Smile Assessment Form
Smile

Find Out if You're a Candidate for Clear Aligners


Answer a few quick questions about your smile and treatment goals. It only takes around 30 seconds.

Once you complete the assessment, our dental team will review your responses and one of our treatment coordinators will contact you to discuss your eligibility and help you choose the best next step.

Whether you prefer visiting a clinic, taking impressions at home, or using our Mobile Scan service, we'll guide you through the process that's right for you.

Assessment Complete

We just need a little more information so that we can send your results.

Smile

Your Main Concern

Please select an option to continue.
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Bite & Teeth Habits

Do You have a Bite Issue?

Please select an option to continue.
Smile

Do You Grind Your Teeth While Sleeping?

Please select an option to continue.
Smile

Oral Hygiene & Gums

Are You up to date with Your Hygiene (Cleaning) Appointments?

Please select an option to continue.
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Do You have any Gum Recession?

Please select an option to continue.
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Do You have any Wobbly / Loose Teeth?

Please select an option to continue.
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Are you over 18 years old?

Please select an option to continue.
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How would you like to begin your smile journey?

Choose the option that works best for you.

Visit a Dental Practice

Visit a Dental Practice

Book an appointment for your scan and assessment.

Mobile Scan Experience

Mobile Scan Experience

We'll arrange for our mobile scanning service to come to you (where available).

At-Home Impression Kit

At-Home Impression Kit

We'll send you an easy-to-use impression kit so you can get started from home.