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Book with Dr. Melanie virtually. Enter some information, snap a few pics and then we’ll be in touch to chat with you about your treatment options.

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Patient Info


Upload Photos

If you can submit your photos, that will help us determine your treatment plan before your visit!

#1 Lower Teeth*
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.

#2 Upper Teeth*
top 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.

#3 Front View, smiling*
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.

#4 Right View*
Right teeth

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.

#5 Left View*
left teeth

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.

*maximum upload file size 4MB Each





Limited Treatment (Braces or clear aligners, minor corrections only)Comprehensive Treatment (Braces or Clear Aligners, complete alignment of all teeth and bite correction)


YesNo



mild, or no crowdingmoderateextreme


mild, or no extra spacemoderateextreme