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Smile Assessment

Smile Assessment form

Northfield Dental Clinic Smile Assessment Form

To help us understand your dental needs and concerns ahead of your consultation appointment, please complete this form. Your responses will enable us to provide personalised and effective dental care tailored to your specific requirements. Please include photos of your teeth to assist our dental team in preparing for your visit.

Upload Photos

Please upload clear photos of your teeth to help us assess your smile better:

Instructions for how to take photos

  • If possible have a friend or family member help you take the photos
  • Wash your hands thoroughly with soap and water
  • Take photos using the flash setting on your smartphone
Front-Smile-NFDC.jpg

Front Photo

Bite on your back teeth and smile as widely as possible. Place two or three fingers into the sides of your mouth and use them to pull back your lips so that all your teeth are visible. Your photo should resemble the one above.

right-side-NFDC.jpg

Right Side Photo

Bite on your back teeth. Use your right fingers to pull back the cheek so that your upper and lower side teeth are visible. It may help to release the grip a little with your left fingers. Your photo should resemble the one above.

Left Side Photo NFDC

Left Side Photo

Bite on your back teeth. Use your left fingers to pull back the cheek so that your upper and lower side teeth are visible. It may help to release the grip a little with your right fingers. Your photo should resemble the one above.

Upper photo NFDC

Top Teeth Photo

If possible, it is recommended that a friend or family member help you to take these photos. Open your mouth widely and tilt your chin up so that we have a better view of all your teeth. Use your fingers to pull back the lower lip. Your photos should resemble those above.

Bottom photo NFDC

Bottom Teeth Photo

If possible, it is recommended that a friend or family member help you to take these photos. Open your mouth widely and tilt your chin down so that we have a better view of all your teeth. Use your fingers to pull back the upper lip. Your photos should resemble those above.