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CLEANINGS AND PREVENTION

PERIODONTAL DISEASE

RESTORATIONS

COMPOSITE/TOOTH COLORED FILLINGS

AMALGAM/SILVER FILLINGS

CROWNS (CAPS)

DENTURES AND FIXED BRIDGES

ROOT CANAL AND TOOTH REMOVAL

COSMETIC

 

 

Whether your dental needs are a complete exam and cleaning, a full-mouth restoration, or anything in between, we promise to provide you with exceptional care as we enhance the natural beauty of your smile. Below are just some of the many procedures and services we regularly provide to our patients – with a gentle touch, and stunning results. Your smile is our first priority, and we’ll give you something to smile about. If you have any questions, concerns, or would like to schedule an appointment, please contact us today. We look forward to providing you with the personal care you deserve.
Dr. Motz and Staff

CLEANINGS AND PREVENTION


Dental Exams & Cleanings

Dental Exam

A comprehensive dental exam will be performed by your dentist at your initial dental visit. At regular check-up exams, your dentist and hygienist will include the following:
· Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss. X-rays also help determine tooth and root positions.
· Oral cancer screening: Check the face, neck, lips, tongue, throat, tissues, and gums for any signs of oral cancer.
· Gum disease evaluation: Check the gums and bone around the teeth for any signs of periodontal disease.
· Examination of tooth decay: All tooth surfaces will be checked for decay with special dental instruments.
· Examination of existing restorations: Check current fillings, crowns, etc.

 

Professional Dental Cleaning

Professional dental cleanings (dental prophylaxis) are usually performed by Registered Dental Hygienists. Your cleaning appointment will include a dental exam and the following:
· Removal of calculus (tartar): Calculus is hardened plaque that has been left on the tooth for some time and is now firmly attached to the tooth surface. Calculus forms above and below the gum line and can only be removed with special dental instruments.
· Removal of plaque: Plaque is a sticky, almost invisible film that forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (poisons) that inflame the gums. This inflammation is the start of periodontal disease!
· Teeth polishing: Remove stain and plaque that is not otherwise removed during tooth brushing and scaling


Fluoride Treatment

Fluoride is the most effective agent available to help prevent tooth decay. It is a mineral that is naturally present in varying amounts in almost all foods and water supplies. The benefits of fluoride have been well known for over 50 years and are supported by many health and professional organizations.
Fluoride works in two ways:

Topical fluoride strengthens the teeth once they have erupted by seeping into the outer surface of the tooth enamel, making the teeth more resistant to decay. We gain topical fluoride by using fluoride containing dental products such as toothpaste, mouth rinses, varnishes, and gels. Dentists and dental hygienists generally recommend that children have a professional application of fluoride twice a year during dental check-ups.
Systemic fluoride strengthens the teeth that have erupted as well as those that are developing under the gums. We gain systemic fluoride from most foods and our community water supplies. It is also available as a supplement in drop or gel form and can be prescribed by your dentist or physician.
Although most people receive fluoride from food and water, sometimes it is not enough to help prevent decay. Your dentist or dental hygienist may recommend the use of home and/or professional fluoride treatments for the following reasons:
· Deep pits and fissures on the chewing surfaces of teeth.
· Exposed and sensitive root surfaces.
· Fair to poor oral hygiene habits.
· Frequent sugar and carbohydrate intake.
· Inadequate exposure to fluorides.
· Inadequate saliva flow due to medical conditions, medical treatments or medications.
· Recent history of dental decay.
Remember, fluoride alone will not prevent tooth decay! It is important to brush at least twice a day, floss regularly, eat balanced meals, reduce sugary snacks, and visit your dentist on a regular basis.

 

Sealants

A sealant is a thin, plastic coating applied to the chewing surface of molars, premolars and any deep grooves (called pits and fissures) of teeth. More than 75% of dental decay begins in these deep grooves. Teeth with these conditions are hard to clean and are very susceptible to decay. A sealant protects the tooth by sealing deep grooves, creating a smooth, easy to clean surface.
Sealants can protect teeth from decay for many years, but need to be checked for wear and chipping at regular dental visits.

