Dr. Chelian Orthodontics

Virtual Smile Assessment

Sometimes life can be pretty hectic.  Between work, kids, activities and your social life, it might be hard to make it to our office for a consultation.  We have the perfect solution for you. Submit your smile for review with our Virtual Smile Assessment. Dr. Chelian will review your submission and tell you your treatment options, estimated length of treatment and give you specific details about the cost associated with each treatment option.

It’s never been easier to find out if braces or Invisalign is right for you!

Submitting your Smile Assessment photos is easy. Please review the HIPAA privacy policies here and follow the instructions below so we can get your Smile Assessment back to you quickly.

If you submit your insurance information and patient information form below, we can inform you of any additional benefits or discounts you qualify for that could reduce your out-of-pocket expense. Although not required for the Smile Assessment, you may find it beneficial.

If you think you might be a candidate for MASSHEALTH or New Hampshire Health Kids, please proceed with completing the Smile Assessment and then apply for those programs at the links below. We can answer any questions you may have about the application process.

Instructions

All photos should be taken in a seated position. You will need a friend or family member to serve as your photographer as it is difficult to take these photos by yourself.

Photo 1 – Frontal Smiling:

Bite down and give a really big smile. Make sure your back teeth are touching.

Photo 2 – Frontal Gums:

Smile very big again, but this time keep your teeth slightly apart and pull back your lips with your fingers so your top and bottom gums are visible.

Photo 3 – Profile:

Smile really big (one more time) and bite down on the back teeth – the way you would if you were chewing something. In this photo we need to be able to see both the bottom and top teeth.

Application

*indicates required field

 

Nashua

29 Riverside Street,Nashua, NH 03062603-882-6100

Beverly

142 Brimbal Avenue, Ste 3,Beverly, MA 01915978-774-8266