Types of Braces

Advanced Technology

Virtual Consultation

We’re pleased to offer virtual treatment for our patients. To get started, please take a series of five photos using the guidelines below and submit them through the form on this page at least 48 hours before your appointment.

This gives Dr. Khan and Dr. Kania time to review your photos in advance and ensures your virtual visit is as efficient, personalized, and informative as possible.

How it Works

1. Ask someone to help you replicate the photos below using a digital camera or smartphone.

2. Submit all 5 of your photos using the form below and tell us about any concerns you have.

3. [drlastname] will review your photos with you during your virtual appointment.

How to Photograph Your Smile

Photos should be taken in a seated position, in a room with good lighting. For best results, have someone else take the photos, as they can be difficult to take on your own. Please contact our office if you have any questions about this form.

"*" indicates required fields

Show Us Your Smile

Photo 1 - Right Bite

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Bite down on your regular bite with back teeth touching. Pull back your right cheek as far as you can. Snap picture looking directly at the right side of your mouth.

Photo 2 - Center Smile

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Bite down on your regular bite with back teeth touching and show us your biggest smile ever, showing as much of your teeth as possible. Snap picture looking straight at your smile.

Photo 3 - Left Bite

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Bite down on your regular bite with back teeth touching. Pull back your left cheek as far as you can. Snap picture looking directly at the left side of your mouth.

Photo 4 - Upper Arch

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Tilt your head back and take a photo. Try to get your full arch. Face a window for the best lighting or use a flashlight to brighten the palate.

Photo 5 - Lower Arch

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Tilt your chin down and take a photo. Try to get your full arch. Face a window for the best lighting or use a flashlight to brighten the tongue and back teeth.

Patient Information

Patient Name*

First Last

If minor, Parent Name:

First Last

Email*

Phone*

Preferred Method of Contact

Facetime

Android Video Call

Phone

I am a ...*

new patient interested in a smile assessment

current patient checking in for virtual treatment

previous patient doing a retainer check

What is your goal with treatment?

Do you have any concerns about your treatment?

Do you have any concerns about your retainers?

Please wait for a confirmation message to ensure your photos have been uploaded, it may take a minute depending on image size and internet connection.