Dental Mold Form
Instructions
Click on the teeth below to select which teeth you want gold work done on. Selected teeth will turn gold.
🦷 Tooth Guide
Upper Jaw (Top):
15-11: Right side (molars to front)
21-25: Left side (front to molars)
Lower Jaw (Bottom):
45-41: Right side (molars to front)
31-35: Left side (front to molars)
💡 Tip: Front teeth (11, 21, 41, 31) are most visible when you smile!
Select Your Teeth
Upper Jaw
15
14
13
12
11
21
22
23
24
25
Lower Jaw
45
44
43
42
41
31
32
33
34
35
None selected