Your first name *

Last name

Practice name

Email *

Mobile

Before photos *

After photos *

How many weeks of treatment? *

Adult or teen? *

Type of malocclusion *

Crowded

Gaps

Crossbite

Overbite

Underbite

Open bite

Relapse after previous treatment

Patient age (optional)

Your reference for this patient. Internal record keeping only — we never publish patient names or anything that identifies a patient. Not sure of tray counts or dates? Give us the reference and we'll see what gaps we can fill from our records.

Arch treated (optional)

Number of aligners (optional)

Case grade (optional)

Treatment plan renderings (optional)

Any other photos of this case (optional)

Anything noteworthy about this case? (optional)

Patient consent — one last thing, then you're done *

I hold the patient's signed consent to publish these images, and I understand no patient name or identifying detail will be published.