Reasons for sealants:
· Children and teenagersAs soon as the six-year molars (the first permanent back teeth) appear or any time throughout the cavity prone years of 6-16.
· AdultsTooth surfaces without decay that have deep grooves or depressions.
· Baby teethOccasionally done if teeth have deep grooves or depressions and child is cavity prone.
What do sealants involve?
Sealants are easily applied by your dentist or dental hygienist and the process takes only a couple of minutes per tooth.
The teeth to be sealed are thoroughly cleaned and then surrounded with cotton to keep the area dry. A special solution is applied to the enamel surface to help the sealant bond to the teeth. The teeth are then rinsed and dried. Sealant material is carefully painted onto the enamel surface to cover the deep grooves or depressions. Depending on the type of sealant used, the material will either harden automatically or with a special curing light.

Proper home care, a balanced diet, and regular dental visits will aid in the life of your new sealants.

PERIODONTAL DISEASE

 

Diagnosis

Periodontal disease is diagnosed by your dentist or dental hygienist during a periodontal examination. This type of exam should always be part of your regular dental check-up.
A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums. The depth of a healthy sulcus measures three millimeters or less and does not bleed. The periodontal probe helps indicate if pockets are deeper than three millimeters. As periodontal disease progresses, the pockets usually get deeper.
Your dentist or hygienist will use pocket depths, amount of bleeding, inflammation, tooth mobility, etc., to make a diagnosis that will fall into a category below:

 

Gingivitis

Gingivitis is the first stage of periodontal disease. Plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed.

 

Periodontitis

Plaque hardens into calculus (tartar). As calculus and plaque continue to build up, the gums begin to recede from the teeth. Deeper pockets form between the gums and teeth and become filled with bacteria and pus. The gums become very irritated, inflamed, and bleed easily. Slight to moderate bone loss may be present.

 

Advanced Periodontitis

The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed. Unless treated, the affected teeth will become very loose and may be lost. Generalized moderate to severe bone loss may be present.

 

Treatment

Periodontal treatment methods depend upon the type and severity of the disease. Your dentist and dental hygienist will evaluate for periodontal disease and recommend the appropriate treatment.
Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing irritation to the surrounding tissues. When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth!
If the disease is caught in the early stages of gingivitis, and no damage has been done, one to two regular cleanings will be recommended. You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings.
If the disease has progressed to more advanced stages, a special periodontal cleaning called
scaling and root planing (deep cleaning) will be recommended. It is usually done one quadrant of the mouth at a time while the area is numb. In this procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling) and rough spots on root surfaces are made smooth (planing). This procedure helps gum tissue to heal and pockets to shrink. Medications, special medicated mouth rinses, and an electric tooth brush may be recommended to help control infection and healing.
If the pockets do not heal after scaling and root planning, periodontal surgery may be needed to reduce pocket depths, making teeth easier to clean. Your dentist may also recommend that you see a Periodontist (specialist of the gums and supporting bone).




Maintenance

It only takes twenty four hours for plaque that is not removed from your teeth to turn into calculus (tartar)! Daily home cleaning helps control plaque and tartar formation, but those hard to reach areas will always need special attention.
Once your periodontal treatment has been completed, your dentist and dental hygienist will recommend that you have regular maintenance cleanings (periodontal cleanings), usually four times a year. At these cleaning appointments, the pocket depths will be carefully checked to ensure that they are healthy. Plaque and calculus that is difficult for you to remove on a daily basis will be removed from above and below the gum line.
In addition to your periodontal cleaning and evaluation, your appointment will usually include:

· Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss. X-rays also help determine tooth and root positions.
· Examination of existing restorations: Check current fillings, crowns, etc.
· Examination of tooth decay: Check all tooth surfaces for decay.
· Oral cancer screening: Check the face, neck, lips, tongue, throat, cheek tissues, and gums for any signs of oral cancer.
· Oral hygiene recommendations: Review and recommend oral hygiene aids as needed. (Electric toothbrushes, special periodontal brushes, fluorides, rinses, etc.)
· Teeth polishing: Remove stain and plaque that is not otherwise removed during tooth brushing and scaling.
Good oral hygiene practices and periodontal cleanings are essential in maintaining dental health and keeping periodontal disease under control!

 

RESTORATIONS

 

It’s great news that the incidence of tooth decay has significantly diminished over the years due to the use of fluorides and an increase in patient awareness. However, teeth are still susceptible to decay, infection, and breakage and sometimes need to be restored back to health. Through improved techniques and modern technology, we are now able to offer more options for restoring a tooth back to its normal shape, appearance and function.

