Know which implant leads are worth consultation time
Ask how many teeth need implants, whether extraction has already happened, and if jawbone suitability has been evaluated — then collect x-rays before the consultation ever gets booked.
Preview your dental implant surgery intake
Explore 5 questions from the Dental Implant Surgery template. This interactive preview uses illustrative scoring and sample attachments. Open the full survey to try the complete intake.
What a qualified dental implant surgery lead should tell you
Surgical placement of dental implants to replace one or more missing teeth, requiring intake to confirm how many teeth are involved, extraction status, and whether jawbone suitability has already been assessed.
- Many Teeth Replaced With
- Area Mouth Implant
- Already Had Missing Tooth
- Dentist Or Specialist Evaluated
- Soon Would Like Move
The questions your team needs answered
Every dental implant surgery intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| How many teeth do you need replaced with implants? | The number of teeth needing implants signals case complexity and expected chair time, from a quick single placement to a full-arch treatment plan. |
| Which area of your mouth needs the implant? | Front-tooth cases often carry cosmetic urgency while back-tooth cases are more functional, which can shape how a consultation is framed. |
| Have you already had the missing tooth or teeth extracted? | Whether extraction has already happened and healed determines if the patient is ready for surgical placement now or needs a staged plan first. |
| Has a dentist or specialist evaluated your jawbone for implant suitability? | A prior jawbone suitability evaluation means less workup is needed before scheduling, which is why it carries meaningfully more weight than a 'no'. |
| How soon would you like to move forward with implant treatment? | Treatment timeline separates patients ready to book immediately from those still researching, so chair time isn't reserved for early-stage enquiries. |
How Cliont scores dental implant surgery leads
Configured answer weights help your team prioritize follow-up. Your team reviews each submission and decides the next step.
Value signals
- Extracted and healed
- Extracted recently, still healing
- Tooth still present, needs extraction
- Missing for a long time, never treated
- Dentist Or Specialist Evaluated: yes
- As soon as possible
See an example lead handoff
Illustrative lead details and score show how a submission can reach your team.
Dental Implant Surgery Lead
From first click to qualified lead
Follow patients and caregivers through one smooth, guided flow.
They land & meet you
Your video greeting plays instantly — a real face instead of a blank form.
They explain the visit
Smart questions adapt to their visit and capture the full scope.
They share details
Symptoms, history, and documents come attached before the visit.
You get a ready lead
Scored and qualified — waiting for you to win it.
Built for dental implant surgery workflows
| Cliont capability | Dental Implant Surgery application |
|---|---|
| Conditional branching | A patient who reports the tooth is 'still present, needs extraction' can be shown different next-step messaging than one whose site is already extracted and healed. |
| Weighted lead scoring | Whether a jawbone evaluation has already happened carries real weight in the score, separating workup-ready cases from ones needing an extra assessment step. |
| CRM routing with priority tags | Leads who select 'as soon as possible' for treatment timeline are pushed to your CRM as time-sensitive, ahead of 'just exploring' enquiries. |
| Upfront document and image capture | X-rays or scans and prior evaluation notes are collected during intake so your team can gauge case readiness before offering chair time. |
Example dental implant surgery lead scenarios
Illustrative situations explain the intake questions and possible follow-up.
Single tooth, already extracted and healed
The site has finished healing and the patient wants to move as soon as possible — a straightforward, high-value case that scores well on both extraction status and timeline.
Full arch, no jawbone evaluation yet
A patient needing most or all teeth replaced but who hasn't had a jawbone suitability check yet is a bigger case that still needs a workup step before chair time is committed.
Tooth still present, extraction pending
The intake flags that extraction hasn't happened, signaling a staged treatment plan rather than a same-visit implant placement.
Specialist-cleared, ready within months
A patient who already has a jawbone evaluation on file and a 1-3 month timeline represents a well-prepared case that's easy to schedule with confidence.
Long-missing tooth, just researching
Someone whose tooth has been missing for years but who selects 'just exploring options' still shows a treatable case, just not one ready for immediate chair time.
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Professional
Unlimited intake forms and leads for your growing business.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Advanced analytics dashboard
Pay Per Lead
Only pay when you receive a qualified lead.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Charged only for submitted leads
More oral surgery intake templates
Dental Implant Surgery lead-intake FAQs
How does the intake tell a single-tooth case apart from a full-arch case?
The intake asks directly how many teeth need implants, from one tooth up to a full arch, so your team can see case complexity before the consultation is even scheduled.
What happens if the tooth hasn't been extracted yet?
The extraction-status question captures whether the tooth is still present, recently extracted, or healed long ago, so staged treatment plans are visible immediately rather than discovered at the chair.
Does the intake check whether a jawbone evaluation has already been done?
Yes — a direct yes/no question confirms whether a dentist or specialist has already assessed jawbone suitability, which affects how ready the case is for surgical scheduling.
How is treatment urgency captured?
Patients select whether they want to move forward as soon as possible, within 1-3 months, or are just exploring, which lets you prioritize consultation slots for the most ready cases.
What if a patient isn't sure how many teeth need implants?
A 'not sure' option still routes the lead through, flagged so your team knows to clarify tooth count during the consultation instead of losing the enquiry.
Can this intake distinguish implant leads that actually need a bone graft or extraction first?
The extraction and jawbone-evaluation answers surface those cases, and you can route them toward your Bone Grafting or Tooth Extraction intake if a staged plan is needed.
Turn dental implant surgery visitors into qualified patients
Give every dental implant surgery visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.