Free Smile Assessment

I am a:*

Teen

Parent

Adult

Which best describes your smile?*

Overbite

Upper front teeth close in front of the lower teeth.

Underbite

Lower teeth protrude past upper front teeth.

Crossbite

Upper and lower jaws don’t line up.

Gap Teeth

Extra spaces between teeth.

Open Bite

Top and bottom teeth don’t meet.

Crooked Teeth

There isn’t enough room in the jaw for teeth to fit normally.

Generally Straight Teeth

When you just want a more beautiful smile.

Mix of Baby and Permanent Teeth

Phase 1 orthodontic treatment for growing children with a mix of baby and permanent teeth.

Where are you in your journey for a new smile? **

Patient First Name*

Patient Last Name*

Patient Birth Date*

Postal Code*

Phone*

Consent*

I agree to receive information about Invisalign treatment from D Dental Office by email, which may contain special offers, additional information and requests for feedback about my experience. I also consent to D Dental Office contacting me by phone and/or text solely for the purposes of assisting me in finding an Invisalign treatment, other dental care and scheduling an appointment. Your personal data will be processed in accordance with our Privacy Statement.

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Free Smile Assessment

At the D Dental Office in the West Island

Answer a few quick questions and see if Invisalign® treatment is right for you

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