• Virtual Orthodontic Assessment

    General Info - Photos - Orthodontic Concerns - Agree and Submit
  • The Team at Island Orthodontics welcomes you!  We look forward to meeting you, in person, as soon as possible... but in the meantime, please provide details about you and  7 photos so that we can get started making a personal care plan for you or your child.

    Once received, your information will be reviewed by Dr. Rosang.  Your treatment coordinator will then be in touch to review findings and recommendations based on the information provided and answer any questions you may have.

    In many cases, this information will be enough to make definitive recommendations.  Other times, a clinical assessment or radiographs (xrays) may be required before definitive recommendations can be made.

  • Birthday
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender - used for growth timing
  • Virtual Orthodontic Assessment

    Facial Photos - A white or light color wall background is best. Please ensure that the patient has their teeth biting down in the normal chewing position. (not with the lower jaw postured forward) An example is provided for each photo required.
  • Image field 6
  • Please take a photo with patient biting down fully and smiling to show teeth as much as possible. Capture the whole head with eyes level showing same amount of both ears.
  • Image field 9
  • Have patient turn their whole body to face an object at eye level on their left side... thereby showing the right side with patient biting down fully and smiling to show teeth as much as possible.
  • Virtual Orthodontic Assessment

    Intra Oral Photos - Please make sure the patient is biting down evenly on their molars (not with lower jaw postured forward). Please have patients use their own fingers to retract the cheeks enough to bare the teeth as in the examples below. Good lighting and a good phone camera or dedicated camera are helpful. While it is possible to take selfies, it is much easier to have a helper take the photos for you. And don't worry if your photos are not perfect. It is challenging even for us at times!
  • Image field 12
  • Please take a photo with patient biting down fully and cheeks retracted as much as possible to show all teeth.
  • Image field 18
  • Right Side: Please take a photo with patient biting down fully and cheeks retracted to show right side molars.
  • Image field 23
  • Left Side: Please take a photo with patient biting down fully and cheeks retracted to show left molars.
  • Image field 22
  • Upper teeth: Retract lips off teeth as much as possible. (Helps if subject lies on couch)
  • Image field 24
  • Lower teeth: Retract lips off teeth as much as possible.
  • Virtual Orthodontic Assessment

    Orthodontic / Dental Concerns
  • Health History
  • General Orthodontic Concern: (choose any that apply)

  • How did you hear about our office?
  • * Use of the Virtual Orthodontic Assessment implies agreement to it's intended use. Once received, your data is stored on a local, secure, and encrypted server.  Data is kept strictly confidential and used for only developing a personalized treatment plan for you. Please agree to the use of the virtual Assessment tool.

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