Request a Virtual Consultation

Fill the form below and upload your photos to request a virtual consultation with one of our doctors.

Full Name*

Phone Number*

E-mail*

Date of Birth*

Preferred Method of Communication

If you are an aligner patient, what number aligner are you on? Please wear your aligners in the photos.

If you are an aligner patient, how many days have you been in this aligner?

Do you have any additional information that you would like to share with the doctor?

Smiling

Look straight at the camera and smile as big as you can.

Lower Teeth

Open your mouth wide and tilt your chin downwards toward your chest. Hold the camera so it’s perpendicular to the biting surfaces of your bottom teeth. Make sure your full arch is showing and then snap a picture.

Upper Teeth

Open your mouth wide and lift your chin as high as you can. Hold the camera so that it’s perpendicular to the biting surfaces of your top teeth. Make sure you can see the full arch and then click.

Front Teeth

Bite down so your back teeth touch. Directly facing the camera, smile wide and click, trying to get as many teeth as you can in the picture. If you need to, you can pull your lips and cheeks away from your teeth with your fingers to show more teeth.

Right View

Bite down so that your back teeth touch, smile and retract the cheek and lips with your finger on the right side of your mouth to expose more of your teeth. Take a picture of the right side.

Left View

Bite down so that your back teeth touch, smile and retract the cheek and lips with your finger on the left side of your mouth to expose more of your teeth. Take a picture of the left side.

*After clicking the button, please do not close this window until the success message appears. It might take up to 2 minutes for your photos to upload.

Request a Virtual Consultation

Upload Photos

Complimentary Consultation