1

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2

How old are you?*

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3

Which picture describes your malocclusion best? *

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4

Which picture describes your teeth spacing best?*

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5

What bothers you the most about your teeth?

6

Have you worn braces before?This question is required.

7

Are you wearing a permanent retainer?

A retainer is a metal wire glued to your teeth

8

When was your last visit to the dentist?

There should be no outstanding dental appointment.

9

Is there anything else you would like to share with us?

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