes. We accept many types of dental insurance and will process your claim for you upon receipt of your co-payment. We offer a low interest rate payment plan and also accept most major credit cards, including MasterCard and Visa.