Should your teeth ever require a restorative treatment, you can rest assured knowing we will always discuss with you the available options, and recommend what we believe to be the most comfortable, least invasive treatment. Providing you with excellent care is our number one priority when creating your beautiful smile.
Reasons for restorative dentistry:
· Enhance your smile.
· Fill in unattractive spaces between teeth.
· Improve or correct an improper bite.
· Prevent the loss of a tooth.
· Relieve dental pain.
· Repair damaged and decayed teeth.
· Replace missing teeth.
· Replace old, unattractive dental treatments.
· Restore normal eating and chewing.

Remember to give your teeth the attention they need today!

 

COMPOSITE/TOOTH COLORED

AMALGAM/SILVER COLORED

 

A filling is used to repair a tooth that is affected by decay, cracks, fractures, etc. The decayed or affected portion of the tooth will be removed and then filled with a composite or amalgam material.
There are many types of filling materials available, each with their own advantages and disadvantages. You and your dentist can discuss the best options for restoring your teeth. Composite fillings, along with silver amalgam fillings, are the most widely used today. Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth. Amalgam fillings may be a better option in areas that are hard to reach and keep dry during the procedure.
As with most dental restorations, neither composite fillings nor amalgam fillings are permanent and may someday have to be replaced. They are very durable, and will last many years, giving you a long lasting, beautiful smile.
Reasons for composite or amalgam fillings:
· Chipped teeth.
· Closing space between two teeth.
· Cracked or broken teeth.
· Decayed teeth.
· Worn teeth.

How are fillings placed?

Fillings are usually placed in one appointment. While the tooth is numb, your dentist will remove decay as necessary. The space will then be thoroughly cleaned and carefully prepared before the new filling is placed. If the decay was near the nerve of the tooth, a special medication will be applied for added protection. The filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.
It is normal to experience sensitivity to hot and cold when fillings are first placed, however this will subside shortly after your tooth acclimates to the new filling.
You will be given care instructions at the conclusion of your treatment. Good oral hygiene practices, eating habits, and regular dental visits will aid in the life of your new fillings.

CROWNS (CAPS)

 

A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.
There are several types of crowns available. The two most popular choices are porcelain (tooth colored crown) and gold crowns. They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Crowns are made to match the shape, size, and color of your teeth giving you a natural, long-lasting beautiful smile.

Reasons for crowns:
· Broken or fractured teeth.
· Cosmetic enhancement.
· Decayed teeth.
· Fractured fillings.
· Large fillings.
· Tooth has a root canal.

What does getting a crown involve?
A crown procedure usually requires two appointments. Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.
While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.
At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.
You will be given care instructions and encouraged to have regular dental visits to check your new crown.

 

DENTURES AND FIXED BRIDGES

Dentures & Partial Dentures

A denture is a removable dental appliance replacement for missing teeth and surrounding tissue. They are made to closely resemble your natural teeth and may even enhance your smile.
There are two types of dentures - complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A Partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting.
A Complete denture may be either “conventional” or “immediate.” A conventional type is made after the teeth have been removed and the gum tissue has healed, usually taking 6 to 8 weeks. During this time the patient will go without teeth. Immediate dentures are made in advance and a temporary set of dentures are immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal fully, a new set of dentures are made.
Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear.
Reasons for dentures:
· Complete Denture - Loss of all teeth in an arch.
· Partial Denture - Loss of several teeth in an arch.
· Enhancing smile and facial tissues.
· Improving chewing, speech, and digestion.

What does getting dentures involve?
The process of getting dentures requires several appointments, usually over several weeks. Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several “try-in” appointments may be necessary to ensure proper shape, color, and fit. At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.
It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures.
You will be given care instructions for your new dentures. Proper cleaning of your new dental appliance, good oral hygiene, and regular dental visits will aid in the life of your new dentures.


Fixed Bridges

A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.
There are several types of bridges. You and your dentist will discuss the best options for your particular case. The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal. This type of bridge consists to two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.
Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.

Reasons for a fixed bridge:
· Fill space of missing teeth.
· Maintain facial shape.
· Prevent remaining teeth from drifting out of position.
· Restore chewing and speaking ability.
· Restore your smile.
· Upgrade from a removable partial denture to a permanent dental appliance.
What does getting a fixed bridge involve?
Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.
At the second visit, your permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. You will receive care instructions at the conclusion of the procedure. Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge.

