30-Second Smile Assessment
Fill out the Form below to see if Smile Aligner® is Right for You
Have you worn Braces or Clear Aligners in the past? (required)
YesNo
Choose the option that best describes your biggest concern with your smile: (required) Fix a spacing issueFix a crowding issueFix a bite problem (overbite, underbite or crossbite)Generally straighter teeth
Of the images below, which one best describes your teeth ? (required)
CrowdingSpacingOverbiteOverjetUnderbiteCrossbiteOpenbiteMisplaced midline
Candidate's Full Name (required)
Email Address(required)
Phone No.(required)
Your Home Country (required)
Send some photos to us & we’ll have a doctor to evaluate your case & let you know if Smile Aligner® is right for you.