The hygienist will see you now!
Let’s get started. What’s your first name?
Nice to meet you,
When it comes to oral health, are you:
When is your date of birth?
What are your oral health goals?
Time to open up!

Let’s get to know you and your oral health history. Knowing this information will help our Paste practitioners create a custom blend just for you.

next
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Do you have sore gums?
back
When your gums feel sore, do they look:
Have you ever had a deep cleaning in the past?

AKA scaling and root planning.

How long ago did you have your deep cleaning completed?
Have you ever had any of the following?
Have you ever had a filling? If so, when was the last time?
Do you experience dry mouth?

Not sure? Is the skin around your mouth dry? Do you
ever feel like your mouth is sticky on the inside

When was the last time you visited the dentist?
What flavor palette best suits you?
Would you like to have a remineralizing agent like fluoride in your toothpaste?

Fluoride is a remineralizing agent that will help strengthen your enamel and reduce sensitivity with every brush. It has been around for centuries and is recommended by most dental professionals.

What’s your best email address?
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
How often do you experience sensitivity?
back
Have you ever had any of the following?
Have you ever had a filling? If so, when was the last time?
Do you experience dry mouth?

Not sure? Is the skin around your mouth dry? Do you
ever feel like your mouth is sticky on the inside

When was the last time you visited the dentist?
What flavor palette best suits you?
Would you like to have a remineralizing agent like fluoride in your toothpaste?

Fluoride is a remineralizing agent that will help strengthen your enamel and reduce sensitivity with every brush. It has been around for centuries and is recommended by most dental professionals.

What’s your best email address?
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
How often do you experience sensitivity?
back
Do you have sore gums?
When your gums feel sore, do they look:
Have you ever had a deep cleaning in the past?

AKA scaling and root planning.

How long ago did you have your deep cleaning completed?
Have you ever had any of the following?
Have you ever had a filling? If so, when was the last time?
Do you experience dry mouth?

Not sure? Is the skin around your mouth dry? Do you
ever feel like your mouth is sticky on the inside

When was the last time you visited the dentist?
What flavor palette best suits you?
Would you like to have a remineralizing agent like fluoride in your toothpaste?

Fluoride is a remineralizing agent that will help strengthen your enamel and reduce sensitivity with every brush. It has been around for centuries and is recommended by most dental professionals.

What’s your best email address?
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
How often do you experience sensitivity?
back
Do you have sore gums?
When your gums feel sore, do they look:
Have you ever had a deep cleaning in the past?

AKA scaling and root planning.

How long ago did you have your deep cleaning completed?
Have you ever had any of the following?
Have you ever had a filling? If so, when was the last time?
Do you experience dry mouth?

Not sure? Is the skin around your mouth dry? Do you
ever feel like your mouth is sticky on the inside

When was the last time you visited the dentist?
What flavor palette best suits you?
Would you like to have a remineralizing agent like fluoride in your toothpaste?

Fluoride is a remineralizing agent that will help strengthen your enamel and reduce sensitivity with every brush. It has been around for centuries and is recommended by most dental professionals.

What’s your best email address?
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Have you ever had any of the following?
back
Have you ever had a filling? If so, when was the last time?
Do you experience dry mouth?

Not sure? Is the skin around your mouth dry? Do you
ever feel like your mouth is sticky on the inside

When was the last time you visited the dentist?
What flavor palette best suits you?
Would you like to have a remineralizing agent like fluoride in your toothpaste?

Fluoride is a remineralizing agent that will help strengthen your enamel and reduce sensitivity with every brush. It has been around for centuries and is recommended by most dental professionals.

What’s your best email address?
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
X/XX