 

ROOT CANAL THERAPY AND TOOTH REMOVAL

Root Canals

Root canal therapy is needed when the nerve of a tooth is affected by decay or infection. In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.
Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed. Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth.
Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections.

Signs and symptoms for possible root canal therapy:
· An abscess (or pimple) on the gums.
· Sensitivity to hot and cold.
· Severe toothache pain.
· Sometimes no symptoms are present.
· Swelling and/or tenderness.

Reasons for root canal therapy:
· Decay has reached the tooth pulp (the living tissue inside the tooth).
· Infection or abscess have developed inside the tooth or at the root tip.
· Injury or trauma to the tooth.
What does root canal therapy involve?
A root canal procedure usually requires one appointment and can be performed by a dentist or endodontist (a root canal specialist).
An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria. If tooth decay is present, it will also be removed with special dental instruments.
Once the tooth is thoroughly cleaned, it will be sealed with either a permanent filling or, if additional appointments are needed, a temporary filling will be placed.
In addition, most teeth that have root canal treatment should have a crown (cap) placed. This will protect the tooth and prevent it from breaking, and restore it to its full function.
After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed.
You will be given care instructions after each appointment. Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.



Tooth Removal

In most situations, we are able to perform this service in the office, however, in some instances, Dr. Motz may refer the patient to an Oral Surgeon (a Dental Professional who specializes in removing teeth.)

What to do after extraction of a tooth

A few days after the extraction of a tooth, the wound usually heals to the point where you can function normally. In the meantime, you can follow a few simple rules to promote healing, prevent complications, and make yourself more comfortable.

Bleeding

A gauze pack is placed on the extraction site to limit bleeding and confine the blood while clotting takes place. The gauze pack should be left in place for 60 minutes after the tooth is removed. Refrain from talking as much as possible until the bleeding stops. If bleeding or oozing continues after the pack is removed, fold a piece of clean gauze or papertowel into a pad that is thick enough to bite on. Dampen the pad with water and place it directly on the extraction site. Apply pressure by closing the teeth firmly over the pad. Maintain this pressure for about 30 minutes and change the pad every 30 minutes until the bleeding stops. Remember that a lot of saliva and a little blood may look like a lot of bleeding. You may spit out the saliva once in a while. If heavy bleeding continues, please call the office.

The Blood Clot

After an extraction, a blood clot forms in the tooth socket. This clot is part of the normal healing process. It is important to avoid activities that might disturb the clot. To protect the clot do not smoke, rinse your mouth vigourously, or drink through a straw for 24 hours. These activities create suction in the mouth, which could dislodge the clot and delay healing. Do not clean the teeth next to the healing tooth socket for 24 hours. Brush and floss the other teeth thoroughly. Limit strenuous activity for 24 hours after the extraction. This reduces bleeding and will help the blood clot to form.

Swelling and Pain

After a tooth is removed, you may have some discomfort and notice some swelling. You can help reduce swelling and pain by applying a cold compress, bag of frozen vegetables, ice bag, or cold moist cloth to the face for the first 24-48 hours. Medication may be prescribed to control pain and prevent infection. Use them only as directed. If you have prolonged pain, severe pain, swelling, bleeding, or fever call the office immediately.

Diet

For 48 hours after the extraction, drink lots of fluids and eat soft nutritious foods. Avoid alcoholic beverages as they dry out the tissues and delay healing. Also avoid hot liquids and hard foods since they can disolve and disturb the blood clot. Chew as much as possible on the side opposite the extraction site.

Rinsing

The morning after the extraction, gently rinse your mouth with one half teaspoon of salt in 8 ounces of warm water. This helps to remove residue from the site and remove any unpleasant taste. You may do this after meals as well to keep food particles out of the extraction site. Remember to always rinse gently so the blood clot is not disturbed.

Brushing and Flossing

It is important to brush and floss the teeth at least twice each day. The tongue should also be brushed to eliminate the bad breath and unpleasant taste that is common after tooth removal. Always use a soft bristled brush so that you don't injure the tissues in your mouth.

Stiffness

Stiffness of the jaw muscles may occur for several days after the surgery. This may make it difficult to open and chew. Gently chewing on gum in 10 minute intervals can help to relax the jaw muscles and bring relief.

