Send us some photos to start your Virtual Assessment!
This page works best on your mobile device. If you are on your computer, open your phone or tablet's camera and scan the below QR code:
From your mobile device, upload a few photos, which Gullotta Orthodontics will review. We'll then put together a custom treatment plan explaining all of your options - including pricing and treatment time.
Full Name
Email
(optional)
Phone
(optional)
Photo #1
Smile wide! Pull back your cheeks with a finger on each side to snap this shot (you may need a friend to take the picture). And remember to take the picture straight on.
Click to take Smile Picture
Choose file
Photo #2
Pull your left cheek so we can see your side teeth. Bite your back teeth tight together for the photo.
Click to take Left Picture
Choose file
Photo #3
Pull your right cheek toward your ear so we can see your side teeth. Bite your back teeth tight together for the photo.
Click to take Right Picture
Choose file
Photo #4
Tip head back and open really wide. Use one hand to keep your upper lip out of the way.
Click to take Upper Picture
Choose file
Photo #5
Tip head down and open really wide. Use one hand to keep your lower lip out of the way.
Click to take Lower Picture
Choose file
If feasible, which would you prefer?
Invisalign Clear Aligners
Clear Braces
Metal Braces
Tell us what concerns you the most?
Submit
By sharing this data, you authorize its use including an opt-in to receive emails and text messages from the company per the Terms of Use.
To withdraw or limit consent please contact us.
English
Powered by
People + Practice