this form expires in 3 hours
Manuales Dental Clinic
Main
Request an appointment
Patient Details
Appointment Details
Patient Details
First Name
*
Middle Name
Last Name
*
Suffix
Mobile Number
Email Address
Birth Date
*
Branch
*
Unspecified
Main
Purpose of Visit
*
Available services
Select purpose of visit from the services below.
Braces Adjustment
Adjustment - Routine monthly orthodontic visit
30 minutes
Braces Installation
Installation (Magpataod ug Braces*) Metal, Ceramic, Self-ligating
an hour
Consultation
Our Dental Consultation is the first step to a healthy smile. The dentist will check your teeth and gums, listen to your concerns, and may take X-rays if needed. After the check-up, we will explain any problems and suggest the best treatment options and quotations for you.
30 minutes
Crowns
Crowns are caps placed over damaged teeth to restore their strength, shape, and appearance.
an hour
Dentures/ Postiso
Flexible Denture Ivocap Partial Denture Full Denture
30 minutes
Fixed Bridge
Fixed Bridge is a dental restoration that replaces missing teeth by anchoring artificial teeth to nearby natural teeth.
30 minutes
Fluoride Gel and Fluoride Varnish Application
Fluoride Gel and Varnish are protective treatments applied to strengthen teeth and help prevent tooth decay.
15 minutes
Gingivectomy, Gingivoplasty
Gingivectomy and Gingivoplasty are gum procedures that remove or reshape excess gum tissue to improve gum health and appearance.
an hour
Maryland Bridge
Maryland Bridge is a conservative tooth replacement that uses metal or ceramic wings bonded to adjacent teeth to support a missing tooth.
30 minutes
Odontectomy
Odontectomy is a surgical procedure to remove an impacted or difficult-to-extract tooth, such as a wisdom tooth.
an hour
Oral Prophylaxis
Cleaning* Dental Cleaning is a routine procedure that removes plaque and calcular deposits to keep your teeth clean and healthy.
30 minutes
Retainers
Retainers are custom-made devices worn after orthodontic treatment to keep teeth in their new position.
30 minutes
Root Canal Treatment
RCT (Root Canal Treatment) is a procedure that removes infected pulp from a tooth and seals it to save the natural tooth and relieve pain.
30 minutes
Sealant
Dental Pit and Fissure Sealant is a protective coating applied to teeth to prevent cavities and keep them healthy.
30 minutes
Teeth Whitening
Teeth Whitening is a cosmetic treatment that lightens teeth and removes stains for a brighter smile.
an hour
TMJ Pain Management
TMJ Pain Management is a treatment that helps relieve jaw pain, tension, and discomfort in the temporomandibular joint (TMJ).
an hour
Tooth Extraction
Bunot* Simple Tooth Extraction is a quick, painless procedure to safely remove a damaged or loose tooth.
30 minutes
Tooth Filling
Pasta* Dental Filling is a procedure that restores a damaged tooth by filling cavities and protecting it from further decay.
30 minutes
Veneers
Veneers are thin shells placed on the front of teeth to improve their shape, color, and appearance.
2 hours
Close
Message
Next
Patient Details
Appointment Details