Keep Lips Moist

Due to the stretching of the mouth during surgery, the lips may dry out and crack, especially at the corners. Keep them lubricated with Chap stick, vaseline, or other lip ointment.

Healing

It may take 6-8 weeks for the tissue around the extraction site to heal. Bone typically takes 4-6 months to heal. Healing can take longer for patients who smoke, have diabetes, or take certain medications like steroids or fosamax. Remember that extractions are minor surgery, and to give yourself time to recover.

 

 

COSMETIC

Tooth Whitening

Tooth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth enamel and is an ideal way to enhance the beauty of your smile.

Because having whiter teeth has now become the number one aesthetic concern of most patients, there are a number of ways to whiten teeth. The most popular method is using a home tooth whitening system that will whiten teeth dramatically. Since tooth whitening only works on natural tooth enamel, it is important to evaluate replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth.
Tooth whitening is not permanent. A touch-up maybe needed every several years, and more often if you smoke, drink coffee, tea, or wine.
Reasons for tooth whitening:
· Fluorosis (excessive fluoridation during tooth development).
· Normal wear of outer tooth layer.
· Stained teeth due to medications (tetracycline, etc.).
· Yellow, brown stained teeth.
What does tooth whitening involve?
Our office provides you with two whitening options. We sell Professional Strength Crest White Strips for you to use at home. Each box contains enough strips for 2 weeks of continuous whitening. No appointments are necessary.
Our second option of tooth whitening usually requires two visits. At the first appointment, impressions (molds) will be made of your teeth to fabricate custom, clear plastic, trays.
At your second appointment, you will try on the trays for proper fit, and adjustments will be made if necessary. The trays are worn with special whitening solution either twice a day for 30 minutes or overnight for a couple of weeks depending on the degree of staining and desired level of whitening. It is normal to experience tooth sensitivity during the time you are whitening your teeth, but it will subside shortly after you have stopped bleaching.
You will receive care instructions for your teeth and trays, and be encouraged to visit your dentist regularly to help maintain a beautiful, healthy, white smile.

Porcelain Veneers

Veneers are very thin pieces of durable, tooth shaped porcelain that are custom made (for shape and color) by a professional dental laboratory. They are bonded onto the front of teeth to create a beautiful and attractive smile.
Veneers can completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many dental conditions.
As with most dental restorations, veneers are not permanent and may someday need replacement. They are very durable and will last many years, giving you a beautiful long lasting smile.
Reasons for porcelain veneers:
· Cosmetically, to create a uniform, white, beautiful smile.
· Crooked teeth.
· Misshapen teeth.
· Severely discolored or stained teeth.
· Teeth that are too small or large.
· Unwanted or uneven spaces.
· Worn or chipped teeth.

What does getting porcelain veneers involve?
Getting veneers usually requires two visits to complete the process, with little or no anesthesia required during the procedure. The teeth are prepared by lightly buffing and shaping the surface to allow for the thickness of the veneer. A mold or impression of the teeth is taken and a shade (color) will then be chosen by you and the dentist.
On the second visit the teeth will be cleansed with special liquids to achieve a durable bond. Bonding cement is then placed between the tooth and veneer and a special light beam is used to harden and set the bond.
You will receive care instructions for veneers. Proper brushing, flossing and regular dental visits will aid in the life of your new veneers.

 
 


2476 E Euclid Ave
Des Moines, Ia 50317
(515) 262-1923








Forms


Welcome Letter

Medical History

Patient Registration

Insurance Release Form


2476 E Euclid Ave
Des Moines, Ia 50317
(515) 262-1923








Forms


Welcome Letter

Medical History

Patient Registration

Insurance Release Form


2476 E Euclid Ave
Des Moines, Ia 50317
(515) 262-1923








Forms


Welcome Letter

Medical History

Patient Registration

Insurance Release Form


2476 E Euclid Ave
Des Moines, Ia 50317
(515) 262-1923








Forms


Welcome Letter

Medical History

Patient Registration

Insurance Release Form


2476 E Euclid Ave
Des Moines, Ia 50317
(515) 262-1923








Forms


Welcome Letter

Medical History

Patient Registration

Insurance Release Form


2476 E Euclid Ave
Des Moines, Ia 50317
(515) 262-1923





Forms


Welcome Letter

Medical History

Patient Registration

Insurance Release Form