See what your smile looks like after Lumiliner treatment!

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Fill out the form and find out if Lumiliner treatment is right for you. We recommend filling out the form on a mobile device, as a successful treatment assessment requires photos of your teeth.

According to the pictures, we can give a preliminary assessment of whether your teeth can be straightened with Lumiliner. If we see that treatment with Lumiliner is likely, we will invite you to a clinic to discuss further treatment options.

If you don’t want to send us pictures of your teeth, submit your details via the contact form and we will be in touch with you regarding the consultation visit.

Fill out the 4-step virtual treatment evaluation form and upload photos of your teeth.

Submit the information to our treatment coordinator for review.

Receive a customized report of your teeth and an assessment of the effects of Lumiliner treatment on your smile.

The information and photos you provide will only be processed by our treatment coordinator and dental clinic staff. We will never pass on your information or use it for marketing purposes.