Do you have any allergies?
You are?
Are you pregnant?
Are you on any medications?
When did you last have a dental checkup?
When did you last have a teeth cleaning?
Which of these procedures have you had done in the past?
Do you have sensitive teeth?
Do your gums bleed when brushing?
Do you grind your teeth at night?
Are any of your teeth loose?
Are you happy with the straightness of your teeth?
Are you happy with the color of your teeth?
Do you have sleep or snoring issues?
Please upload clear photos to help your dentist examine your mouth and identify any areas of concern.
Before we can recommend a treatment plan, we need to take a peek at your teeth, Let’s warm up with a head-on selfie. Bite down on your back teeth and smile as wide as you can! Do your best to match the example photo.
Great shot! Next up, we need to see your smile from the left side. Still biting down on your back teeth, pull your cheek back either with your fingers or using a spoon. Do your best to match the example photo.
These are coming out great! Let's try the same shot, this time from the right. Make sure you're biting down on your back teeth! Do your best to match the example photo.
Next up, we need to see your upper teeth from below. Open wide! You may want to enlist the help of a friend for this one. Do your best to match the example photo.
Almost done: just one shot left! This time, we need to see your lower teeth. Once you've taken all of your photos, click Next to send your shots to our doctor!
If you have copies of your most recent Dentist X-Ray,please attach them here.
