Virtual Dental Development Check-up

Virtual Dental Development Assessment

Eruption Check-up
Thank you for taking the time to snap a few photos and be part of the Covid-19 solution. Moving to a virtual check-up helps by reducing office congestion and minimizing risk and exposure for yourselves, our staff, and other patients. When necessary we will request that you attend the office for periodic radiographs or a clinical assessment but monitoring dental development remotely is often possible.

Once received, your information and photos will be reviewed by Dr. Rosang. Our office will then be in touch to review findings and any recommendations based on the information provided.
Name*

First NameLast Name
Parent Name
Responsible for submitting assessment
Email*
example@example.com
Any recent changes to your address, phone, or email?

Virtual Dental Development 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.
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.
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 or spoons 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!
Please take a photo with patient biting down fully on molars with cheeks retracted as much as possible.
Please take a photo with patient biting down on molars fully and cheeks retracted to show back to right molars.
Please take a photo with patient biting down on molars fully and cheeks retracted to show left molars.
Retract lips off teeth as much as possible. (Helps if subject lies on couch)
Retract lips off teeth as much as possible.
Please list any dental or orthodontic concerns:
* 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.
Agree to Terms*

Agree
Should be Empty:

Virtual Dental Development Assessment