Complimentary Online Consultation

We would love to answer your questions, and it's free of charge. You don't even have to come into the office!

Note: If you are under the age of 18, please have Mom or Dad submit this form for you.

Show Us Your Teeth!

Use your cell phone or a digital camera to snap a few photos, similar to the examples below. You can do it yourself, but it's easier to have someone help you so you can use your fingers to pull your lips back.

Front

(Bite on your BACK teeth like normal.)


Right Side

(Use two fingers to pull your lips back as far as they will go.)


Left Side

(Use two fingers to pull your lips back as far as they will go.)


Optional Photos

The next 3 pictures are OPTIONAL. They are a little harder to take, but may help us a great deal in answering your questions.

Front, Slightly Open

(This one is much easier if you can use 2 fingers on each hand to pull your lips back, so it will help to have someone help you take the picture.)


Top Teeth

(Pull your upper lip up. Use your fingers if needed. Show us the biting surfaces of the teeth!)


Bottom Teeth

(Pull your lower lip down. Use your fingers if needed. Show us the biting surfaces of the teeth!)